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IRCT2017061634567N1 IRCT 2017-08-05 Tehran University of Medical Sciences Effects of Intramuscular Electrical Stimulation on Upper Trapezius Trigger Points Treatment Effects of Single Session Intramuscular Electrical Stimulation through Dry Needling on Pain and Dysfunction Following Trigger Points in Upper Trapezius Muscle 2017-09-06 anticipated 30 Complete https://irct.ir/trial/26385 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Other design features: In this study for randomization will be used balanced block randomization. N/A Trigger Points in Upper Trapezius Muscle. Intervention group: The intervention in this group is intramuscular electrical stimulation. The patient is in prone, while the hands are placed next to the body and the head is in the midline. For a patient's comfort, a roll under the forehead is used. The muscle is needled with a pincer palpation. The needle is inserted perpendicular to the skin and directed towards the practitioner’s finger. In the next step, the cathode electrode is connected to the needle and the other is placed by a circular electrode on the spinous process of seventh vertebra of neck. Then, a burst current (2 Hz frequency, 200µs pulse width) apply through the needles while electrical current steadily will be increased to meet a pain free contraction.The treatment is continued for a period of ten minutes. control(placebo): In placebo group procedure is exactly the same but there is no electrical stimulation under dry needling. The treatment is continued for a period of ten minutes..
public monavar hadizadeh
Faculty of Rehabilitation, Piche Shemiran st, Enghelab Ave, Tehran, Iran
tehran Iran (Islamic Republic of) +98 21 7753 3939 hadizadeh-m@razi.tums.ac.ir Tehran University of Medical Sciences scientific Siamak Bashardoust Tajali
Faculty of Rehabilitation, Piche Shemiran st, Enghelab Ave, Tehran, Iran
Tehran Iran (Islamic Republic of) +98 2177685105253 s_bashardoust@sina.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: 1. Active trigger points with specific bundle in upper trapezius muscle 2. The pain associated with the trigger point of the upper trapezius muscle be higher than 3 based on the VAS scale, which is considered as moderate pain. 3. Age 18-40 4. Do not give injections or other treatments for trigger points within a month before the study. 5. No history of muscle diseases such as fibromyalgia and myopathy. 6. No malignancy or patients susceptible to infection. 7. Not having central and peripheral neurological disorders. 8. Not having radical pain and history of neck surgery. 9. have no previous history of bad response to acupuncture or dry needling. 10. No pregnancy 11. Do not use anticoagulants. 12. No significant fears from the dry needling. 13. Not having vascular disease. 14. Not having diabetes. 15. Not having a history of migraine. exclusion criteria: 1. Withdrawal of cooperation by the patient. 2. Discomfort and intolerance method applied to the patient. 3. Incidence of abnormal reactions during dry needling and treatment. 18 years 40 years Female Treatment - Other Intervention group: The intervention in this group is intramuscular electrical stimulation. The patient is in prone, while the hands are placed next to the body and the head is in the midline. For a patient's comfort, a roll under the forehead is used. The muscle is needled with a pincer palpation. The needle is inserted perpendicular to the skin and directed towards the practitioner’s finger. In the next step, the cathode electrode is connected to the needle and the other is placed by a circular electrode on the spinous process of seventh vertebra of neck. Then, a burst current (2 Hz frequency, 200µs pulse width) apply through the needles while electrical current steadily will be increased to meet a pain free contraction.The treatment is continued for a period of ten minutes. control(placebo): In placebo group procedure is exactly the same but there is no electrical stimulation under dry needling. The treatment is continued for a period of ten minutes. Pain. Timepoint: before application, exactly after treatment and one week after treatment. Method of measurement: by visual analog scale. Pain Pressure Threshold. Timepoint: before application, exactly after treatment and one week after treatment. Method of measurement: by algometer. Range of motion. Timepoint: before application, exactly after treatment and one week after treatment. Method of measurement: by goniometer. Disability. Timepoint: before application and week after treatment. Method of measurement: by Neck Disability Index. Tehran University of Medical Sciences Approved 2017-05-03 Ethics Committee in Tehran University of Medical Sciences Tehran, Keshavarz Blvd, Central building of Tehran University of Medical Sciences tehran Iran (Islamic Republic of)