Myofascial Pain Syndrome
Conditions
Keywords
Dry Needling, Myofascial Pain Syndrome, Neurophysiological effects, Autonomic Nervous System
Brief summary
The present study aims to evaluate the differences that may be experienced in pain and cervical disability, before, during and just after the intervention of the Deep Dry Needling in the upper trapezius muscle in active, passive myofascial trigger points (MTP) or non-MTP in Patients with neck pain, assessing, in turn, the neurophysiological effects on the Autonomic Nervous System. Hypothesis: Deep Dry Needling of active myofascial trigger points produces a greater decrease of pain and cervical disability index and increase of pressure pain threshold; Than the Deep Dry Needling of Myofascial Trigger Points latent or out of Myofascial Trigger Points in patients with chronic neck pain. Objective: To determine the efficacy of Deep Dry Needling applied on Active Myofascial Triggers (MTP) vs. latent MTP versus MTP, on pain reduction and cervical disability, in patients with chronic neck pain attributable to Myofascial Pain Syndrome.
Interventions
PROCEDUREDeep Dry Needling
Deep Dry Needling in the upper trapezious muscle is an invasive technique of Physical Therapy.
Sponsors
Luis Martín Sacristán
Universidad Rey Juan Carlos
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Randomized controlled trial with double-blind
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Non-specific neck pain, unilateral or bilateral. * Neck pain ≥ 3 months of duration. * Presence of active and latent MTP in the upper, left, right or bilateral trapezius muscle, in relation to the patient's neck pain. * Clinical criteria recommended to identify active and latent MTP: 1. Tensile band palpable. 2. Exquisite local pain at the pressure of a taut band node. 3. Recognition by the patient of their usual pain when pressing on the sensitive nodule (to identify an active MTP). 4. Painful limitation of range of mobility to complete stretching. It is considered positive when 3 of the 4 clinical criteria are found.
Exclusion criteria
* Unsurpassed fear of needles. * Coagulation disorders. * Specific alterations of the cervical region in the clinical history. * Infiltration of corticosteroids or local anesthetics during a year before the study. * Surgical intervention of the cervical region or previous shoulder. * Skin lesions in the area, as well as infection or inflammation. * Taking analgesic, anti-inflammatory or anticoagulant medication the week before the study. * Treatment of MTP or Deep Dry Needling in the neck region in the 6 months prior to the intervention. * Cognitive deficit in the medical history.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of Deep Dry Needling applied on Active Myofascial Trigger Points (MTP) vs. latent MTP versus outside MTP, on pain reduction in patients with chronic neck pain. | Baseline, during intervention, immediately after intervention, 1, 6, 12, 24, 48 and 72 hours after intervention, a week after intervention and one month after the intervention | Checkin the Intensity of pain with the Visual Analogic Scale. It is a 100 mm line that measures the intensity of pain.The left end of the line represents the absence of pain, while the far right represents the worst pain imaginable. The numerical scale of intensity of pain adds a numerical ranking where 1 is no pain and 10 the worst pain imaginable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Threshold of pain to pressure | Baseline and immediately after intervention | Using a Digital algometer in the pain points of the patient. |
| Cervical pain and dysfunction | Baseline, a week after intervention and one month after the intervention | Using the questionnaire: Neck Disability Index It is the scale that has been used in more different populations and the one that has been more times validated against multiple measures of function, pain and clinical signs and symptoms. The NDI is a self-completed questionnaire with 10 sections. Each of the sections (cervical pain intensity, personal care, weight lifting, reading, headache, ability to concentrate, work capacity, driving, sleep and leisure activities) offers 6 possible answers that represent 6 levels progressive functional capacity, and scored from 0 to 5 (0 = no disability, 5 = total disability). The total score is expressed in percentage terms with respect to the maximum possible. |
| Changes related to the Autonomic Nervous System | Baseline, during intervention and after intervention (1 and 10 minutes after intervention) | Checking heart rate measuring the beats per minute. |
Countries
Spain
Outcome results
None listed