Comparison of the Efficacy of Dry Needling and High-Power Pain Threshold Ultrasound Therapy with Clinical Status and Sonoelastography in Myofascial Pain Syndrome

Aridici, Rifat; Yetişgin, Alparslan; Boyacı, Ahmet; Tutoğlu, Ahmet; Bozdogan, Erol; Dokumaci, Dilek Sen; Kilicaslan, Nihat; Boyacı, Nurefşan

doi:10.1097/phm.0000000000000600

Cited by 17 publications

(18 citation statements)

References 36 publications

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“…Three hundred and twenty-four ( n = 324) studies remained after removing duplicates. Two hundred and ninety-five ( n = 295) were excluded after the analysis of titles and/or abstracts, leaving 29 articles for final full-text review [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. One article [ 34 ] was excluded because the comparator was acupuncture intervention and the placebo used laser.…”

Section: Resultsmentioning

confidence: 99%

“…Post-needling soreness was the most common adverse event and was reported in 53% (8/15) of the trials [ 27 , 28 , 32 , 38 , 40 , 43 , 45 , 48 ] and resolved spontaneously in 24–48h without further treatment. Thirteen (47%, n = 13/28) of the included studies [ 23 , 24 , 25 , 30 , 35 , 36 , 42 , 44 , 46 , 47 , 48 , 49 , 51 ] did not report any information about adverse events ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Navarro-Santana

Sánchez-Infante

Fernández‐de‐las‐Peñas

et al. 2020

JCM

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Our aim was to evaluate the effect of dry needling alone as compared to sham needling, no intervention, or other physical interventions applied over trigger points (TrPs) related with neck pain symptoms. Randomized controlled trials including one group receiving dry needling for TrPs associated with neck pain were identified in electronic databases. Outcomes included pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion. The Cochrane risk of bias tool and the Physiotherapy Evidence Database (PEDro) score were used to assessed risk of bias (RoB) and methodological quality of the trials. The quality of evidence was assessed by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Between-groups mean differences (MD) and standardized mean differences (SMD) were calculated (3) Twenty-eight trials were finally included. Dry needling reduced pain immediately after (MD −1.53, 95% CI −2.29 to −0.76) and at short-term (MD −2.31, 95% CI −3.64 to −0.99) when compared with sham/placebo/waiting list/other form of dry needling and, also, at short-term (MD −0.51, 95% CI −0.95 to −0.06) compared with manual therapy. No differences in comparison with other physical therapy interventions were observed. An effect on pain-related disability at the short-term was found when comparing dry needing with sham/placebo/waiting list/other form of dry needling (SMD −0.87, 95% CI −1.60 to −0.14) but not with manual therapy or other interventions. Dry needling was effective for improving pressure pain thresholds immediately after the intervention (MD 55.48 kPa, 95% CI 27.03 to 83.93). No effect on cervical range of motion of dry needling against either comparative group was found. No between-treatment effect was observed in any outcome at mid-term. Low to moderate evidence suggests that dry needling can be effective for improving pain intensity and pain-related disability in individuals with neck pain symptoms associated with TrPs at the short-term. No significant effects on pressure pain sensitivity or cervical range of motion were observed. Registration number: OSF Registry—https://doi.org/10.17605/OSF.IO/P2UWD.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Navarro-Santana

Sánchez-Infante

Fernández‐de‐las‐Peñas

et al. 2020

JCM

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“…La punción seca propuesta por Travell y Simons ha sido comparada con la inyección anestésica (Ay, Evcik, & Tur, 2010), con los efectos del ultrasonido (Aridici et al, 2016) y con la técnica de estimulación intramuscular paraespinal (Ga, Choi, Park, & Yoon, 2007), en todos los casos se ha demostrado disminución en los niveles de dolor con el uso de la punción seca de Travell y Simons. En comparación con la inyección anestésica no se observaron diferencias significativas, en ambos grupos se disminuyeron los niveles de dolor y aumentaron los rangos de movimiento, (valor P <.001) (Ay, Evcik, & Tur, 2010); en comparación con los efectos del ultrasonido no hay diferencias significativas, en ambas se observa disminución de los niveles de dolor, de discapacidad de cuello y de número de puntos dolorosos, el valor P para ambas intervenciones fue <0,05 (Aridici et al, 2016); y con respecto a estimulación la intramuscular paraespinal ambas intervenciones revelan disminución del dolor y ROM cervical pasivo en movimientos de flexión e inclinación, así es que no hay diferencias significativas entre ambas técnicas (valor P para ambos fue de p<0.001) (Ga, Choi, Park, & Yoon, 2007) En el subgrupo de punción seca implementada con tubo guía se clasifican los estudios que para realizar la técnica de punción seca usaron un tubo guía para introducir la aguja. De nuevo se resaltan los estudios de comparación de esta técnica con otras.…”

Section: Artículo 06unclassified

Fibromialgia y síndrome de dolor miofascial abordadas desde la liberación miofascial y la punción seca

Rojas

Vivas

2019

Rev. Colomb. Rehabil.

