Added Value of Gluteus Medius and Quadratus Lumborum Dry Needling in Improving Knee Pain and Function in Female Athletes With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

Zarei, Hanieh; Bervis, Soha; Piroozi, Soraya; Motealleh, Alireza

doi:10.1016/j.apmr.2019.07.009

Cited by 37 publications

(19 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ten articles were excluded because the dry needling intervention was combined with another injection therapy [ 30 ], abstract/conference proceedings [ 31 , 32 , 33 ], a pilot study [ 34 ], non-randomized clinical trials [ 35 , 36 , 37 ], and application of dry needling with electrical current [ 38 , 39 ]. Finally, a total of 10 trials [ 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ] were included in the main analyses ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the participants of the included studies are shown in Table 2 . Six studies (60%) investigated the effects of TrP dry needling in PFP [ 40 , 41 , 43 , 46 , 48 , 49 ], two (20%) in subjects with knee OA [ 42 , 45 ], and the remaining two (20%) in post-surgery knee pain [ 44 , 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ] targeted active TrPs (i.e., those in which referred pain reproduced the patient’s knee symptoms) with the needle, whereas one trial [ 40 ] targeted specific points chosen based on the most common places of TrPs at the quadriceps muscle, as originally described by Simons et al [ 12 ] The needling technique was homogenous; eight trials [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ] used reported the presence of local twitch responses during the intervention, one [ 49 ] did not report it and the last one used superficial, not deep, dry needling [ 40 ]. However, there was heterogenicity in the number and frequency of sessions and the type of sham or comparator.…”

Section: Resultsmentioning

confidence: 99%

“…Sanchez-Romero et al [ 45 ] reported that 87% of the patients experienced minor side effects, 97% being post-needling muscle soreness. Zarei et al [ 48 ] reported a minimal soreness after dry needling intervention but not any serious adverse events. The remaining three studies [ 43 , 46 , 49 ] reported no adverse events.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Rahou-El-Bachiri

Navarro-Santana

Gómez-Chiguano³

et al. 2020

JCM

View full text Add to dashboard Cite

Background: To evaluate the effect of trigger point dry needling alone or as an adjunct with other interventions on pain and related disability in people with knee pain. Methods: Several electronic databases were searched for randomized controlled trials where at least one group received dry needling for knee pain. Studies had to include human subjects and collect outcomes on pain and pain-related disability in musculoskeletal knee pain. Data were extracted by two reviewers. The risk of bias was assessed by the Cochrane Guidelines, methodological quality was assessed with the Physiotherapy Evidence Database (PEDro) score, and the quality of evidence by using the GRADE approach. Standardized mean differences (SMD) were calculated. Results: Ten studies (six patellofemoral pain, two knee osteoarthritis, two post-surgery knee pain) were included. The meta-analysis found moderate effect sizes of dry needling for reducing pain (SMD −0.53, 95% CI −0.87 to −0.19) and improving related disability (SMD −0.58, 95% CI −1.08 to −0.09) as compared to a comparison group at short-term. The main effect was observed for patellofemoral pain (SMD −0.64, 95% CI −1.17 to −0.11). No significant effects were observed at mid- or long-term follow-ups. The risk of bias was generally low, but the heterogenicity and the imprecision of the results downgraded the level of evidence. Conclusion: Low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain, but not knee osteoarthritis or post-surgery knee pain, at short-term. More high-quality trials investigating long-term effects are clearly needed.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Rahou-El-Bachiri

Navarro-Santana

Gómez-Chiguano³

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…Latent MTrPs do not produce spontaneous pain unless they are encouraged [6,7]. DN has been shown to increase the pressure pain threshold (PPT) [8] and range of movement (ROM) [9]; to improve function [10]; and to decrease pain in patients with patellofemoral pain syndrome [10], hip osteoarthritis [11], low-back pain [12], and piriformis syndrome [13].…”

Section: Introductionmentioning

confidence: 99%

Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial

Garcia-de-Miguel

Pecos‐Martín

Larroca-Sanz

et al. 2020

JCM

View full text Add to dashboard Cite

Procedures such as dry needling (DN) or percutaneous electrical nerve stimulation (PENS) are commonly proposed for the treatment of myofascial trigger points (MTrP). The aim of the present study is to investigate if PENS is more effective than DN in the short term in subjects with mechanical neck pain. This was an evaluator-blinded randomized controlled trial. Subjects were recruited through announcements and randomly allocated into DN or PENS groups. Pain intensity, disability, pressure pain threshold (PPT), range of motion (ROM), and side-bending strength were measured. The analyses included mixed-model analyses of variance and pairwise comparisons with Bonferroni correction. The final sample was composed of 44 subjects (22 per group). Both groups showed improvements in pain intensity (ηp2 = 0.62; p < 0.01), disability (ηp2 = 0.74; p < 0.01), PPT (ηp2 = 0.79; p < 0.01), and strength (ηp2 = 0.37; p < 0.01). The PENS group showed greater improvements in disability (mean difference, 3.27; 95% CI, 0.27–6.27) and PPT (mean difference, 0.88–1.35; p < 0.01). Mixed results were obtained for ROM. PENS seems to produce greater improvements in PPT and disability in the short term.

show abstract

Effectiveness of Dry Needling Therapy on Pain, Hip Muscle Strength, and Physical Function in Patients With Hip Osteoarthritis: A Randomized Controlled Trial

Ceballos‐Laita

Jiménez‐del‐Barrio

Marín-Zurdo

et al. 2021

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

Added Value of Gluteus Medius and Quadratus Lumborum Dry Needling in Improving Knee Pain and Function in Female Athletes With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

Cited by 37 publications

References 52 publications

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial

Effectiveness of Dry Needling Therapy on Pain, Hip Muscle Strength, and Physical Function in Patients With Hip Osteoarthritis: A Randomized Controlled Trial

Contact Info

Product

Resources

About