Trigger Point Dry Needling And Intramuscular Electrical Stimulation In Non Traumatic Shoulder Pain Disorders A Randomized Clinical Trial

Abstract

Background: Non-traumatic Shoulder Pain (NSP) disorders are the newlinecommon musculoskeletal conditions seen in adult. MTrPs are one of the primary newlinecausative factors for the development of pain associated functional disabilities in newlinea variety of NSP disorders. Conventional physical therapies and pharmacological newlineinterventions less effective in the deactivation process of trigger points. TrP-DN newlineconsidered being an effective intervention to deactivate the MTrPs, but it has newlineinconsistent shreds of evidence. IMES has been used less commonly for the newlinemanagement of MPS in NSP disorders and specific electrode placement with newlinescientific background was not used in MPS management. newlineStudy design and Aim: A parallel group, assessor blinded, superiority newlinerandomized clinical trial to compare the effects of TrP-DN and IMES using IEP in newlineorder to find-out the superior effect of IMES in individuals with NSP disorders. newlineOutcome measures: Primary outcome measures are shoulder pain and newlineupper limb disability, and secondary outcome measures are kinesiophobia, newlinenumber of MTrPs and shoulder ROM. newlineMethodology: 230 subjects were allocated in two groups randomly using newlineconcealment method. 115 subjects in Group-I treated with 10-15 minutes of TrPDN, newlinetwice a week for three consecutive weeks. Group-II consists of 115 subjects newlinetreated with 10-15 minutes of IMES using IEP method, twice a week for three newlineconsecutive weeks. Further, both groups participants were treated with newlineCodman s pendular exercises for 5 minutes. Both primary outcome measures newlineand shoulder ROM were assessed at baseline and post-intervention (week-1, newlinexiii newlineweek-2, week-3) and follow-up period (month-3 and month-6). Kinesiophobia newlinewas assessed at baseline and month-6, and the number of MTrPs was assessed newlineat baseline, post-intervention (week-3) and follow-up period (month-6). Within newlineand between groups differences were analyzed by parametric tests such as RMANOVA newlineand independent- t test. newlineResults: Data measured at baseline was homogeneous. Of the 230, 11 newlinesubjects discontinued week-1 post-intervention