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Dry Needling and Maitland Joint Mobilization Techniques in Patients With Myofacial Chronic Neck Pain

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ClinicalTrials.gov Identifier: NCT04568915
Recruitment Status : Completed
First Posted : September 29, 2020
Last Update Posted : September 29, 2020
Sponsor:
Information provided by (Responsible Party):
Riphah International University

Study Description
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Brief Summary:
The purpose of my research is to compare the effects of dry needling and Maitland mobilization in chronic myofacial neck pain

Condition or disease Intervention/treatment Phase
Myofacial Pain Neck Pain Other: Dry Needling Other: Maitland Mobilization Not Applicable

Detailed Description:
To distinguish which technique is most effective in pain reduction and range gain because in chronic cases there is involvement of fascia, muscles and joints due to prolonged stress on any of the component affecting the other. Hence, the study will help to design a treatment plan with more accurate intervention. After sample collection according to selection criteria treatment sessions will be given to both groups for 6 weeks. Data will be collected at baseline, then after 2 weeks, 4 weeks and at 8th week. Tools for data collection are Visual analogue scale, Neck Disability Index and Goniometer. For statistical analysis SPSS 22 will be used. Intra group difference will be calculated by repeated measurement ANOVA / Friedman test and inter group analysis will be done by Independent sample t test. Descriptive data will be expressed in terms of frequency and proportions.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Comparison Between Dry Needling and Maitland Joint Mobilization Techniques in Patients With Myofacial Chronic Neck Pain
Actual Study Start Date : September 15, 2019
Actual Primary Completion Date : June 20, 2020
Actual Study Completion Date : June 28, 2020

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Arms and Interventions
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Arm Intervention/treatment
Experimental: Dry Needling-Group
Tens, Stretching, Strengthening(girdle), Neck Isometrics, DN
 Other: Dry Needling
TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, DN
Active Comparator: Maitland-Group
Tens Stretching, Strengthening(girdle), Neck Isometrics, Maitland joint mobilization
 Other: Maitland Mobilization
TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, Maitland joint mobilization


Outcome Measures
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Primary Outcome Measures :
  1. Numeric Pain Rating Scale NPRS [ Time Frame: 4 months ]
    The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

  2. Range of Motion [ Time Frame: 4 months ]
    Standard Goniometer will be used.Higher score shows improvement.

  3. Disability [ Time Frame: 4 months ]
    Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated as follows: Example:16 (total scored) 50 (total possible score) x 100 = 32% If one section is missed or not applicable the score is calculated: 16 (total scored) 45 (total possible score) x 100 = 35.5% Minimum Detectable Change (90% confidence): 5 points or 10 %points


Eligibility Criteria
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Ages Eligible for Study:   25 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Bilateral pain involving the upper trapezius and elevator muscle of the scapula;
  • Duration of pain of at least 3 months;
  • A pain intensity corresponding to at least 20 mm on a 100 mm visual analogue scale (VAS)
  • Neck pain with symptoms provoked by either neck postures or neck movement;
  • Pain localized at least in the cervical and occipital regions but not in the orofacial region;
  • Neck disability index (NDI) greater than or equal to 15 points;
  • Restricted cervical range of movements (flexion, extension, rotation, and sidebending); (i) Presence of bilateral MTrPs in upper trapezius and levator scapulae muscles

Exclusion Criteria:

  • Any signs, symptoms, or history of the following diseases:
  • Orofacial pain and temporo-mandibular disorders
  • A history of traumatic injuries (e.g., contusion, fracture, and whiplash injury);
  • Systemic diseases such as fibromyalgia, systemic erythematous lupus, and arthritis; (d) Neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia);
  • Concomitant medical diagnosis of any primary headache (tension type or migraine);
  • Unilateral neck pain;
  • Cervical spine surgery;
  • Clinical diagnosis of cervical radiculopathy or myelopathy;
  • Needle phobia;
  • History of previous physical therapy intervention for the cervical region in last 6 months.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04568915


Locations
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Pakistan
Riphah IU
Lahore, Pakistan, 54000
Sponsors and Collaborators
Riphah International University
Investigators
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Principal Investigator: Maryam Shabbir, PHD Riphah International University
More Information
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Publications:

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Responsible Party: Riphah International University
ClinicalTrials.gov Identifier: NCT04568915    
Other Study ID Numbers: MS-OMPT/Spring19/030 Momna
Momna Ghaffar ( Other Identifier: Riphah )
First Posted: September 29, 2020    Key Record Dates
Last Update Posted: September 29, 2020
Last Verified: September 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Riphah International University:
Neck Pain
Myofacial Pain
Additional relevant MeSH terms:
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Neck Pain
Facial Pain
Pain
Neurologic Manifestations