study of the effects of a single session dry needling with and without intramuscular electrical stimulation on active trigger point in patients with shoulder impingement syndrome
the effectiveness of Dry Needling with and without intramuscular electrical stimulation on pain and function in patients with impingement syndrome
Design
clinical randomised trial,parallel group with assessor blind
Settings and conduct
in this study patients with shoulder impingement syndrome who are reffered to the clinic of Shahid Beheshti University, are included and devided randomly to two groups. patients are assessed by a assessor who is blind to the intervention and then they undergo dry needling for trigger points on Upper Trapezius and Infra Spinatus muscle.
Participants/Inclusion and exclusion criteria
inclusion:patients diagnosed with impingement syndrome who have active trigger point in upper trapezius and infra spinatus muscle, age between 18-20, moderate intensity of pain based on VAS
exclusion:having any musculoskeletal disorder or neurological disorder in neck or upper limb, patients who are afraid of needle, pregnancy
Intervention groups
intervention group 1 includes impingement syndrome patients receiving 1 minute of fast in-fast out dry needling on trigger point in upper trapezius and infraspinatus muscle. then the needle is remained in the trigger point for 10 minutes
intervention group 2 includes impingement syndrome patients receiving dry needling with intramuscular electrical stimulation.dry needling is done like the other group for 1 minute.then the cathode electrode is attached to the needle with alligator clips and the anode electrode is placed on spinous process of C7. the electrical stimulation type is burst and will be set with a frequency of 2Hz and pulse duration 200µs and the intensity increase to elicit muscular contraction without pain. the stimulation is applied on each needle separately for 10 minutes.
Main outcome variables
it is expected that this technique will be effective on pain, pain pressure threshold, range of motion and shoulder function.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20180410039256N1
Registration date:2018-12-09, 1397/09/18
Registration timing:registered_while_recruiting
Last update:2018-12-09, 1397/09/18
Update count:0
Registration date
2018-12-09, 1397/09/18
Registrant information
Name
Sayena Vahidimanesh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 7756 1724
Email address
vahidimanesh1372@sbmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-10-22, 1397/07/30
Expected recruitment end date
2019-10-22, 1398/07/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
study of the effects of a single session dry needling with and without intramuscular electrical stimulation on active trigger point in patients with shoulder impingement syndrome
Public title
study of the effects of dry needling with and without intramuscular electrical stimulation on shoulder pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
patients with shoulder impingement syndrome who have 3 positive tests among neer, hawkins kennedy, jobe,external rotation resistance, painful arc
age between 18 to 50
presence of active trigger points in upper trapezius and infraspinatus muscles
moderate pain intensity of 3 baised on VAS
Exclusion criteria:
any postural disorders like scoliosis ect
frozen shoulder
any other musculoskeletal disease like myopathy, neck and shoulder surgery etc
neurological disease
malignancy
absolute and relative contraindication use of dry needling
for women being on period time
Age
From 18 years old to 50 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Data analyser
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
patients will be randomly divided to one of the two intervention groups. 15 cards are considered for each group. these cards are placed in sealed envelops and each patients will get one.
Blinding (investigator's opinion)
Single blinded
Blinding description
in this study the assessor is blind to the treatment
the data analyser will be blind too
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
ethics committee of Shahid Beheshti University of Medical Scineces