Dry Needling vs Dry Needling With ES in Patients With Neck/Shoulder Pain
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic, Pain, Pain |
| Therapuetic Areas: | Musculoskeletal, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 60 |
| Updated: | 3/27/2019 |
| Start Date: | August 16, 2018 |
| End Date: | February 1, 2019 |
Rate and Maintenance of Improvement in Myofascial Pain: Dry Needling Alone vs Dry Needling With Intramuscular Electrical Stimulation
First, we aim to determine if there is a difference in the rate of improvement, as measured
by the Neck Disability Index (NDI) and Numerical Pain Rating Scale (NPRS), across a 6 week
treatment period between those treated with DN only and those treated with DN and
intramuscular electrical stimulation (IES) in subjects with upper trapezius active trigger
points (aTrPs). Secondly, we want to determine if improvements in clinical outcomes (NDI and
NPRS) of patients with upper trapezius active trigger points (aTrPs) treated with dry
needling (DN) alone or dry needling with intramuscular electrical stimulation (DN/IES) are
maintained 6 weeks post treatment without further intervention.
Research Questions:
1. Is there a difference in the rate of improvement in NDI and NPRS across a 6 week
treatment period in subjects with upper trapezius active trigger points (aTrPs) between
those treated with DN only and those treated with DN and intramuscular electrical
stimulation (IES)?
2. Are improvements in clinical outcomes (NDI and NPRS) of patients with upper trapezius
active trigger points (aTrPs) treated with dry needling (DN) maintained 6 weeks post
treatment without further intervention? Tertiary exploration: If improvement is
maintained, is there a difference in outcome maintenance between groups? Did improvement
increase between 6 and 12 weeks?
by the Neck Disability Index (NDI) and Numerical Pain Rating Scale (NPRS), across a 6 week
treatment period between those treated with DN only and those treated with DN and
intramuscular electrical stimulation (IES) in subjects with upper trapezius active trigger
points (aTrPs). Secondly, we want to determine if improvements in clinical outcomes (NDI and
NPRS) of patients with upper trapezius active trigger points (aTrPs) treated with dry
needling (DN) alone or dry needling with intramuscular electrical stimulation (DN/IES) are
maintained 6 weeks post treatment without further intervention.
Research Questions:
1. Is there a difference in the rate of improvement in NDI and NPRS across a 6 week
treatment period in subjects with upper trapezius active trigger points (aTrPs) between
those treated with DN only and those treated with DN and intramuscular electrical
stimulation (IES)?
2. Are improvements in clinical outcomes (NDI and NPRS) of patients with upper trapezius
active trigger points (aTrPs) treated with dry needling (DN) maintained 6 weeks post
treatment without further intervention? Tertiary exploration: If improvement is
maintained, is there a difference in outcome maintenance between groups? Did improvement
increase between 6 and 12 weeks?
Inclusion Criteria:
18-59 years old have an active email account have at least one palpable active trigger
point (TrP) (located in one or both upper trapezius) English speaking
Exclusion Criteria:
current or previous history of cancer active infection neurologic deficit cognitive deficit
pregnancy connective tissue disease and/or autoimmune disorder smoke tobacco received
previous DN treatments within 6 weeks of the study, experienced unilateral or bilateral
neck/shoulder pain continuously for 3 months or longer
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