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Dry Needling and Pain Education in the Treatment of Chronic Neck Pain

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ClinicalTrials.gov Identifier: NCT03095365
Recruitment Status : Completed
First Posted : March 29, 2017
Last Update Posted : September 8, 2017
Information provided by (Responsible Party):
Josue Fernandez Carnero, Universidad Rey Juan Carlos

Brief Summary:
to compare the effects on pain, disability and psychological factors of the combination of MTrP dry needling and pain neuroscience education to MTrPs dry needing alone and control electrotherapy usual care in patients with chronic neck pain.

Condition or disease Intervention/treatment Phase
Pain, Neck Other: Dry needling Other: Pain neuroscience education Other: Conventional treatment Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Dry Needling and Pain Neuroscience Education in Chronic Pain Patients
Actual Study Start Date : March 14, 2017
Actual Primary Completion Date : September 1, 2017
Actual Study Completion Date : September 5, 2017

Arm Intervention/treatment
Active Comparator: Dry needling
Received Dry needling in the neck muscles.
Other: Dry needling
Insertion of solid filament needles in the muscle

Active Comparator: Conventional treatment
the participants received the conventional treatment for non-specific neck pain.
Other: Conventional treatment
Electrotherapy: Transcutaneous electrical nerve stimulation and microwaves

Experimental: Dry needling and pain neuroscience education
Received the same treatment as dry needling group and pain education.
Other: Dry needling
Insertion of solid filament needles in the muscle

Other: Pain neuroscience education
Explanation of the functioning of the central nervous system, the differences between acute pain and chronic pain and the importance of thoughts and beliefs in the processing and chronification of pain

Primary Outcome Measures :
  1. Pain using Visual Analogue Scale [ Time Frame: 3 months ]
    Visual Analogue Scale: consists of a line of 100mm which represents the "no pain" on the left side of the same and the "worst pain imaginable" on the right side

Secondary Outcome Measures :
  1. Medication intake [ Time Frame: 3 months ]
    Medication use: number of pills

  2. Disability using Neck Disability Index [ Time Frame: 3 months ]
    Neck disability index: patients ability to function in daily life activities.

  3. Kinesiophobia using Tampa Scale of Kinesiophobia [ Time Frame: 3 months ]
    Tampa Scale of Kinesiophobia: participants pain-related fear of movement and (re)injury

  4. Catastrophizing using Pain Catastrophizing Scale [ Time Frame: 3 months ]
    Pain Catastrophizing Scale: propensity to catastrophize about pain

  5. Pain anxiety using Pain Anxiety Symptoms Scale [ Time Frame: 3 months ]
    Pain Anxiety Symptoms Scale: The anxiety behaviors associated with pain

  6. Beck Depression Inventory-II [ Time Frame: 3 months ]
    Self-report measure to assess the severity of depressive symptoms

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Mechanical neck pain for at least 12 weeks
  • 10% or higher on the Neck Disability Index questionnaire
  • 20mm or higher on the Visual Analogue Scale (VAS) of neck pain
  • Presence of at least one active myofascial trigger point

Exclusion Criteria:

  • Neck pain associated with whiplash injuries
  • Medical red flag history (i.e., tumour, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis)
  • Neck pain with cervical radiculopathy
  • Neck pain associated with externalized cervical disc herniation
  • Fibromyalgia syndrome
  • Previous neck surgery
  • Neck pain accompanied by vertigo caused by vertebrobasilar insufficiency or accompanied by non-cervicogenic headaches

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): NCT03095365

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Hospital Universitario Infanta Sofia
San Sebastián de los Reyes, Madrid, Spain, 28702
Sponsors and Collaborators
Universidad Rey Juan Carlos
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Study Director: Josue Fernandez-Carnero, PhD Rey Juan Carlos University
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Josue Fernandez Carnero, PhD, Universidad Rey Juan Carlos
ClinicalTrials.gov Identifier: NCT03095365    
Other Study ID Numbers: 03/2017
First Posted: March 29, 2017    Key Record Dates
Last Update Posted: September 8, 2017
Last Verified: September 2017

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Neck Pain
Neurologic Manifestations