Comparison of the upper trapezius and the infraspinatus trigger point therapy by dry needling in overhead athletes with unilateral shoulder pain: a double-blind randomized clinical trial
The oroginal purpose of this study is to compare two effects of dry needling: direct effect of dry needling of upper trapezius and remote effect of dry needling of infraspinatus muscle on pain and tissue sensitivity of myofascial trigger points of upper trapezius muscle.
method: 40 overhead athletes with shoulder impingement syndrome and active trigger points in both upper trapezius and infraspinatus has been entered the study. Exclusion criteria was common contraindications of dry needling and cognitive problems and trigger point treatment in the last month.Participants was divided randomely into 2 groups of dirrect needling of upper trapezius and needling of infraspinatus. Intervention was done in 3 sessions with 3 days interval. Assessment of subjective pain, pressure pain threshold and pain and disability index for upper extremity was done just before and after 2 day of treatment sessions.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2015120825437N1
Registration date:2016-01-08, 1394/10/18
Registration timing:retrospective
Last update:
Update count:0
Registration date
2016-01-08, 1394/10/18
Registrant information
Name
Maryam Morovati Ardakani
Name of organization / entity
Shiraz University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 71 3823 2869
Email address
m_morovati@sums.ac.ir
Recruitment status
Recruitment complete
Funding source
Shiraz University of Medical Sciences
Expected recruitment start date
2015-03-06, 1393/12/15
Expected recruitment end date
2015-08-06, 1394/05/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the upper trapezius and the infraspinatus trigger point therapy by dry needling in overhead athletes with unilateral shoulder pain: a double-blind randomized clinical trial
Public title
Remote effect of dry needling on pain and tissue sensitivity of muscles trigger points.
Purpose
Treatment
Inclusion/Exclusion criteria
incusion criteria: overhead athletes; between 18_ 60 years old; shoulder impingement syndrome; active myofascial trigger points in both upper trapezius and infraspinatus muscles.
exclusion criteria :local trauma and infection; anti-coagulant drugs consumption; pregnancy with risk of abortion; heart disease and immune system disease; addiction; cognitive problems; history of surgery on neck and upper back; neurologic deficit; seious medical conditions; cervical radiculopathy; trigger treatment in the past month
Age
From 18 years old to 60 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
40
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Double blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Shiraz University of Medical Sciences
Street address
Zand blvd, Shiraz, Iran
City
Shiraz
Postal code
Approval date
2015-03-02, 1393/12/11
Ethics committee reference number
ct-9373-7403
Health conditions studied
1
Description of health condition studied
shoulder and arm pain
ICD-10 code
M25.5, M79
ICD-10 code description
M25.5 pain in joint, M79.6 pain in limb
Primary outcomes
1
Description
subjective pain
Timepoint
before and 3 days after intrvention
Method of measurement
visual analogue scale
2
Description
tissue sensitivity (pressure pain threshold)
Timepoint
before and 3 days after intrvention
Method of measurement
digital algometry
3
Description
disability index of upper extremity
Timepoint
before and 3 days after intrvention
Method of measurement
DASH questionnair
Secondary outcomes
empty
Intervention groups
1
Description
direct intervention group(control): upper trapezius trigger point dry needling in 3 sessions with 3 days interval
Category
Other
2
Description
indirect intervention group (intervention):infraspinatus muscle trigger point dry needling in 3 sessions with 3 days interval