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

Ceballos‐Laita, Luis; Jiménez‐del‐Barrio, Sandra; Marín-Zurdo, Javier; Moreno-Calvo, Alejandro; Marín-Boné, Javier; Albarova-Corral, María Isabel; Estébanez-de-Miguel, Elena

doi:10.1016/j.apmr.2021.01.077

Cited by 20 publications

(47 citation statements)

References 52 publications

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“…The quick contraction of the local muscle fibers in response to mechanical stimulation was detected by ultrasound visualization. The needle was repeatedly inserted until the local twitch responses became extinct [ 27 ]. A cotton ball was used to perform haemostasis and prevent bleeding after removing the needle.…”

Section: Methodsmentioning

confidence: 99%

Effects of Dry Needling in Teres Major Muscle in Elite Handball Athletes. A Randomised Controlled Trial

Ceballos‐Laita

Medrano-de-la-Fuente

Estébanez-de-Miguel

et al. 2021

JCM

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Objective: To determine the effects of dry needling (DN) in active myofascial trigger points in the teres major muscle compared to an untreated control group in pain during throwing actions, shoulder range of motion (ROM), strength, and extensibility of the tissues in professional handball (HB) athletes. Methods: A randomised, single-blinded, controlled clinical trial was designed. Thirty HB athletes with shoulder pain were randomly assigned to the DN group (n = 15) or control group (n = 15). The DN group received a single session of ultrasound-guided DN technique in the teres major muscle. The control group received no intervention. Pain intensity during throwing actions (Numeric Pain Rating Score), shoulder ROM (inclinometer), isometric strength (hand-held dynamometer), and extensibility (inclinometer) were measured before and after treatment. Results: DN group showed statistically significant improvements with large effect sizes for pain intensity (p < 0.001; E.S: 1.3), internal rotation ROM (p < 0.001; E.S: 3.0) and extensibility (p < 0.001; E.S: 2.9) compared to the control group. No statistically significant differences were found for isometric strength (p > 0.05). Conclusion: A single session of DN in the teres major muscle was effective for improving pain intensity during throwing actions, internal rotation ROM and extensibility in HB athletes with shoulder pain.

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Section: Methodsmentioning

confidence: 99%

Effects of Dry Needling in Teres Major Muscle in Elite Handball Athletes. A Randomised Controlled Trial

Ceballos‐Laita

Medrano-de-la-Fuente

Estébanez-de-Miguel

et al. 2021

JCM

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“…5 In a randomized controlled trial, dry needling of the hip muscles, including the tensor fascia latae, was associated with increased hip strength and force. 4 When used for lateral epicondylitis, another study found significant decrease ( P < .05) in pain and improvement in functionality scores, when compared to the control group. 10 Dry needling of the lower extremity was found to decrease muscle spasticity and improve gait in poststroke patients.…”

Section: Video Transcriptmentioning

confidence: 97%

“…Randomized controlled trials have shown significant reductions in pain scores in short-term follow-up, as well as improved functional outcomes. 4,7,10…”

Section: Video Transcriptmentioning

confidence: 99%

“…Randomized controlled trials have shown significant reductions in pain scores in short-term follow-up, as well as improved functional outcomes. 4,7,10 Myofascial trigger points are areas of skeletal muscle characterized by local tenderness and twitch responses with stimulation. These trigger points may be asymptomatic, although they may result in a range of motion limitation and muscle weaknesses.…”

Section: Video Transcriptmentioning

confidence: 99%

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Dry Needling for the Treatment of Musculoskeletal Ailments With Trigger Points

Padanilam

Dayton

Jarema

et al. 2021

Video Journal of Sports Medicine

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Background: Dry needling is an increasingly popular technique for relieving musculoskeletal pain, through targeting myofascial trigger points. Existing evidence indicates that dry needling is effective in short-term management of pain, with research showing efficacy in improving functional outcomes when compared to other treatments. Indications: Myofascial trigger points may result in range of motion limitations and muscle weakness. Noninvasive treatments for musculoskeletal pain associated with myofascial trigger points, such as stretching or warm compresses, may not provide significant benefit for patients. Dry needling is a minimally invasive technique that provides significant short-term functional improvement and analgesia for musculoskeletal pain associated with myofascial trigger points, seen with reductions in visual analog scale (VAS) pain scores and decreased need for pharmacologic therapies. Technique Description: This video demonstrates dry needling at the tensor fascia latae, extensor carpi radialis longus, and gastrocnemius muscles. Myofascial trigger points and important anatomical landmarks are identified and labeled. A needle is inserted into the region of the myofascial trigger point to a depth of 10 to 100 mm and remains in situ for about 10 to 20 seconds with the use of a piston technique, although this time varies dependent upon patient response. Results: Dry needling may significantly decrease pain and improve functional outcomes in patients with short-term musculoskeletal ailments. Randomized controlled trials have examined dry needling for fibromyalgia, mechanical neck pain, myofascial pain, and following total knee arthroplasty, with these finding significant reductions in pain scores in short-term follow-up. A randomized single-blind placebo-controlled trial found dry needling with exercise to be more effective than sham dry-needling and exercise. Dry needling may provide improved long-term analgesia but also results in increased pain during the procedure and increased soreness afterwards. Pain relief may not last beyond 6 months, although little research investigating long-term outcomes has been performed. Discussion/Conclusion: The usage of dry needling in clinical settings is increasing, as it has shown strong efficacy in providing short-term pain relief and ability to improve functional outcomes. Dry needling is a simple, minimally invasive technique that is easily and quickly learned by physical therapists and may provide great benefits to patients.

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“…DN has shown clinical benefit in orthopedic conditions including low-back pain, carpal tunnel syndrome, plantar fasciitis, shoulder pain, and cervicalgia [ 55 , 56 , 60 , 61 ]. A recent randomized controlled clinical trial compared DN and sham treatments directed at myofascial trigger points of the iliopsoas, tensor fascia latae, rectus femoris, and gluteus minimus muscles in patients with unilateral hip OA [ 62 ]. The study revealed significant reduction in hip pain with improvement in physical function and hip muscle strength in the DN group compared with the sham and control groups [ 62 ].…”

Section: Dry Needlingmentioning

confidence: 99%