[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100647134":3},{"organization":4,"armGroups":7,"interventions":22,"overallOfficials":28,"centralContacts":29,"locations":35,"responsibleParty":52,"collaborators":28,"id":56,"slug":57,"hasResults":58,"nctId":59,"briefTitle":60,"officialTitle":61,"acronym":28,"eligibilityCriteria":62,"healthyVolunteers":63,"sex":64,"minAge":65,"maxAge":66,"enrollmentInfo":67,"targetDuration":28,"studyType":70,"phases":71,"briefSummary":73,"conditions":74,"keywords":78,"overallStatus":82,"whyStopped":28,"lastUpdateSubmitDate":83,"lastUpdatePostDateStruct":84,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":92},{"fullName":5,"class":6},"Tuiuti University of Paraná","OTHER",[8,14,18],{"label":9,"type":10,"description":11,"interventionNames":12},"Dynamic Dry Needling","ACTIVE_COMPARATOR","Individuals will receive fast-in and fast-out needle manipulation (Hong's technique) in a fanning shape inside the trigger point of the masseter and\u002For temporalis muscles. The procedure continues until local twitch responses cease or the individual's tolerance limit is reached.",[13],"Procedure: Dry needling",{"label":15,"type":10,"description":16,"interventionNames":17},"Static Dry Needling","The needle will be inserted directly into the core of the active trigger point in the masseter and\u002For temporalis muscles and will remain completely static in situ for 10 minutes, focusing on neurophysiological modulation without further mechanical stimulation.",[13],{"label":19,"type":10,"description":20,"interventionNames":21},"Hybrid Dry Needling","A combination protocol where the needle is inserted into the trigger point and kept static for 5 minutes for initial desensitization, followed by a brief period of dynamic fanning manipulation (fast-in and fast-out).",[13],[23],{"type":24,"name":25,"description":26,"armGroupLabels":27,"otherNames":28},"PROCEDURE","Dry needling","Dry needling therapy targeted at active myofascial trigger points in masseter and temporalis muscles. Sterile, disposable, stainless steel needles (0.25x25mm or 0.25x30mm) will be used based on muscle depth. Procedures will be performed by a single operator with the individual in a supine position, following strict 70% alcohol antisepsis.\n\nMechanical manipulation follows three randomized protocols:\n\n* Dynamic: Fast-in and fast-out needle manipulation (Hong's technique) in a fanning shape until local twitch responses cease or tolerance limit is reached.\n* Static: Direct insertion into the trigger point, remaining completely static in situ for 10 minutes without further stimulation.\n* Hybrid: Direct needle insertion kept static for 5 minutes for initial desensitization, followed by a brief period of dynamic fanning manipulation.",[9,19,15],null,[30],{"name":31,"role":32,"phone":33,"phoneExt":28,"email":34},"Flávio Magno Gonçalves, Professor","CONTACT","55 (42) 98816-7711","flaviomagno93@yahoo.com.br",[36],{"facility":37,"status":28,"city":38,"state":39,"zip":40,"country":41,"countryCode":42,"cosmosGeoPoint":43,"geoPoint":48,"contacts":49},"Center for Diagnosis and Treatment of the Temporomandibular Joint, Universidade Tuiuti do Paraná (CDATM-UTP)","Curitiba","Paraná","80430140","Brazil","BR",{"type":44,"coordinates":45},"Point",[46,47],-49.27306,-25.42778,{"lat":47,"lon":46},[50],{"name":31,"role":32,"phone":51,"phoneExt":28,"email":34},"55 42 98816-7711",{"type":53,"investigatorFullName":54,"investigatorTitle":55,"investigatorAffiliation":5,"oldNameTitle":28,"oldOrganization":28},"SPONSOR_INVESTIGATOR","Flávio Magno Gonçalves","Professor","100647134","comparative-analysis-of-dry-needling-techniques-for-orofacial-myofascial-pain-100647134",false,"NCT07706153","Comparative Analysis of Dry Needling Techniques for Orofacial Myofascial Pain","Comparative Analysis of the Effectiveness and Comfort of Different Dry Needling Techniques in the Treatment of Orofacial Myofascial Pain: A Randomized Clinical Trial","Inclusion Criteria:\n\n* Clinical diagnosis of Myofascial Pain (with or without referred pain) in the masseter and\u002For temporalis muscles according to the Diagnostic Criteria for Temporomandibular Disorders (DC\u002FTMD) Axis I\n* Presence of at least one active trigger point in a taut band reproducing the chief complaint\n* Baseline pain intensity ≥ 2 on the VAS in the last two weeks\n* Confirmed pressure pain threshold (PPT ≤ 1.5 kg\u002Fcm²)\n* Signed informed consent form\n\nExclusion Criteria:\n\n* TMD treatment in the last 3 months (physical therapy, needling, laser therapy) or Botulinum Toxin injection in the orofacial region within 12 months\n* Continuous systemic use of analgesics, anti-inflammatories, or muscle relaxants\n* Diagnosis of fibromyalgia, systemic rheumatic diseases, neurological disorders, or neuropathic pain\n* Needle phobia (belonephobia), coagulation disorders, or use of anticoagulant drugs\n* Active skin or odontogenic infections in the application area\n* History of recent facial trauma or orthognathic\u002Fjoint surgery\n* Pregnancy",true,"ALL","18 Years","80 Years",{"count":68,"type":69},45,"ESTIMATED","INTERVENTIONAL",[72],"NA","This study aims to compare the clinical effectiveness and individual comfort of three distinct dry needling techniques (dynamic, static, and hybrid) for managing orofacial myofascial pain. Myofascial pain is a highly prevalent manifestation of temporomandibular disorders (TMD), characterized by painful trigger points in the masticatory muscles, such as the masseter and temporalis, which cause pain, muscle tenderness, and jaw movement limitations. While dry needling is widely recognized as an effective minimally invasive therapy to deactivate these trigger points, there is still a lack of consensus in scientific literature regarding the standardization of application protocols.\n\nTo address this gap, this randomized, triple-blind, parallel-group clinical trial will enroll 45 individuals diagnosed with myofascial pain according to the Diagnostic Criteria for Temporomandibular Disorders (DC\u002FTMD). Participants will be randomly allocated into three equal groups (15 individuals per group): Group 1 will receive dynamic dry needling (fanning technique); Group 2 will receive static dry needling (needle kept in situ for 10 minutes); and Group 3 will receive a hybrid approach (combining an initial static period followed by dynamic manipulation).\n\nThe primary outcome will evaluate changes in self-reported pain intensity using a Visual Analog Scale (VAS) from baseline to 7 days post-intervention. Secondary outcomes will assess changes in pressure pain thresholds (PPT) via digital algometry, mandibular range of motion via digital caliper measurements, and the subjective perception of comfort and acceptability of each technique. Evaluations will be conducted at baseline, immediately post-intervention, at 7 days, and at 15 days of follow-up. The findings are expected to contribute to the standardization of more effective and comfortable clinical protocols for managing orofacial pain.",[75,76,77],"Myofascial Pain Syndromes","Facial Pain","Trigger Points",[79,80,81],"dry needling","orofacial pain","myofascial pain syndromes","NOT_YET_RECRUITING","2026-07-21",{"date":85,"type":86},"2026-07-23","ACTUAL",{"date":88,"type":69},"2026-08-01",{"date":90,"type":69},"2027-04-01",{"name":54,"class":6},1]