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IRCT20171219037956N1 IRCT 2018-02-11 University of social welfare and rehabilitation sciences Effects of dry needling and soft tissue release in treatment of migraine patients DNSTR The effects of treating myofascial trigger points of neck using the techniques of dry needling and soft tissue release on the clinical feature of patients with migraine headache 2018-04-02 anticipated 60 Complete https://irct.ir/trial/28416 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block Randomization, Blinding description: Double-blind study will be done,in this way, the allocation of people to the groups and the assessment of patients are done by people who are unaware of the status of the grouping of patients.Treatment is provided by a specialist physiotherapist and evaluated by a collaborator. 2-3 Migraine patients. Intervention 1: Intervention group: Dry needling. Intervention 2: Intervention group: Soft tissue release. Intervention 3: Control group: Placebo control. Yes - There is a plan to make this available What will be shared: Some of the data, such as information about the consequences, can be shared When: Starting the access period: 6 months after publition the results To whom: Researchers working in academic and academic institutions Conditions: Only statistical analyzes can be used to find treatment for improvement of patients Where to obtain: Applicants can be guided by email authors How to obtain: First, they will email the authors of the study and we Will be answered within a week Comments:
public Tahere Rezaeian
kodakyar Ave., daneshjo Blvd.,Evin,Tehran
Tehran Iran (Islamic Republic of) 1985713834 +98 21 2218 0039 tahere.rezaiyan@gmail.com University of social welfare and rehabilitation sciences scientific Tahere Rezaeian
kodakyar Ave., daneshjo Blvd.,Evin,Tehran
Tehran Iran (Islamic Republic of) 7185796184 +98 21 2218 0039 tahere.rezaiyan@gmail.com University of social welfare and rehabilitation sciences Iran (Islamic Republic of) 1. A neurologist selected the study subjects based on IHS criteria for diagnosis of migraine. 2. The patients in this study were between the ages of 25 and 55 years old The patients with migraine were examined to find any active trigger points in UT, SCM, sub-occipital muscles . The presence of active trigger points was confirmed if “1- There was an area of focal muscle tenderness that was activated by palpation and that, when activated, referred pain replicating the patient’s headache complaint. 2- There was a jump sign that was the characteristic behavioral response to pressure on a trigger point” . One diagnostic test in particular, the flexion–rotation test, is said to determine C1-2 dysfunction .Patient was supine position. With the subject relaxed and the cervical spine is fully flexed with the occiput resting against the examiners. The head is then rotated to the left and the right. If firm resistance is percieved, pain provoked and range is limited before the expected end range .The normal range is reported at 44-45 degrees, therefore, the test is positive when the range of motion is more than 10 degrees from the normal range.Studies have shown that migraine has a small effect on the range of motion during this test, but this test shows the presence or absence of cervicogenic headache and this test can use for Differential Diagnosis between migraine headache and cervicogenic headache.The positive test indicates a cervicogenic headache 25 years 55 years Both history of cervical disc herniation, unusual migraine, heart failure, pulmonary failure, kidney failure, liver failure, circulation failure, diabetes mellitus patients who were using opioid prophylaxis, anti -depressant, anti-anxiety drugs subjects who were pregnant or breastfeeding and Those who having trigger point therapy within the past month before the study The patients, who underwent DN, had no contraindication for needling such as local infection, pregnancy with threatened abortion, taking anticoagulants I67.8 Other specified cerebrovascular diseases Rehabilitation Rehabilitation Placebo Intervention group: Dry needling Intervention group: Soft tissue release Control group: Placebo control 1-Headache frequency. Timepoint: Before,After and 1month follow up. Method of measurement: Daily note form. 2-Headache intensity. Timepoint: Before,After and 1month follow up. Method of measurement: Daily note form. 3-Headache duration. Timepoint: Before,After and 1month follow up. Method of measurement: Daily note form. Number of drug consumption. Timepoint: Before,After and 1month follow up. Method of measurement: Daily note form. 1.Pressure pain threshold. Timepoint: Before, After and 1month follow up. Method of measurement: Algometer. 2-Muscle thickness. Timepoint: Before, After and 1month follow up. Method of measurement: Ultrasonography. 3-Range of motion. Timepoint: Before, After and 1month follow up. Method of measurement: Goniometer. 4-Neck disability index. Timepoint: Before, After and 1month follow up. Method of measurement: Neck disability index questionnaire. 5-Head disability index. Timepoint: Before, After and 1month follow up. Method of measurement: Head disability index questionnaire. 6-Pain intensity. Timepoint: Before, After and 1month follow up. Method of measurement: Visual analog scale. University of social welfare and rehabilitation sciences Approved 2016-06-19 Ethics Committee of the University of Social Welfare and Rehabilitation Sciences Koodakyar St., Daneshjoo Blvd,Velenjak, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)