Effects of dry needling on tendon-pulley architecture, pain and hand function in patients with trigger finger: a randomized controlled trial study

Azizian, Morteza; Bagheri, Hossein; Olyaei, Gholamreza; Shadmehr, Azadeh; Okhovatpour, Mohammad Ali; Dehghan, Pooneh; Jalaei, Shohreh; Sarafraz, Hadi

doi:10.1589/jpts.31.295

Cited by 9 publications

(11 citation statements)

References 16 publications

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“…After systematic review, 24 articles met the inclusion criteria. 5,6,9,10,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] Among them, 8 of them were excluded from our meta-analysis (Supplemental Appendix B) and 16 of them (including 1185 patients) which reported success were included in our meta-analysis ( Figure 1). 5,6,9,10,[14][15][16][17][18][19][20][21][22][23][24][25] The main characteristics of the included articles are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

Shen

Chou

et al. 2020

Clin Rehabil

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Objective: To compare the efficacy of various strategies in the treatment of trigger finger. Data sources: A systematic literature search for randomized controlled trials to compare treatments for trigger finger was conducted through three online databases, Pubmed, Embase and Cochrane Library, from their inception dates to 22 May 2020. Methods: Relative risk (RR) with 95% confidence interval (CI) was used to evaluate the effect sizes in success rate for included articles. Results: Sixteen articles ( n = 1185) were included in our meta-analysis. The results showed that the efficacy of steroid injection was significantly better than the placebo group at short-term follow-ups (RR = 19.00, 95% CI = 1.17–309.77 for one-week; RR = 3.70, 95% CI = 3.70, 95% CI = 1.61–8.53 for one-month), and then became non-significant at four months (RR = 3.21, 95% CI = 0.88–11.79). There was no significant difference in success rate between steroid injection and nonsteroidal anti-inflammatory drug injection, and between open surgery and percutaneous release at all the follow-ups. Only surgical treatment had significantly better efficacy in success rate than steroid injection at all follow-ups (RR = 0.48, 95% CI = 0.34–0.66 for one-month; RR = 0.87, 95% CI = 0.80–0.96 for three-month; RR = 0.58, 95% CI = 0.48–0.68 for six-month; RR = 0.38, 95% CI = 0.20–0.72 for 12-month). Conclusion: There were no differences in efficacy between steroid injection and shockwave or nonsteroidal anti-inflammatory drug injection. The surgical treatments had the best efficacy among these treatments.

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Section: Resultsmentioning

confidence: 99%

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

Shen

Chou

et al. 2020

Clin Rehabil

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“…No que se refere aos tratamentos para a TEDQ, os estudos analisados demonstraram resultados favoráveis após utilização das técnicas de agulhamento como coadjuvantes no tratamento fisioterapêutico em pacientes com a TEDQ. A reabilitação desses pacientes, geralmente, ocorre por meio do alívio das dores a curto prazo (SANT'ANNA et al, 2018;AZIZIAN et al, 2019). Sant'anna e colaboradores (2018) relatam em seu estudo de caso, o tratamento por acupuntura para a TEDQ em uma paciente de 54 anos do sexo feminine, dentro dos princípios da medicina tradicional chinesa.…”

Section: Discussionunclassified

“…Nesse contexto, ressalta-se a importância da abordagem fisioterapêutica em pessoas com o diagnóstico de TEDQ, mediate realização inicial da anamnese, seguida pelo exame físico, com especial destaque para o teste provocativo de Finkelstein (IPPOLITO et al, 2020). Como tratamentos coadjuvantes da TEDQ, evidencia-se a acupuntura e o agulhamento a seco (SANT'ANNA et al, 2018;AZIZIAN et al, 2019), os quais demonstram resultados promissores no tratamento da patologia quando associada ou não a um tratamento conservador. Para além além da eficácia dessas abordagens, temse programas clássicos, tais como, treinamento muscular excêntrico, alongamentos e exercícios funcionais (FÖLDVÁRI-NAGY et al, 2020).…”

Section: Introductionunclassified

Physiotherapeutic approach to De Quervain's Stenosing Tenosynovitis caused by excessive smartphone use in adults

Magalhães,

Pires,

Neumann

et al. 2023

CLIUM

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De Quervain's Stenosing Tenosynovitis (DQST) is a musculoskeletal disorder that has increased in incidence due to the excessive and sometimes inappropriate use of smartphones. The aim of this study was to analyse the role of physiotherapy in the treatment of adult patients affected by DQST caused by excessive smartphone use. This is a narrative literature review, in which experimental articles were selected from the SciELO, PubMed, PEDro, LILACS and BVS databases, published between 2018 and 2022, in Portuguese and English. The descriptors used were De Quervain's Stenosing Tenosynovitis; smartphone; trigger finger; physiotherapy; and thumb pain. The study found 9 experimental articles that showed promising results with physiotherapeutic treatment of DQST in relieving pain and recovering functionality, through the application of dry needling, acupuncture and strengthening with eccentric exercises.

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“…The evidence supporting the use of dry needling continues to grow (Azizian et al, 2019; Dunning et al, 2014; Kietrys et al, 2013); however, current literature is lacking demonstrating the effectiveness of dry needling in the hand, specifically the thumb. The results of this upper extremity case report are consistent with the current body of evidence evaluating the use of dry needling in other various body regions to reduce pain and improve ROM (Dunning et al, 2014; Gattie et al, 2017; Gerber et al, 2015; Kietrys et al, 2013; Liu et al, 2015; Ziaeifar et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…However, a systematic literature has identified low-quality evidence to support the use of dry needling compared to no intervention or a sham intervention (Gattie et al, 2017). Evidence to support the use of dry needling in the hand is minimal, with one preliminary study demonstrating an improvement in both pain and perceived outcome following one treatment session (Azizian et al, 2019). To increase the body of evidence supporting the use of dry needling in the hand, we present a case report exploring the use of dry needling in conjunction with occupational therapy following a severe fracture with ongoing post-surgical pain and ROM deficits.…”

Section: Introductionmentioning

confidence: 99%

The effects of dry needling on the thumb: A case report

Voss

Donnay

Homa

2021

Hong Kong Journal of Occupational Therapy

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Introduction Dry needling has been identified as a potential intervention for a variety of diagnoses. Limited evidence exists to support the use of dry needling following surgical intervention of a distal radius fracture. This case report demonstrates the impact of dry needling in the thumb following a distal radius fracture. Methods The patient was a 31-year-old healthy female who sustained a distal radius fracture and required surgical intervention. The patient required a volar plate removal and extensor tenolysis. The patient attended traditional occupational therapy with one session of dry needling to assist in improving range of motion and decreasing pain. Results The patient benefited from the use of dry needling. The patient had no pain with functional grasping and pinching following dry needling and improved on the Kapandji score from eight to nine out of ten. The patient also reported a decrease in overall pain, from seven to two on the Numeric Pain Rating Scale. Discussion The patient benefited from dry needling in the thumb to improve both range of motion and pain symptoms. While the evidence is limited, dry needling may be an appropriate intervention to assist in recovery and reduce thumb pain following distal radius fractures.

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Effects of dry needling on tendon-pulley architecture, pain and hand function in patients with trigger finger: a randomized controlled trial study

Cited by 9 publications

References 16 publications

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

Physiotherapeutic approach to De Quervain's Stenosing Tenosynovitis caused by excessive smartphone use in adults

The effects of dry needling on the thumb: A case report

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