Comparison of Dry Needling and Deep Friction Massage in Patients With Subacromial Pain Syndrome

Biruni University

Status: Completed

Conditions: Trigger Point Pain, Myofascial; Subacromial Impingement Syndrome

Treatments: Device: Trigger Point Dry Needling Technique; Other: Deep Friction Massage Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT03888586

manualpt2019

Details and patient eligibility

About

This study was planned to investigate the effects of Trigger Point-Dry Needling Therapy (TP-DNT) on night pain and Shoulder Internal Rotation (SIR) in individuals with Subacromial Pain Syndrome (SPS).

Full description

Shoulder pain seen intensely in the general population, many methods has been used for the treatment which has not been fully proven to be superior to each other. Before considering surgical approaches, trying conservative approaches is emphasized. While literature showed us that nighttime pain is an important musculoskeletal symptom, may be associated with local inflammation, it is an important feature during the treatment planning. TP-DNT had positive effects on night pain and SIR in SPS. It was seen that the treatment satisfaction level of participants was high. Despite these positive findings, there is need for further studies in which sample size is increased, control group is added, and long-term follow-up is planned.

Enrollment: 43 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• To be able to read and speak Turkish well enough to give informed consent and follow the working instructions.
• Having complaints of unilateral shoulder pain for at least 6 months and being diagnosed with subacromial impingement syndrome.
• Having night pain
• Having active trigger point.

Exclusion criteria

• Bilateral shoulder pain
• If there is a contraindicated condition for needles such as fear of needles or infection
• History of bleeding disorder
• Shoulder fracture and / or dislocation history
• Symptoms of cervical radiculopathy and / or neuropathy
• The use of antiaggregants, anticoagulants, analgesics or antiinflammatory drugs or drug-like substances (1 week before or during treatment)
• Fibromyalgia syndrome
• Any neurological, motor, or sensory disorder in the upper extremity
• History of surgery on shoulder or neck
• Conservative or invasive physical therapy or infiltration for the shoulder region during the last 6 months
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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43 participants in 2 patient groups

Dry Needling

Experimental group

Description:

Participants were administered trigger point dry kneedling technique 6 times for 1 month, once every 5 days. The subject was positioned prone and the arm position was slightly changed related with the muscle. After the skin inspection it was cleaned with the alcohol. .

Treatment:

Device: Trigger Point Dry Needling Technique

Deep Friction Massage

Experimental group

Description:

Deep friction massage was applied transversely unlike the superficial massage and sufficiently deep to the fiber direction of affected connective tissue to maintain the mobility. Totally 6 sessions were administered twice a week for 3 weeks.

Treatment:

Other: Deep Friction Massage Technique