Dry Needling and Therapeutic Exercise on Sleep in Individuals With Chronic Neck Pain and Sleep Disturbance
Feasibility study investigating the effects of dry needling on individuals with chronic neck pain and sleep disturbance.
- EligibilityCriteria: Inclusion Criteria:  Neck pain lasting greater than 3 months 28,29 Age: 18-75 years Presence of sleep disturbance - to be defined as a score ≥ 8 on the Insomnia Severity Index Ability to understand study procedures and to comply with them for the entire length of the study  Exclusion Criteria:  Previous surgery to the neck or thoracic spine Central nervous system disorders Systemic joint disease (e.g. rheumatoid arthritis) Infection Cancer Raynaud's disease Pregnancy Immunocompromised disease (e.g., diabetes mellitus, HIV, AIDS, lupus) Insufficient English-language skills to complete all questionnaires.  Contraindications to dry needling:  Presence of needle phobia History of abnormal reaction to needling or injection History of bleeding disorder (e.g., current anticoagulant therapy or known thrombocytopenia) - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - MaximumAge: 75 Years - StdAgeList: Adult, Older Adult