Abstract：
BACKGROUND: 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.
METHODS: 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.
CONCLUSIONS: 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.
BACKGROUND: This trial was registered at the ( https://www.irct.ir ), (IRCT20211005052677N1) on 19/2/2022.
METHODS: 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.
CONCLUSIONS: 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.
BACKGROUND: This trial was registered at the ( https://www.irct.ir ), (IRCT20211005052677N1) on 19/2/2022.
摘要：
背景：肩袖撕裂（RCT）是导致肩关节疼痛和功能障碍的主要原因之一。肩袖修复（RCR）是RCT管理的常见外科手术。外科手术导致肌筋膜触发点（MTrP）的存在会加重术后肩痛。该方案的目的是描述一项随机对照试验设计，以评估RCR手术后在多模式康复方案中实施4次肌筋膜触发点干针（MTrP-DN）的效果。
方法：将招募46名年龄在40-75岁之间的参与者，他们在RCR后出现术后肩痛并符合纳入标准。参与者将被随机分为2组：一组将接受MTrP-DN，手动治疗,运动疗法和电疗，另一种将接受假干针刺(S-DN)，手动治疗,运动疗法和电疗。该方案将涵盖4周的干预。主要结果测量将是疼痛的数字疼痛评定量表(NPRS)。次要结果指标将是肩痛和残疾指数（SPDI），运动范围（ROM），强度和不良事件。
结论：这是第一个研究使用4次MTrP-DN结合多模式康复方案治疗术后肩痛，限制,RCR后的虚弱和功能障碍。这项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。
背景：该试验已在（https://www.irct.ir),（IRCT20211005052677N1）于2022年2月19日。
方法：将招募46名年龄在40-75岁之间的参与者，他们在RCR后出现术后肩痛并符合纳入标准。参与者将被随机分为2组：一组将接受MTrP-DN，手动治疗,运动疗法和电疗，另一种将接受假干针刺(S-DN)，手动治疗,运动疗法和电疗。该方案将涵盖4周的干预。主要结果测量将是疼痛的数字疼痛评定量表(NPRS)。次要结果指标将是肩痛和残疾指数（SPDI），运动范围（ROM），强度和不良事件。
结论：这是第一个研究使用4次MTrP-DN结合多模式康复方案治疗术后肩痛，限制,RCR后的虚弱和功能障碍。这项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。
背景：该试验已在（https://www.irct.ir),（IRCT20211005052677N1）于2022年2月19日。
