Ultrasound-guided Percutaneous Neuromodulation Versus Dry Needling in Shoulder Pain Treatment

Last updated: May 31, 2024
Sponsor: University of Alcala
Overall Status: Completed

Phase

N/A

Condition

N/A

Treatment

Ultrasound-guided dry needling

Ultrasound-guided percutaneous neuromodulation (NMPE)

Clinical Study ID

NCT04454671
CEIM/HU/2019/26)
  • Ages 18-65
  • All Genders

Study Summary

Background: nonspecific shoulder pain is very common and the symptoms can persist for 6 to 12 months in half of patients. Ultrasound-guided Percutaneous Neuromodulation (US-guided PNM) is an intervention based in an electrical stimulation of a peripheral nerve through a needle located close to the target nerve by the use of an ultrasound guidance.

Objectives: the primary aim is to determine changes in strength after US-guided PNM or Ultrasound-guided Dry Needling (US-guided DN) intervention in the Suprascapular Nerve (SN) as well as its effectiveness in changes of muscle function, pain and disability.

Methods: randomised clinical trial (ratio 1:1), single-blind (examiners), parallel, with assessment of third parties. 62 adult participants with unilateral mechanical chronic nonspecific shoulder pain with at least 3-month evolution and shoulder muscle weakness will randomised to one of two procedures: US-guided PNM or US-guided DN. It will be assessed muscle strength, muscle function, pain and disability before, just after, a week and a month after the intervention.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Chronic mechanical unilateral shoulder pain of non-specific origin of at least 3months of evolution

  • Weakness in the abduction force and / or external rotation of the shoulder.

Exclusion

Exclusion Criteria:

  • Previous shoulder surgery.

  • Previous history of shoulder dislocation

  • Whiplash.

  • Cervical radiculopathy.

  • Total rupture of the rotator cuff.

  • Adhesive capsulitis.

  • Fibromyalgia diagnosis.

  • Diabetes.

  • Needle phobia or some contraindication for dry needling (anticoagulants orpsychiatric disorders).

  • Bilateral shoulder pain.

  • Pregnancy or having received a dry puncture in the shoulder region in the last 6months

Study Design

Total Participants: 62
Treatment Group(s): 2
Primary Treatment: Ultrasound-guided dry needling
Phase:
Study Start date:
September 05, 2020
Estimated Completion Date:
May 31, 2024

Study Description

Shoulder pain is the third reason for medical consultation in the world. Many treatment techniques have been proposed. Neuromodulation techniques through the application of an analgesic electric current using a needle as an electrode, are increasingly used in the treatment of pain.

In this study, the investigators will compare whether the application of a neuromodulation technique is more effective than applying the dry needling technique in isolation.

Connect with a study center

  • Institut Physiotherapy AND pain

    Alcalá De Henares, Madrid 28805
    Spain

    Site Not Available

  • Overall Study Officials

    Alcalá de Henares, Madrid 28807
    Spain

    Site Not Available

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