[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"whiplash-injuries\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:whiplash-injuries":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,47],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":27,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":4},"100588209","effectiveness-of-percutaneous-electrolysis-and-dry-needling-vs-standard-therapy-for-whiplash-syndrome-100588209",false,"NCT06938425","Effectiveness of Percutaneous Electrolysis and Dry Needling vs. Standard Therapy for Whiplash Syndrome","Effectiveness of Intratissue Percutaneous Electrolysis and Deep Dry Needling Versus a Standard Physical Therapy Protocol in the Treatment of Whiplash Syndrome in the Short and Medium Term","Inclusion Criteria:\n\n* Adults with whiplash syndrome following a traffic accident.\n* Patients must reside or stay in the Autonomous Community of Melilla during the intervention phase.\n* Subjects will have the presence of neck pain after suffering a traffic accident and the presence of at least one active trigger point in the sternocleidomastoid and\u002For levator scapulae muscles.\n* All subjects who suffer a traffic accident and who have a score of 5 or higher on the numerical scale (EN) of pain assessment.\n\nExclusion Criteria:\n\n* Patients undergoing anticoagulant treatment.\n* Patients who have suffered previous cervical trauma or who have undergone surgery in the last year.\n* Subjects who present some type of alteration (skin or infection, sensitivity or pain perception).\n* Subjects with central or peripheral nervous system involvement.\n* Patients who have problems with the material: allergy to metal, belonephobia (fear of needles).\n* Pregnant women.","ALL","18 Years",{"count":19,"type":20},36,"ESTIMATED","INTERVENTIONAL",[23],"NA","The main objective of this research is to evaluate the effectiveness of two interventions (PIE vs DDN) in adult patients who have suffered a LCS after a traffic accident and comparing it with a standard physiotherapy program. As a secondary objective, the investigators will analyze the reduction of intrafibrillar blood flow and muscle elasticity perceived by the patient in the long term and the reduction of pain and disability appreciated by the patient.\n\nIt is hypothesized as an alternative hypothesis that percutaneous electrolysis and\u002For deep dry needling intervention in combination with standard physiotherapy will give better clinical outcomes in patients with active trigger point LCS following a road traffic accident compared to the current standard physiotherapy intervention.\n\nThe researchers will compare both invasive physical therapy techniques with standard treatment to see if these techniques are more effective in treating whiplash syndrome.",[26],"Whiplash Injuries",[28,29,30,31,32,33,34],"Percutaneous electrolysis","Dry needling","Whiplash","Myofascial pain syndrome","Myofascial trigger point","Intrafibrillar blood flow","elasticity","NOT_YET_RECRUITING","2025-11-25",{"date":38,"type":39},"2025-11-26","ACTUAL",{"date":41,"type":20},"2025-11-30",{"date":43,"type":20},"2026-09-01",{"name":45,"class":46},"Camilo Jose Cela University","OTHER",{"id":48,"slug":49,"hasResults":11,"nctId":50,"briefTitle":51,"officialTitle":52,"acronym":4,"eligibilityCriteria":53,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":54,"enrollmentInfo":55,"targetDuration":4,"studyType":21,"phases":57,"briefSummary":58,"conditions":59,"keywords":61,"overallStatus":63,"whyStopped":4,"lastUpdateSubmitDate":64,"lastUpdatePostDateStruct":65,"startDateStruct":67,"completionDateStruct":69,"leadSponsor":71,"locationsCount":73},"100554735","manipulation-and-dry-needling-in-patients-with-cervicogenic-headache-and-wad-ii-100554735","NCT06502951","Manipulation and Dry Needling in Patients With Cervicogenic Headache and WAD II","Upper Cervical Spine Manipulation and Dry Needling Versus Conventional Physical Therapy in Patients With Cervicogenic Headache and Type II Whiplash Associated Disorder: a Multi-center Randomized Clinical Trial","Inclusion Criteria:\n\n1. Subacute (\\> 4 weeks) or chronic type II whiplash associated disorder. Neck pain and headache following motor vehicle accident with reduced range of motion \\& point tenderness.\n2. Diagnosis of cervicogenic headache as defined by Cervicogenic Headache International Study Group criteria.\n3. Headache frequency of at least one per week since the whiplash injury.\n4. Headache intensity of greater than 2\u002F10 on the NPRS.\n5. Neck pain intensity of greater than 2\u002F10 on the NPRS.\n6. Neck Disability Index score of greater than 10\u002F50 on the NDI.\n\nExclusion Criteria:\n\n1. WAD I (neck pain, but no physical signs), WAD III (neck pain and neurological signs), WAD IV (neck pain + fracture\u002Fdislocation).\n2. Positive screen for cervical radiography (Canadian C-Spine Rules).\n3. Bilateral headaches (typical of tension type headaches).\n4. Diagnosis \u002F signs \\& symptoms of concussion (confusion, disorientation, or impaired consciousness; loss of memory for events immediately before or after the MVA; and one or more of the following: nausea, vomiting, visual disturbances, vertigo, gait and\u002For postural imbalance, and impaired memory and\u002For concentration).\n5. Diagnosis of fibromyalgia.\n6. Presence of any of the following atherosclerotic risk factors: hypertension, diabetes, heart disease, stroke, transient ischemic attack, peripheral vascular disease, smoking, hypercholesterolemia, or hyperlipidemia.\n7. Red flags noted in the patient's Neck Medical Screening Questionnaire (i.e., tumor, fracture, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.).\n8. Diagnosis of cervical spinal stenosis.\n9. Bilateral upper extremity symptoms.\n10. Evidence of central nervous system involvement, to include hyperreflexia, sensory disturbances in the hand, intrinsic muscle wasting of the hands, unsteadiness during walking, nystagmus, loss of visual acuity, impaired sensation of the face, altered taste, the presence of pathological reflexes (i.e. positive Hoffman's and\u002For Babinski reflexes).\n11. Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:\n\n    1. Muscle weakness involving a major muscle group of the upper extremity.\n    2. Diminished upper extremity deep tendon reflex of the biceps, brachioradialis, triceps or superficial flexors\n    3. Diminished or absent sensation to pinprick in any UE dermatome.\n12. Prior surgery to the head, neck, or thoracic spine.\n13. Physical therapy or chiropractic treatment for neck pain and\u002For headache in the past 3 months.\n14. Any condition that might contraindicate spinal manipulative therapy or dry needling.","65 Years",{"count":56,"type":20},120,[23],"The purpose of this research is to compare two different approaches for treating patients with cervicogenic headaches associated with type II whiplash associated disorder: non-thrust mobilization and exercise versus thrust manipulation and dry needling. Physical therapists commonly use all of these techniques to treat cervicogenic headaches. This study is attempting to find out if one treatment strategy is more effective than the other.",[60,26],"Cervicogenic Headache",[62,30],"Headache","RECRUITING","2025-05-07",{"date":66,"type":39},"2025-05-11",{"date":68,"type":39},"2024-07-20",{"date":70,"type":20},"2026-05-01",{"name":72,"class":46},"Alabama Physical Therapy & Acupuncture",1]