Whiplash Injuries
Conditions
Keywords
Dry Needling, Manual Therapy, Motor Control, Whiplash
Brief summary
INTRODUCTION: Whiplash is an injury produced by an acceleration-deceleration mechanism that transmits energy to the cervical spine. According to the bibliography, the conservative treatment (motor control exercises and manual therapy) has shown benefits in approaching this lesion, but its efficacy is limited. Dry needling has already shown its usefulness in different musculoskeletal pathologies, however, its efficacy is unknown when it is included in conservative treatment. OBJECTIVES: The objective of this study is to assess the effects of the incorporation of dry needling in the conventional treatment with manual therapy and motor control exercises, compared to the conventional non-invasive treatment in patients with acute or subacute whiplash. HYPOTHESIS: The inclusion of dry needling in conventional non-invasive treatment is more effective than conventional non-invasive treatment in patients with acute or subacute whiplash. METHODS: A randomized clinical trial will be conducted in which the subjects of study will be assigned to two groups, a control group (conventional treatment) and an experimental group (conventional treatment and dry needling).
Interventions
OTHERMotor Control
Neck Motor Control
OTHERManual Therapy
Massage + Joint Mobilizations
OTHERDry Needling
Dry Needling in Neck Muscles
Sponsors
University of Alcala
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Medical Diagnosis of Whiplash Grade I-II in the QTF * Neck Pain * Whiplash in Acute or Subacute Phase
Exclusion criteria
* Pregnancy * Belonephobia * Cervical Fractures-Dislocations or Neurological Deficit Secondaries to Accident * Previous Surgery of the Cervical Spine * Circulatory Disease, Respiratory Disease, Neurological Disease, Rheumatologic Disease and Mental Illness * Athletes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck Disability Index. Changes from Baseline | 3 weeks, 6 weeks, 3 months | 0-100% (0% = No Disability; 100% = Disability (highest level of disability) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pressure pain thresholds. Changes from Baseline | 3 weeks, 6 weeks, 3 months | The minimum force applied which induces pain. Measured kg/cm2 |
| Cervical Range of Movement. Changes from Baseline | 3 weeks, 6 weeks, 3 months | Amount of cervical movement using a goniometer |
| Kinesophobia. Changes from Baseline | 3 weeks, 6 weeks, 3 months | Fear of movement measured by the TAMPA scale |
| Cervical Motor Control. Changes from Baseline | 3 weeks, 6 weeks, 3 months | measure of cervical joint position sense using a laser |
Countries
Spain
Outcome results
None listed