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Intramuscular therapy (also known as dry needling) has been shown to give dramatic relief of musculoskeletal pain. The mechanisms of action remain unknown, and this study will examine for a neurophysiological effect.
Consenting adults will be taught how to contract their abdominal muscles, and to contract transversus abdominis in particular. They will then have real time ultrasound measurements of the resting and contracted thickness of their left transversus abdominis muscle. After this, they will receive actual or sham needling to their left multifidus muscle by another researchers blinded to the real time ultrasound measurements. After needling or sham intervention is complete, the original researchers will return to re-measure transversus abdominis. They will be blind to intervention allocation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dry needling | Active Comparator | Monofilament needles will be inserted into each subject's left multifidus muscle and stimulated mechanically for a local twitch response |
|
| Sham needling | Sham Comparator | Monofilament tubes will be pressed into the left multifidus muscle and mechanically manipulated to give the sensation that needling is occuring. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry needling | Procedure | Sterile monofilament needles |
| |
| Sham needling |
| Measure | Description | Time Frame |
|---|---|---|
| Thickness of transversus abdominis at rest and during contraction | Real time ultrasound measurement | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniella Morton, BSc | University of Nevada Las Vegas Physical Therapy | Study Director |
| Sarah Buckingham, BSc | University of Nevada Las Vegas Physical Therapy | Study Director |
| Crystal Montoya, BSc | Univesity of Nevada Las Vegas Physical Therapy | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Nevada Las Vegas - Department of Physical Therapy | Las Vegas | Nevada | 89154 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29187313 | Derived | Puentedura EJ, Buckingham SJ, Morton D, Montoya C, Fernandez de Las Penas C. Immediate Changes in Resting and Contracted Thickness of Transversus Abdominis After Dry Needling of Lumbar Multifidus in Healthy Participants: A Randomized Controlled Crossover Trial. J Manipulative Physiol Ther. 2017 Oct;40(8):615-623. doi: 10.1016/j.jmpt.2017.06.013. |
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| ID | Term |
|---|---|
| D001416 | Back Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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| Procedure |
Applicator tubes from the sterile monofilament needles |
|