Immediate Effect of Dry Needling on Trigger Points

A study testing Dry needling in people with Shoulder Pain, run by Université de Sherbrooke at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Trial summary

The immediate effects (0-30 minutes) of a dry needling intervention on a trigger point on their viscoelastic properties (tone, elasticity and stiffness) Read more about this study

Who is it for?: Ages 18 to 65 years
Conditions the study is for: Shoulder Pain
What is being tested?: Dry needling
Type of treatment: Surgery or procedure
Could I receive a placebo?: No, everyone receives an active treatment
How many people: 48 participants
Where: 1 siteCanada
Study dates: 1 Feb 2018to 20 Sep 2019
Phase: Interventional
Are there results?: None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

Ages 18 to 65 years
All sexes
No healthy volunteers
Adult, Older adult

Who may be able to join

present with chronic shoulder pain of non-traumatic origin (rated at least 2/10 on a numeric rating scale (NRS) for more than 3 months. The pain had to be located in the shoulder area or referred in the area of the infraspinatus as described by Travell and Simons (1999);
have a hyperirritable spot within a palpable tight band that reproduced the participant's pain when compressed by palpation; and
have a body mass index (BMI) lower than 28

Who cannot join

diagnosis of capsulitis, cancer, or metastasis;
previous shoulder or thorax surgery or a mastectomy;
shoulder girdle bone fracture;
C4-C5 or C6 radiculopathy;
known osteoporotic profile (positive bone densitometry);
apparent atrophy of the infraspinatus fossa (visual interpretation) and
contraindications to receive a DN intervention

Trial locations and contacts

1 site in 1 country.

Canada1 site

CRCHUS-Physius Lab
Sherbrooke, Quebec, J1H5N4

Other trials in Canada

About this study

Official title: Immediate Effect of Dry Needling on the Viscoelastic Properties of a Trigger Point on the Infraspinatus Muscle Measured With the MyotonPro

The immediate effects (0-30 minutes) of a dry needling intervention on a trigger point on their viscoelastic properties (tone, elasticity and stiffness)

Read the detailed description

Objectives: To investigate the immediate effects of a dry needling puncture on the viscoelastic properties (tone, stiffness and elasticity) of a trigger point (TP) located in the infraspinatus muscle in participants with non-traumatic chronic shoulder pain.

Methods: Forty-eight individuals who presented non-traumatic chronic shoulder pain were recruited. The presence of a TP in the infraspinatus muscle of the painful side was confirmed by an experienced physiotherapist with a palpatory exam according to Travell and Simons criteria. The TP was marked and the viscoelastic properties including tone, stiffness and elasticity were measured with the MyotonPro device by an evaluator. After the first set of measurements (T1), an experienced physiotherapist applied a dry needling puncture to the TP with a pistoning technique to obtain a local twitch response (LTR) with an Optimed 40 x 0.30 mm single use acupuncture needle. The same set of measurements was repeated immediately after the dry needling (T2) and 30 minutes later (T3). Repeated measures ANOVA and post-hoc tests were used to assess changes in viscoelastic properties over time with a significant level set at 0.05.

Conditions: Shoulder Pain
Being tested: Dry needling
Keywords: myofascial trigger points,, dry needling,, stiffness
Medical subject headings: Shoulder Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Dry needlingProcedure or surgery
Insertion of a Optimed 40mm x 0.30 single use, sterile acupuncture needle into a active trigger point in the infraspinatus muscle

Study groups in NCT04476381
Study group	Role	What they receive
Dry needling of a trigger point in the infraspinatus muscle	Experimental	Insertion a a acupuncture type needle into a trigger point in the infraspinatus muscle on the painful side to decrease the stiffness and tone and increase the elasticity Receives: Procedure: Dry needling

What is being measured

The primary outcome is the main question the study is designed to answer.

