RT Journal Article
T1 Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis
A1 Fernández De Las Peñas, César
A1 Plaza Manzano, Gustavo
A1 Sanchez Infante, Jorge
A1 Gómez Chiguano, Guido F.
A1 Cleland, Joshua A.
A1 Arias Buría, José L.
A1 López De Uralde Villanueva, Ibai Julio
A1 Navarro Santana, Marcos José
AB Objective. To evaluate the effects of combining dry needling with other physical therapy interventions versus the application of the other interventions or dry needling alone applied over trigger points (TrPs) associated to neck pain. Databases and Data Treatment. Electronic databases were searched for randomized controlled trials where at least one group received dry needling combined with other interventions for TrPs associated with neck pain. Outcomes included pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion. The risk of bias (RoB) was assessed using the Cochrane risk of bias tool, methodological quality was assessed with PEDro score, and the quality of evidence was assessed by using the GRADE approach. Between-groups mean differences (MD) and standardized mean difference (SMD) were calculated. Results. Eight trials were included. Dry needling combined with other interventions reduced pain intensity at short-term (SMD −1.46, 95% CI −2.25 to −0.67) and midterm (SMD −0.38, 95% CI −0.74 to −0.03) but not immediately after or at long-term compared with the other interventions alone. A small effect on pain-related disability was observed at short-term (SMD −0.45, 95% CI −0.87 to −0.03) but not at midterm or long-term. The inclusion of dry needling was also effective for improving pressure pain thresholds only at short-term (MD 112.02 kPa, 95% CI 27.99 to 196.06). No significant effects on cervical range of motion or pain catastrophism were observed. Conclusion. Low-to-moderate evidence suggests a positive effect to the combination of dry needling with other interventions for improving pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion in people with neck pain associated with TrPs at short-term. No midterm or long-term effects were observed.
PB Hindawi
SN 1918-1523
SN 1203-6765
YR 2021
FD 2021-02-02
LK https://hdl.handle.net/20.500.14352/103226
UL https://hdl.handle.net/20.500.14352/103226
LA eng
NO César Fernández-De-Las-Peñas, Gustavo Plaza-Manzano, Jorge Sanchez-Infante, Guido F Gómez-Chiguano, Joshua A Cleland, José L. Arias-Buría, Ibai López-de-Uralde-Villanueva, Marcos J. Navarro-Santana, "Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis", Pain Research and Management, vol. 2021, Article ID 8836427, 24 pages, 2021. https://doi.org/10.1155/2021/8836427
DS Docta Complutense
RD 22 jul 2024