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INTRODUCTION: Whiplash is an injury produced by an acceleration-deceleration mechanism that transmits energy to the cervical spine. According to the bibliography, the conservative treatment (motor control exercises and manual therapy) has shown benefits in approaching this lesion, but its efficacy is limited. Dry needling has already shown its usefulness in different musculoskeletal pathologies, however, its efficacy is unknown when it is included in conservative treatment.
OBJECTIVES: The objective of this study is to assess the effects of the incorporation of dry needling in the conventional treatment with manual therapy and motor control exercises, compared to the conventional non-invasive treatment in patients with acute or subacute whiplash.
HYPOTHESIS: The inclusion of dry needling in conventional non-invasive treatment is more effective than conventional non-invasive treatment in patients with acute or subacute whiplash.
METHODS: A randomized clinical trial will be conducted in which the subjects of study will be assigned to two groups, a control group (conventional treatment) and an experimental group (conventional treatment and dry needling).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Treatment | Active Comparator | Motor Control + Manual Therapy |
|
| Experimental Treatment | Experimental | Motor Control + Manual Therapy + Dry Needling |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motor Control | Other | Neck Motor Control |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Disability Index. Changes from Baseline | 0-100% (0% = No Disability; 100% = Disability (highest level of disability) | 3 weeks, 6 weeks, 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure pain thresholds. Changes from Baseline | The minimum force applied which induces pain. Measured kg/cm2 | 3 weeks, 6 weeks, 3 months |
| Cervical Range of Movement. Changes from Baseline | Amount of cervical movement using a goniometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alexander Achalandabaso, PhD | University of Jaén | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad de Alcalá | Alcalá de Henares | Spain |
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| ID | Term |
|---|---|
| D014911 | Whiplash Injuries |
| ID | Term |
|---|---|
| D019838 | Neck Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D007839 | Functional Laterality |
| D026201 | Musculoskeletal Manipulations |
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D004292 | Dominance, Cerebral |
| D009424 | Nervous System Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
| D000529 | Complementary Therapies |
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| Manual Therapy |
| Other |
Massage + Joint Mobilizations |
|
| Dry Needling | Other | Dry Needling in Neck Muscles |
|
| 3 weeks, 6 weeks, 3 months |
| Kinesophobia. Changes from Baseline | Fear of movement measured by the TAMPA scale | 3 weeks, 6 weeks, 3 months |
| Cervical Motor Control. Changes from Baseline | measure of cervical joint position sense using a laser | 3 weeks, 6 weeks, 3 months |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |