Comparing Trigger Point Dry Needling and Manual Pressure Technique for the Management of Myofascial Neck/Shoulder Pain: A Randomized Clinical Trial

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• 作者：Kayleigh E. De Meulemeester ; MSc ; ^{Kayleigh.demeulemeester@ugent.be} ; Birgit Castelein ; MSc ; Iris Coppieters ; MSc ; Tom Barbe ; MSc ; PT ; Ann Cools ; PT ; PhD ; Barbara Cagnie ; PT ; PhD
• 关键词：Neck Pain ; Trigger Points ; Myofascial Pain Syndromes
• 刊名：Journal of Manipulative and Physiological Therapeutics
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：40
• 期：1
• 页码：11-20
• 全文大小：557 K
• 卷排序：40

文摘

The aim of this study was to investigate short-term and long-term treatment effects of dry needling (DN) and manual pressure (MP) technique with the primary goal of determining if DN has better effects on disability, pain, and muscle characteristics in treating myofascial neck/shoulder pain in women.MethodsIn this randomized clinical trial, 42 female office workers with myofascial neck/shoulder pain were randomly allocated to either a DN or MP group and received 4 treatments. They were evaluated with the Neck Disability Index, general numeric rating scale, pressure pain threshold, and muscle characteristics before and after treatment. For each outcome parameter, a linear mixed-model analysis was applied to reveal group-by-time interaction effects or main effects for the factor “time.”ResultsNo significant differences were found between DN and MP. In both groups, significant improvement in the Neck Disability Index was observed after 4 treatments and 3 months (P < .001); the general numerical rating scale also significantly decreased after 3 months. After the 4-week treatment program, there was a significant improvement in pain pressure threshold, muscle elasticity, and stiffness.ConclusionBoth treatment techniques lead to short-term and long-term treatment effects. Dry needling was found to be no more effective than MP in the treatment of myofascial neck/shoulder pain.