Trigger Point Pain, Myofascial
Conditions
Keywords
trigger point, dry-needling, ultrasonography, pain intensity, neck disability
Brief summary
The aim of this study is to investigate the short and long-term effects of dry-needling of participants with trigger points in the upper trapezius muscle. 64 participants who diagnosed with myofascial pain syndrome will be included in the study. All participants will have trigger points in the upper trapezius muscles. They are randomised into two groups: dry needling (n=32) and exercise group (n=32). Ultrasonographic evaluation of trigger points (diameter, circumference and area), pain intensity and neck disability will be evaluated as primary outcome. Active cervical range of motion will be evaluated as secondary outcome.
Detailed description
Objective: The aim of this study is to investigate the short and long-term effects of dry-needling of participants with trigger points in the upper trapezius muscle. Methods: 64 participants who diagnosed with myofascial pain syndrome will be included in the study. All participants will have trigger points in the upper trapezius muscles. They are randomised into two groups: dry needling (n=32) and exercise group (n=32). Ultrasonographic evaluation of trigger points (diameter, circumference and area), pain intensity and neck disability will be evaluated as primary outcome. Active cervical range of motion will be evaluated as secondary outcome. All treatments will be applied by an investigator and a different blinded investigator will evaluated all participants. Numerical Rating Scale will be used for evaluating pain intensity and Neck Disability Index will be used for evaluating neck disability. Dry-needling treatment will be applied once a week for three weeks. Servical stretching exercises are given to all participants. (20 repetitions in one session and 2 sessions in a day, three days a week.) All participants will be evaluated before treatment, after treatment (at 3rd week) and at 3 month follow-ups.
Interventions
PROCEDUREdry-needling
Dry needling is a technique in which a fine needle is used to penetrate the skin, subcutaneous tissues and muscles to mechanically disrupt tissue without the use of anesthesia. Treatment is often used to treat myofascial trigger points.
Sponsors
Kanuni Sultan Suleyman Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
All treatments will be applied by an investigator and a different blinded investigator will evaluate all participants
Intervention model description
Dry needling is a technique in which a fine needle is used to penetrate the skin, subcutaneous tissues and muscles to mechanically disrupt tissue without the use of anesthesia. Treatment is often used to treat myofascial trigger points.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* trigger points in the upper trapezius muscle * 18-45 years old * no treatment in three months for myofascial pain syndrome (MPS) * accept to participate treatment program
Exclusion criteria
* already treated in 3 months for MPS * below 18 years and above 45 years old * no acceptance to participate the trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| diameter of trigger point | 3 month follow-ups | an ultrasonographic evaluation |
| circumference of trigger point | 3 month follow-ups | an ultrasonographic evaluation |
| area of trigger point | 3 month follow-ups | an ultrasonographic evaluation |
| Numerical Rating Scale | 3 month follow-ups | a questionnaire to evaluate pain intensity |
| Neck Disability index | 3 month follow-ups | a questionnaire to evaluate neck disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| active servical range of motion | 3 month follow-ups | active servical range of motion |
Countries
Turkey (Türkiye)
Outcome results
None listed