Comparison Between Electro-Acupuncture and Hydrotherapy, Both in Combination With Patient Education and Patient Education Alone, on the Symptomatic Treatment of Osteoarthritis of the Hip

Stener-Victorin, Elisabet; Kruse-Smidje, Carina; Jung, Kerstin

doi:10.1097/00002508-200405000-00008

Cited by 59 publications

(82 citation statements)

References 26 publications

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“…While many of these studies directly use the term ‘dry needling’,5,18,21,26,33,56,64,67,104,110 in their methodology, other studies use alternative terminology such as ‘deep dry needling’,67 ‘superficial dry needling’,55,128 ‘TrP acupuncture’,20,80 ‘paraspinal needling’,64 ‘intramuscular and nerve root needling’,65 ‘needle electrical intramuscular stimulation’,129 ‘needle release’,113 ‘acupuncture needling’,63,113 ‘needling therapy’,17 ‘acupuncture’36–38,40,41,47,49–55,61,69,72,81–88,90,92,94–100,105–108,112,115–117,119–123,130–135 and ‘electroacupuncture’ 37,46,93,126,127,136–139. Some studies have even chosen to use both ‘acupuncture and dry needling’19,23,24,62,77 in their titles.…”

Section: Trp Needling Is Only One Kind Of Dry Needlingmentioning

confidence: 99%

Dry needling: a literature review with implications for clinical practice guidelines

Dunning¹,

Butts

Mourad³

et al. 2014

Physical Therapy Reviews

256

205

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Background:Wet needling uses hollow-bore needles to deliver corticosteroids, anesthetics, sclerosants, botulinum toxins, or other agents. In contrast, dry needling requires the insertion of thin monofilament needles, as used in the practice of acupuncture, without the use of injectate into muscles, ligaments, tendons, subcutaneous fascia, and scar tissue. Dry needles may also be inserted in the vicinity of peripheral nerves and/or neurovascular bundles in order to manage a variety of neuromusculoskeletal pain syndromes. Nevertheless, some position statements by several US State Boards of Physical Therapy have narrowly defined dry needling as an ‘intramuscular’ procedure involving the isolated treatment of ‘myofascial trigger points’ (MTrPs).Objectives:To operationalize an appropriate definition for dry needling based on the existing literature and to further investigate the optimal frequency, duration, and intensity of dry needling for both spinal and extremity neuromusculoskeletal conditions.Major findings:According to recent findings in the literature, the needle tip touches, taps, or pricks tiny nerve endings or neural tissue (i.e. ‘sensitive loci’ or ‘nociceptors’) when it is inserted into a MTrP. To date, there is a paucity of high-quality evidence to underpin the use of direct dry needling into MTrPs for the purpose of short and long-term pain and disability reduction in patients with musculoskeletal pain syndromes. Furthermore, there is a lack of robust evidence validating the clinical diagnostic criteria for trigger point identification or diagnosis. High-quality studies have also demonstrated that manual examination for the identification and localization of a trigger point is neither valid nor reliable between-examiners.Conclusions:Several studies have demonstrated immediate or short-term improvements in pain and/or disability by targeting trigger points (TrPs) using in-and-out techniques such as ‘pistoning’ or ‘sparrow pecking’; however, to date, no high-quality, long-term trials supporting in-and-out needling techniques at exclusively muscular TrPs exist, and the practice should therefore be questioned. The insertion of dry needles into asymptomatic body areas proximal and/or distal to the primary source of pain is supported by the myofascial pain syndrome literature. Physical therapists should not ignore the findings of the Western or biomedical ‘acupuncture’ literature that have used the very same ‘dry needles’ to treat patients with a variety of neuromusculoskeletal conditions in numerous, large scale randomized controlled trials. Although the optimal frequency, duration, and intensity of dry needling has yet to be determined for many neuromusculoskeletal conditions, the vast majority of dry needling randomized controlled trials have manually stimulated the needles and left them in situ for between 10 and 30 minute durations. Position statements and clinical practice guidelines for dry needling should be based on the best available literature, not a single paradigm or school of thought; therefore, ...

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Section: Trp Needling Is Only One Kind Of Dry Needlingmentioning

confidence: 99%

Dry needling: a literature review with implications for clinical practice guidelines

Dunning¹,

Butts

Mourad³

et al. 2014

Physical Therapy Reviews

256

205

View full text Add to dashboard Cite

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“…With regards specifically to Hip OA, the review identified three trials evaluating the use of acupuncture in management of hip OA, one of which was evaluating the use of electro acupuncture as opposed to the traditional needle methods [21][22][23]. However, the studies were deemed to be too heterogenous to be included in a meta-analysis.…”

Section: Acupuncturementioning

confidence: 99%

Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Lee¹,

Rozewicz²,

Chandrappa³

et al. 2018

J Arthritis

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Osteoarthritis of the hip describes a clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life. Osteoarthritis may not be progressive and most patients will not need surgery, with their symptoms adequately controlled by non-surgical measures. The treatment of hip osteoarthritis is aimed at reducing pain and stiffness and improving joint mobility. Total hip replacement remains the most effective treatment option but it is a major surgery with potential serious complications. NICE guideline has suggested a holistic approach to management of hip osteoarthritis which includes both nonpharmacological and pharmacological treatments. The non-pharmacological treatments range from education ,physical therapy and behavioral changes ,walking aids .The ESCAPE( Enabling Self-Management and Coping of Arthritic Pain Through Exercise) rehabilitation programme for hip and knee osteoarthritis which integrates simple education, self-management and coping strategies, with an exercise regimen has shown to be more cost-effective than usual care. There is a choice of reviewed pharmacological treatments available, but there are few current reviews of possible nonpharmacological methods. This review will focus on the non-pharmacological and non-surgical methods.

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“…Recommended modalities specific to hip OA include manual therapy, exercise program, hydrotherapy, electro-acupuncture, acupuncture with advice and home exercises. There is, however, 'insufficient evidence' to support exercise as a treatment to decrease pain or to improve function [11,[27][28][29][30][31]. The use of AposTherapy in the present study showed significant improvement in the subjective reports of pain and function after twelve weeks, as demonstrated by the significant improvement in the selfevaluation symptoms and QoL assessment questionnaires, as well as in the significant improvement in gait patterns.…”

Section: Discussionmentioning

confidence: 55%

A Non-Invasive Foot-Worn Biomechanical Device for Patients with Hip Osteoarthritis

Drexler¹,

Segal²,

Lahad³

et al. 2013

Surgery

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Comparison Between Electro-Acupuncture and Hydrotherapy, Both in Combination With Patient Education and Patient Education Alone, on the Symptomatic Treatment of Osteoarthritis of the Hip

Abstract: In conclusion, EA and hydrotherapy, both in combination with patient education, induce long-lasting effects, shown by reduced pain and ache and by increased functional activity and quality of life, as demonstrated by differences in the pre- and post-treatment assessments.

Cited by 59 publications

References 26 publications

Dry needling: a literature review with implications for clinical practice guidelines

Dry needling: a literature review with implications for clinical practice guidelines

Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

A Non-Invasive Foot-Worn Biomechanical Device for Patients with Hip Osteoarthritis

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