Contribution of Dry Needling to Individualized Physical Therapy Treatment of Shoulder Pain: A Randomized Clinical Trial / Sara Perez-Palomares, Barbara Olivan-Blazquez, Ana Perez-Palomares, Elena Gaspar-Calvo, Marina Perez-Benito, Elena Lopez-Lapena, Maria Luisa De La Torre-Beldarrain, Rosa Magallon-Botaya
Material type:
Continuing resourceISSN: 0190-6011Subject(s): dry needling | myofascial trigger points | personalized physical therapy treatment
In:
Journal of Orthopaedic & Sports Physical Therapy -- 2017, v 47, n 1, p. 11-20Summary: • STUDY DESIGN: Multicenter, parallel randomized clinical trial.
• BACKGROUND: Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling.
• OBJECTIVES: To investigate the effectiveness of dry needling in addition to evidence-based personalized physical therapy treatment in the treatm ent of shoulder pain.
• METHODS: One hundred twenty patients with nonspecific shoulder pain were randomly allocated into 2 parallel groups: (1) personalized, evidencebased physical therapy treatment; and (2) trigger point dry needling in addition to personalized, evidence-based physical therapy treatment.
Patients were assessed at baseline, posttreatment, and 3-month follow-up. The primary outcome measure was pain assessed by a visual analog scale at 3 months, and secondary variables were joint range-of-motion limitations, Constant-Murley score for pain and function, and number of active MTrPs. Clinical efficacy was assessed using intention-to-treat analysis.
• RESULTS: Of the 120 enrolled patients, 63 were randomly assigned to the control group and 57 to the intervention group. There were no significant differences in outcome between the 2 treatment groups. Both groups showed improvement overtime.
® CONCLUSION: Dry needling did not offer benefits in addition to personalized, evidencebased physical therapy treatm ent for patients with nonspecific shoulder pain.
LEVEL OF EVIDENCE: Therapy, level lb.
Registered February 11,2009 at www.isrctn.com (ISRCTN30907460). J Orthop Sports Phys Ther 2017;47(l):ll-20. Epub 9 Dec 2016. doi:10.2519/ jospt.2017.6698
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Bibliografía: p.19-20
• STUDY DESIGN: Multicenter, parallel randomized clinical trial.
• BACKGROUND: Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling.
• OBJECTIVES: To investigate the effectiveness of dry needling in addition to evidence-based personalized physical therapy treatment in the treatm ent of shoulder pain.
• METHODS: One hundred twenty patients with nonspecific shoulder pain were randomly allocated into 2 parallel groups: (1) personalized, evidencebased physical therapy treatment; and (2) trigger point dry needling in addition to personalized, evidence-based physical therapy treatment.
Patients were assessed at baseline, posttreatment, and 3-month follow-up. The primary outcome measure was pain assessed by a visual analog scale at 3 months, and secondary variables were joint range-of-motion limitations, Constant-Murley score for pain and function, and number of active MTrPs. Clinical efficacy was assessed using intention-to-treat analysis.
• RESULTS: Of the 120 enrolled patients, 63 were randomly assigned to the control group and 57 to the intervention group. There were no significant differences in outcome between the 2 treatment groups. Both groups showed improvement overtime.
® CONCLUSION: Dry needling did not offer benefits in addition to personalized, evidencebased physical therapy treatm ent for patients with nonspecific shoulder pain.
LEVEL OF EVIDENCE: Therapy, level lb.
Registered February 11,2009 at www.isrctn.com (ISRCTN30907460). J Orthop Sports Phys Ther 2017;47(l):ll-20. Epub 9 Dec 2016. doi:10.2519/ jospt.2017.6698
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