Ignite Creation Date:
2024-10-26 @ 3:39 PM
Last Modification Date:
2024-10-26 @ 3:39 PM
Study NCT ID:
NCT06583915
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-31
Brief Title:
Dry Needling Vs Transcutaneous Electrical Nerve Stimulation in Management of Myofascial Pain Dysfunction Syndrome
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Comparative Study of Dry Needling Vs Transcutaneous Electrical Nerve Stimulation in Management of Patient with Myofascial Pain Dysfunction Syndrome Using Electromyography and Visual Analogue Scale a Randomized Clinical Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Myofascial pain dysfunction syndrome MPDS is the most common form of temporomandibular disorders Because of the multifactorial nature of the problem its management is still not definite This randomized clinical trial aimed to assess the efficacy of transcutaneous electrical nerve stimulation over dry needling for management of such condition
Detailed Description:
Myofascial pain syndrome MPS is a prevalent affliction among individuals experiencing musculoskeletal pain issues This condition is characterized by pain originating from the muscle and surrounding fascia Patients typically exhibit localized pain in a confined region or referred pain with diverse patterns
Additionally physical examinations may reveal trigger points on the affected muscles MPS can be categorized into acute and chronic forms Acute MPS often resolves spontaneously or with uncomplicated treatments However chronic MPS typically has a poorer prognosis and symptoms may persist for six months or more
Dry needling involves the insertion of a solid filiform needle into a trigger point without the administration of any substance Various theories have been put forth to explain the mechanisms by which dry needling alleviates pain These include the 34gate control34 theory modulation of endogenous opioids such as B-endorphin encephalins and dynorphins disruption of central sensitization through activation of Aβ fibers resulting in inhibition of synaptic transmission between Aβ and C fibers and cells of the spinal cord dorsal horn due to their slower impulse conduction and even placebo effects have been suggested When a needle is inserted into a trigger point it may elicit a local twitch response This reflexive contraction of the trigger point can also facilitate physiological changes including the reduction of spontaneous electrical activity and the concentration of inflammatory and nociceptive chemicals ultimately resulting in the relaxation of the trigger point
Transcutaneous electrical nerve stimulation TENS is considered to be a highly secure and cost-effective modality for managing both chronic and acute pain As per the gate control theory TENS employs low voltage electrical pulses that are applied to the central nervous system The modulation of pain perception induced by TENS is attributed to the recruitment of Aβ afferent fibers in the posterior horn of the spinal cord which prevents the activation of pain conducted in thin fiber Electrical stimulation effectively inhibits the transmission of painful impulses through the spinal cord and stimulates the release of endogenous opioids by the brain Its safe noninvasive inexpensive and effective method of providing analgesia with reduced potential adverse effects compared to other treatment modalities
In this research we aim to evaluate TENS is a suitable treatment for MPDS patients which would eliminate the need for another treatment modality The expected benefit in this study is to find the best treatment for MPDS reducing pain muscle stiffness and limited mouth opening
Additionally physical examinations may reveal trigger points on the affected muscles MPS can be categorized into acute and chronic forms Acute MPS often resolves spontaneously or with uncomplicated treatments However chronic MPS typically has a poorer prognosis and symptoms may persist for six months or more
Dry needling involves the insertion of a solid filiform needle into a trigger point without the administration of any substance Various theories have been put forth to explain the mechanisms by which dry needling alleviates pain These include the 34gate control34 theory modulation of endogenous opioids such as B-endorphin encephalins and dynorphins disruption of central sensitization through activation of Aβ fibers resulting in inhibition of synaptic transmission between Aβ and C fibers and cells of the spinal cord dorsal horn due to their slower impulse conduction and even placebo effects have been suggested When a needle is inserted into a trigger point it may elicit a local twitch response This reflexive contraction of the trigger point can also facilitate physiological changes including the reduction of spontaneous electrical activity and the concentration of inflammatory and nociceptive chemicals ultimately resulting in the relaxation of the trigger point
Transcutaneous electrical nerve stimulation TENS is considered to be a highly secure and cost-effective modality for managing both chronic and acute pain As per the gate control theory TENS employs low voltage electrical pulses that are applied to the central nervous system The modulation of pain perception induced by TENS is attributed to the recruitment of Aβ afferent fibers in the posterior horn of the spinal cord which prevents the activation of pain conducted in thin fiber Electrical stimulation effectively inhibits the transmission of painful impulses through the spinal cord and stimulates the release of endogenous opioids by the brain Its safe noninvasive inexpensive and effective method of providing analgesia with reduced potential adverse effects compared to other treatment modalities
In this research we aim to evaluate TENS is a suitable treatment for MPDS patients which would eliminate the need for another treatment modality The expected benefit in this study is to find the best treatment for MPDS reducing pain muscle stiffness and limited mouth opening
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None