Dry Needling and High Intensity Laser Therapy in Treatment of Myofascial Pain Syndrome

Emine Dundar Ahi

Status: Completed

Conditions: Myofascial Pain Syndrome

Treatments: Device: high intensity laser therapy; Other: dry needle

Study type: Interventional

Funder types: Other

Identifiers

NCT05078333

K-064

Details and patient eligibility

About

108 myofascial pain syndrome (MPS) diagnosed patients will be randomly divided into 3 groups. To groups; exercise, exercise+high-intensity laser therapy (HILT) and exercise+dry needling will be applied. Visual anolog scale (VAS) scores and neck range of motion (ROM) of the patients before-after treatment will be recorded and will be evaluated statistically.

Full description

Myofascial pain syndrome (MPS) is a very common disease in the population that seriously affects the quality of life. Although many modalities are used in its treatment, there is still no common protocol. In this study, the investigators aim to compare the effectiveness of high-intensity laser therapy (HILT), which has been popular in recent years, with exercise and dry needling options that have been used for years.

In our study 108 myofascial pain syndrome (MPS) diagnosed patients will be randomly divided into 3 groups. To groups; exercise, exercise+high-intensity laser therapy (HILT) and exercise+dry needling will be applied. Visual anolog scale (VAS) scores and neck range of motion (ROM) of the patients before-after treatment will be recorded and will be evaluated statistically.

Enrollment: 108 patients

Sex: All

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• diagnosed with neck and / or back pain
• diagnosed with MPS
• had a taut band on the trapezius muscle and at least one active trigger point

Exclusion criteria

• Diagnosed with fibromyalgia,
• had systemic disease,
• significant cervical disc lesion / radiculopathy / myelopathy,
• had trigger point injection in the last 6 months,
• had neck or shoulder surgery in the year before being included in the study,
• was pregnant,
• received anticoagulant therapy,
• used aspirin in the last three days, and
• with the cognitive dysfunction patients

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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108 participants in 3 patient groups

exercise

No Intervention group

Description:

All patients in all three groups will perform 15 sessions (for 3 weeks, weekdays), cervical area isometric strengthening exercises, active ROM exercises and stretching exercises for 15 minutes a day with the same physiotherapist.

exercise+HILT

Active Comparator group

Description:

In addition to the exercise program, randomly selected 36 case patients + HILT (BTL brand 6000 series, United Kingdom), to the cervical area, for the a period of 3 week-weekdays, 15-minute period and 15 sessions (1.02 minutes for each 25 cm² painful area, analgesic phase, with an anergy 8.0 W, a dose 5 J / cm², a frequency of 25 Hz and total 125 joules) will be applied.

Treatment:

Device: high intensity laser therapy

exercise+dry needling

Active Comparator group

Description:

In addition to the exercise program, dry needling (on 3 trigger points on the bilateral trapezius muscle) will be applied to the other 36 randomly selected patients with an acupuncture needle with a size of 0.25x0.25 by the PMR specialist for a total of 6 sessions twice a week for 3 weeks.

Treatment:

Other: dry needle