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La terapia manual es un área de la fisioterapia que utiliza técnicas con finalidades terapéuticas sobre tejidos musculares, óseos, conjuntivos y nerviosos, para favorecer reacciones fisiológicas que promueven la disminución del dolor. Objetivo: Describir, mediante revisión los efectos reportados en la literatura científica, las técnicas de liberación miofascial y punción seca en pacientes con Fibromialgia y Síndrome de Dolor Miofascial. Método: Se realizó una revisión a de Ensayos Clínicos Controlados en materia de intervención con técnicas de liberación miofascial y punción seca en pacientes con diagnóstico de fibromialgia y síndrome de dolor miofascial. Se excluyeron estudios en participantes con trastornos psiquiátricos y neurológicos, o con participación en otro tipo de tratamiento. La consulta se realizó en diferentes bases de datos: Pubmed, Elsevier, Ebscohost, Proquest, Pedro mediante términos DeCS. Resultados: El análisis de resultados se realizó a partir de la clasificación de los documentos según las técnicas de liberación miofascial (masaje, inducción miofascial, presión manual o isquémica) y la punción seca. Las medidas efecto varían de acuerdo a los diferentes protocolos de intervención, con un valor p< 0.001 y 0.005. Discusión: Se demuestra que tanto las técnicas de liberación miofascial como la punción seca, logran disminuir el dolor, mejorar rangos de movimiento y la funcionalidad principalmente en pacientes con Fibromialgia y Síndrome de Dolor Miofascial

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“…Some authors have suggested that the application of DN could regulate muscle tone and modify hypertonia, spasticity and certain musculoskeletal disorders. 10,11 Proposed mechanisms include modification of muscle stiffness and viscoelastic properties, [12][13][14] and modulation of neurophysiological activity within the spinal cord. [15][16][17][18] Muscle stiffness is defined as the ratio of the change in resistance to the change in length 19 and is a muscle property that is related to extensibility and performance.…”

Section: Introductionmentioning

confidence: 99%

“…20 All these properties, together with neurogenic factors, characterise muscle tone. However, very few studies have analysed the specific effects of DN on muscle stiffness and motoneuron excitability, [12][13][14][15][16][17][18] and none of them have compared the effects of DN when needling two different locations in a controlled way. Thus, the objective of this study was to analyse the biomechanical (muscle stiffness, extensibility and isometric strength) and neurophysiological (soleus H-reflex) effects in two different locations of the MTrP area (the nodule and the TB).…”

Section: Introductionmentioning

confidence: 99%

The effect of dry needling of myofascial trigger points on muscle stiffness and motoneuron excitability in healthy subjects

et al. 2021

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Background: Myofascial trigger points (MTrPs) are hypersensitive nodules in a taut band (TB) of skeletal muscle. Dry needling (DN) is an invasive technique recommended for the treatment of MTrPs. However, to our knowledge, no studies have investigated the influence of the DN technique on modification of muscle stiffness and neurophysiological properties of MTrPs. Objective: The objective was to examine the effect of DN on muscle stiffness and motoneuron excitability of a latent medial MTrP (nodule and TB) of the soleus muscle in non-injured subjects. Methods: A double-blinded randomised controlled trial of 46 subjects with latent medial MTrPs of the soleus was conducted, in which all received one session of DN. The intervention group (n = 23) were subjected to DN into the MTrP (the nodule), while the control group (n = 23) were subjected to DN into the TB. Assessment was carried out at baseline (pre-test), after the intervention (post-test) and 1 week after the intervention (follow-up). Biomechanical variables (muscle resistive force at 10°/s and 180°/s, muscle extensibility and strength), as measured with an isokinetic dynamometer, and neurophysiological variables (H-reflex), were recorded. Results: There were no statistically significant differences in biomechanical or neurophysiological assessments between groups. Considering the intra-group analysis, subjects in the intervention group exhibited increased maximal isometric voluntary force to ankle plantarflexion (MIVFp) at both post-intervention and follow-up assessment (p < 0.0125; 0.2 < d < 0.5), while no changes were found in the control group. Conclusion: One session of DN targeting latent MTrPs did not change muscle stiffness, muscle extensibility or motoneuron excitability. Further research on subjects with muscle tone disorders should be considered to better address the impact of DN on muscle tone. Trial registration number: NCT02575586 (ClinicalTrials.gov).

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Comparison of the Efficacy of Dry Needling and High-Power Pain Threshold Ultrasound Therapy with Clinical Status and Sonoelastography in Myofascial Pain Syndrome

Abstract: Our study favors the efficacy of both treatment methods in myofascial pain syndrome. Although a significant decrease was shown in tissue stiffness with HPPT, neither of these treatments had an apparent superiority.

Cited by 17 publications

References 36 publications

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Fibromialgia y síndrome de dolor miofascial abordadas desde la liberación miofascial y la punción seca

The effect of dry needling of myofascial trigger points on muscle stiffness and motoneuron excitability in healthy subjects

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