Tone in Hertz measured with a myotonometer on the trigger point
Measurement of the tone in Hz with the myotonometer MyotonPro on the trigger point
Measured: baseline
Tone in Hertz measured with a myotonometer on the trigger point
Measurement of the tone in Hz with the myotonometer MyotonPro on the trigger point
Measured: immediately after the intervention
Tone in Hertz measured with a myotonometer on the trigger point
Measurement of the tone in Hz with the myotonometer MyotonPro on the trigger point
Measured: 30 minutes after the intervention
Stiffness in N/m with a myotonometer on the trigger point
Measurement of the stiffness in N/m with the myotonometer MyotonPro on the trigger point
Measured: baseline
Stiffness in N/m with a myotonometer on the trigger point
Measurement of the stiffness in N/m with the myotonometer MyotonPro on the trigger point
Measured: immediately after the intervention
Stiffness in N/m with a myotonometer on the trigger point
Measurement of the stiffness in N/m with the myotonometer MyotonPro on the trigger point
Measured: 30 minutes after the intervention
Elasticity (no units: inversely proportional to the decrement of the oscillations) with a myotonometer on the trigger point
Measurement of the elasticity with the MyotonPro
Measured: baseline
Elasticity (no units: inversely proportional to the decrement of the oscillations) with a myotonometer on the trigger point
Measurement of the elasticity with the MyotonPro
Measured: immediately after the intervention
Elasticity (no units: inversely proportional to the decrement of the oscillations) with a myotonometer on the trigger point
Measurement of the elasticity with the MyotonPro
Measured: 30 minutes after the intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

1 Feb 201820 Sep 2019

First posted20 Jul 2020
Study start1 Feb 2018
Primary completion7 Jun 2018
Study completion20 Sep 2019

Resources

Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
Other trials for Shoulder PainStudies of the same condition, open and under way.
What the trial phases meanHow a treatment moves from first tests in people to approval.

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design

Study type: Interventional
Phase: Phase N/A
Primary purpose: Treatment
Allocation: Not applicable
Intervention model: Single group
Model description: One group, one measurement of the viscoelastic properties with the MyotonPro of a single trigger point before the dry needle insertion, one measurement with the MyotonPro right after and 30 minutes later
Masking: None (open label)
Enrolment: 48 participants (actual)

IDs, dates and publications

ClinicalTrials.gov ID: NCT04476381
Sponsor's protocol ID: MON07
Status last verified: Jul 2020
First submitted: 27 May 2020
Last updated: 20 Jul 2020
Results posted: No
Data monitoring committee: Yes
FDA-regulated drug: No
FDA-regulated device: No

Want to know more?

The sponsor has not listed a contact. The official record may have more details.

Talk to your doctor first and take this page with you. Only the study team can confirm whether you can join.

Questions to ask the study team

What is the study trying to find out?
What would I need to do, and how often would I visit?
Could I receive a placebo instead of the treatment?
What are the possible risks and benefits for me?
Will it cost me anything? Are travel or time paid for?
Can I keep seeing my own doctor during the study?
What happens when the study ends?

See locations

RecruitingObservational study
Night Pain Module for Rotator Cuff-Related Shoulder Pain
Shoulder Pain, Rotator Cuff Related Shoulder Pain
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Comparative Effects of Cyriax Approach With and Without Mobilization With Movement in Shoulder Restriction With Rotator Cuff Tendinopathy
Rotator Cuff Tendinopathy
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Effects of Different Kinesio Taping Methods in Subacromial Impingement Syndrome
Subacromial Impingement Syndrome
RecruitingObservational study
Pain Phenotype and Response to Corticosteroid Injection in Patients With Subacromial Pain Syndrome (SAPS)
Subacromial Pain Syndrome, Rotator Cuff Related Shoulder Pain
RecruitingObservational study
Nociplastic Pain in Patients Diagnosed With Subacromial Pain Syndrome (SAPS)
Subacromial Pain Syndrome, Rotator Cuff Related Shoulder Pain

All Shoulder Pain trials

Study at a glance

From the registry record, last updated by the sponsor on 20 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.

Official title: Immediate Effect of Dry Needling on the Viscoelastic Properties of a Trigger Point on the Infraspinatus Muscle Measured With the MyotonPro
ClinicalTrials.gov ID: NCT04476381
Acronym / sponsor ID: MON07
Conditions: Shoulder Pain
Keywords: myofascial trigger points,, dry needling,, stiffness
Study type: Interventional
Recruitment status: Completed
Enrolment: 48 participants (actual)
Lead sponsor: Université de SherbrookeUniversity, hospital or other
Study start: 1 Feb 2018 (actual)
Primary completion: 7 Jun 2018 (actual)
Study completion: 20 Sep 2019 (actual)
First posted: 20 Jul 2020 (actual)
Results: Not posted in the source record

Clinical summary

The research question as the sponsor registered it. This describes what the study plans to test, not what it found.

The immediate effects (0-30 minutes) of a dry needling intervention on a trigger point on their viscoelastic properties (tone, elasticity and stiffness)

Detailed description

Study design

Primary purpose: Treatment
Allocation: Not applicable
Intervention model: Single group
Masking: None (open label)
Number of arms: 1
Model description: One group, one measurement of the viscoelastic properties with the MyotonPro of a single trigger point before the dry needle insertion, one measurement with the MyotonPro right after and 30 minutes later

Arm	Type	Receives
Dry needling of a trigger point in the infraspinatus muscle	Experimental	Procedure: Dry needlingInsertion a a acupuncture type needle into a trigger point in the infraspinatus muscle on the painful side to decrease the stiffness and tone and increase the elasticity

Who may qualify

Ages: 18 to 65 years
Sex: All
Healthy volunteers: Not accepted
Age groups: Adult, Older adult

Key inclusion criteria (3 listed)

present with chronic shoulder pain of non-traumatic origin (rated at least 2/10 on a numeric rating scale (NRS) for more than 3 months. The pain had to be located in the shoulder area or referred in the area of the infraspinatus as described by Travell and Simons (1999);
have a hyperirritable spot within a palpable tight band that reproduced the participant's pain when compressed by palpation; and
have a body mass index (BMI) lower than 28

Key exclusion criteria (7 listed)

diagnosis of capsulitis, cancer, or metastasis;
previous shoulder or thorax surgery or a mastectomy;
shoulder girdle bone fracture;
C4-C5 or C6 radiculopathy;
known osteoporotic profile (positive bone densitometry);

Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.

Interventions

Intervention	Type	Arms
Dry needlingInsertion of a Optimed 40mm x 0.30 single use, sterile acupuncture needle into a active trigger point in the infraspinatus muscle	Procedure or surgery	Dry needling of a trigger point in the infraspinatus muscle

Primary outcome

Tone in Hertz measured with a myotonometer on the trigger point
Time frame: baseline
Measurement of the tone in Hz with the myotonometer MyotonPro on the trigger point
Tone in Hertz measured with a myotonometer on the trigger point
Time frame: immediately after the intervention
Measurement of the tone in Hz with the myotonometer MyotonPro on the trigger point
Tone in Hertz measured with a myotonometer on the trigger point
Time frame: 30 minutes after the intervention
Measurement of the tone in Hz with the myotonometer MyotonPro on the trigger point
Stiffness in N/m with a myotonometer on the trigger point
Time frame: baseline
Measurement of the stiffness in N/m with the myotonometer MyotonPro on the trigger point
Stiffness in N/m with a myotonometer on the trigger point
Time frame: immediately after the intervention
Measurement of the stiffness in N/m with the myotonometer MyotonPro on the trigger point
Stiffness in N/m with a myotonometer on the trigger point
Time frame: 30 minutes after the intervention
Measurement of the stiffness in N/m with the myotonometer MyotonPro on the trigger point
Elasticity (no units: inversely proportional to the decrement of the oscillations) with a myotonometer on the trigger point
Time frame: baseline
Measurement of the elasticity with the MyotonPro
Elasticity (no units: inversely proportional to the decrement of the oscillations) with a myotonometer on the trigger point
Time frame: immediately after the intervention
Measurement of the elasticity with the MyotonPro
Elasticity (no units: inversely proportional to the decrement of the oscillations) with a myotonometer on the trigger point
Time frame: 30 minutes after the intervention
Measurement of the elasticity with the MyotonPro

Results and safety

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

Research links

Official record on ClinicalTrials.govLast updated by the sponsor 20 Jul 2020.

Related trials for Shoulder Pain

RecruitingObservational study
Night Pain Module for Rotator Cuff-Related Shoulder Pain
Shoulder Pain, Rotator Cuff Related Shoulder Pain
Active, not recruiting
Comparative Effects of Cyriax Approach With and Without Mobilization With Movement in Shoulder Restriction With Rotator Cuff Tendinopathy
Rotator Cuff Tendinopathy
Not yet recruiting
Effects of Different Kinesio Taping Methods in Subacromial Impingement Syndrome
Subacromial Impingement Syndrome
RecruitingObservational study
Pain Phenotype and Response to Corticosteroid Injection in Patients With Subacromial Pain Syndrome (SAPS)
Subacromial Pain Syndrome, Rotator Cuff Related Shoulder Pain
RecruitingObservational study
Nociplastic Pain in Patients Diagnosed With Subacromial Pain Syndrome (SAPS)
Subacromial Pain Syndrome, Rotator Cuff Related Shoulder Pain

Referral and contact

AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.

Nathaly Gaudreault, PhD study director

Université de Sherbrooke

1 site in 1 country: see every site and its status.

Questions about this trial

What is this clinical trial studying?

A study testing Dry needling in people with Shoulder Pain, run by Université de Sherbrooke at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Tone in Hertz measured with a myotonometer on the trigger point (time frame: baseline). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04476381.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jul 2020.