Department of Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Madadkaran All., Shahnazari St., Madar Sq., Mirdamad Blvd., Tehran, Iran.
Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
BMC Musculoskelet Disord. 2023 Apr 26;24(1):330. doi: 10.1186/s12891-023-06269-1.
Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. The purpose of this protocol is to describe a randomized controlled trial design to evaluate the effect of implementing 4 sessions of myofascial trigger point dry needling (MTrP-DN) within a multimodal rehabilitation protocol following RCR surgery.
Forty-six participants aged 40-75 will be recruited having postoperative shoulder pain after RCR and meeting the inclusion criteria. Participants will be randomly divided into 2 groups: One group will undergo MTrP-DN, manual therapy, exercise therapy and electrotherapy and the other will receive sham dry needling (S-DN), manual therapy, exercise therapy and electrotherapy. This protocol will cover 4 weeks of intervention. The primary outcome measure will be the Numeric Pain Rating Scale (NPRS) for pain. Secondary outcome measures will be Shoulder Pain and Disability Index (SPDI), range of motion (ROM), strength and adverse events.
This is the first study to investigate the use of 4 sessions of MTrP-DN in combination with a multimodal rehabilitation protocol for postoperative shoulder pain, restriction, weakness and dysfunction following RCR. The results of this study may help to determine the effect of MTrP-DN on various outcomes after RCR surgery.
This trial was registered at the ( https://www.irct.ir ), (IRCT20211005052677N1) on 19/2/2022.
肩袖撕裂（RCT）是引起肩部疼痛和功能障碍的主要原因之一。肩袖修复（RCR）是治疗 RCT 的常见手术方法。由于手术的原因，触发点肌筋膜（MTrP）的存在会加重术后肩部疼痛。本方案的目的是描述一项随机对照试验设计，以评估在 RCR 手术后的多模式康复方案中实施 4 次肌筋膜触发点干针（MTrP-DN）对术后肩部疼痛的影响。
将招募 46 名年龄在 40-75 岁之间的参与者，他们在 RCR 后有肩部疼痛，并符合纳入标准。参与者将被随机分为两组：一组接受 MTrP-DN、手法治疗、运动疗法和电疗，另一组接受假干针（S-DN）、手法治疗、运动疗法和电疗。本方案将涵盖 4 周的干预。主要结局指标为数字疼痛评分量表（NPRS）的疼痛评分。次要结局指标为肩痛和残疾指数（SPDI）、关节活动度（ROM）、力量和不良事件。
这是第一项研究，旨在调查在 RCR 术后肩部疼痛、限制、无力和功能障碍的多模式康复方案中，使用 4 次 MTrP-DN 的效果。该研究的结果可能有助于确定 MTrP-DN 对 RCR 手术后各种结果的影响。
本试验于 2022 年 2 月 19 日在（https://www.irct.ir）（IRCT20211005052677N1）注册。
