Dry needling in a manual physiotherapy and therapeutic exercise protocol for patients with chronic mechanical shoulder pain of unspecific origin: a protocol for a randomized control trial

BMC Musculoskeletal Disorders

Study Protocol

Tomás Gallego-Izquierdo¹  Daniel Pecos-Martín²  Miriam del Pino Quintana-de la Fe³  Francisco Manuel Sosa-Medina³  Nuria del Carmen Toledo-Martel³  Fátima Santana-González³  Emma Tejera-Falcón³ 

[1]Department of Physical Therapy and Pain Group, Universidad de Alcalá, Alcalá de Henares, Spain

[2]Department of Physical Therapy and Pain Group, Universidad de Alcalá, Alcalá de Henares, Spain

[3]Facultad de Enfermería y Fisioterapia, Universidad de Alcalá (Spain), Campus Científico-Tecnológico: CRTA. Madrid – Barcelona, km.33,600, Alcalá de Henares, Spain

[4]Private practice, Gran Canaria, Spain

关键词: Dry needling;    Shoulder pain;    Physical therapy;    Therapeutic exercise;    Myofascial trigger point;   

DOI  :  10.1186/s12891-017-1746-3

 received in 2016-09-30, accepted in 2017-08-29,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundShoulder pain of musculoskeletal origin is the main cause of upper limb pain of non-traumatic origin. Despite being one of the most common reasons for consultation, there is no established protocol for treatment due to the complexity of its etiology. However, it has been shown that the presence of myofascial trigger points on the shoulder muscles is a common condition associated with patients suffering from shoulder pain. This protocol has been created which describes the design of a randomized controlled trial to evaluate the effectiveness of the inclusion of dry needling (DN) within a protocol of manual physiotherapy and therapeutic exercise in the treatment of chronic shoulder pain of unspecific origin.MethodsThirty-six participants aged 18–65 years will be recruited having mechanical chronic shoulder pain on unspecific origin and meeting the inclusion criteria. These will be randomized to one of two interventions, (i) DN, manual physiotherapy and therapeutic exercise or (ii) sham DN, manual physiotherapy and therapeutic exercise. The protocol will cover 6 weeks of treatment, with a 6-month follow-up. Our main outcome measure will be the Visual Analogue Scale for pain.DiscussionThis is the first study to combine the use of DN, manual physiotherapy and an exercise program with a 6-month follow-up, thus becoming a new contribution to the treatment of chronic shoulder pain, while new lines of research may be established to help determine the effects of DN on chronic shoulder pain and the frequency and proper dosage.Trial registrationsInternational Standard Randomized Controlled Trial Number Register: ISRCTN30604244 (http://www.controlled-trials.com) 29 June 2016.

【 授权许可】

CC BY   
© The Author(s). 2017