Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points
Introduction Lateral epicondylalgia (LE) is commonly presented with myofascial trigger points (MTrPs) among adults. Dry needling (DN) is used less frequently as a first-line treatment in LE with trigger points, and the short and long-term effectiveness of DN in these populations were not studied. He...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2024-12-01
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| Series: | Physiotherapy Quarterly |
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| Online Access: | https://physioquart.awf.wroc.pl/Effectiveness-of-dry-needling-combined-with-eccentric-strength-training-in-lateral,175218,0,2.html |
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| author | Sukumar Shanmugam Lawrence Mathias Ramprasad Muthukrishnan Praveen Kumar Kandakurti Satheeskumar Durairaj |
| author_facet | Sukumar Shanmugam Lawrence Mathias Ramprasad Muthukrishnan Praveen Kumar Kandakurti Satheeskumar Durairaj |
| author_sort | Sukumar Shanmugam |
| collection | DOAJ |
| description | Introduction
Lateral epicondylalgia (LE) is commonly presented with myofascial trigger points (MTrPs) among adults. Dry needling (DN) is used less frequently as a first-line treatment in LE with trigger points, and the short and long-term effectiveness of DN in these populations were not studied. Hence, this study compared the effectiveness of DN with conventional physiotherapy in the population of LE with myofascial trigger points.
Methods
For four weeks, the experimental group ( n = 19) received DN with weekly one session, and the control group ( n = 19) received therapeutic ultrasound combined with deep friction massage for 2 sessions per week at the active sites of active MTrPs. Both groups performed two eccentric exercises sessions from the 5th to the 6th week. Handgrip, pain and disability scores of patient rated tennis elbow evaluation (PRTEE) at baseline, 4th week, 6th week, and follow-up of 12th week were analysed.
Results
Handgrip strength, pain, and disability scores were significantly improved for the experimental group at 4th week (SMD of 1.21 kg in handgrip, 12.26 in PRTEE scores) and 6th week (SMD of 1.58 kg in handgrip, 10.15 in PRTEE scores) compared to the control group. However, no significant group differences (p > 0.05) after 12th week either grip strength (SMD = 0.84) or PRTEE scores (SMD = 3.74) were obtained.
Conclusions
Dry needling with exercise produced greater short-term improvements in grip strength and disability compared to the control group. However, no significant difference in outcomes was found between groups over a 12-week follow-up period. |
| format | Article |
| id | doaj-art-54ebe3fa6a3a4340a0ceecf3c4e390c6 |
| institution | Kabale University |
| issn | 2544-4395 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Physiotherapy Quarterly |
| spelling | doaj-art-54ebe3fa6a3a4340a0ceecf3c4e390c62025-01-27T10:42:59ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952024-12-01324818810.5114/pq/175218175218Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger pointsSukumar Shanmugam0https://orcid.org/0000-0001-6075-366XLawrence Mathias1Ramprasad Muthukrishnan2https://orcid.org/0000-0003-0839-5943Praveen Kumar Kandakurti3https://orcid.org/0000-0003-2669-4488Satheeskumar Durairaj4Department of Physiotherapy, College of Health Sciences, Gulf Medical University, Ajman, United Arab EmiratesJustice KS Hegde Charitable Hospital, Nitte-Deemed to be University, Mangalore, Karnataka, IndiaDepartment of Physiotherapy, College of Health Sciences, Gulf Medical University, Ajman, United Arab EmiratesDepartment of Physiotherapy, College of Health Sciences, Gulf Medical University, Ajman, United Arab EmiratesDepartment of Physiotherapy, College of Health Sciences, Gulf Medical University, Ajman, United Arab EmiratesIntroduction Lateral epicondylalgia (LE) is commonly presented with myofascial trigger points (MTrPs) among adults. Dry needling (DN) is used less frequently as a first-line treatment in LE with trigger points, and the short and long-term effectiveness of DN in these populations were not studied. Hence, this study compared the effectiveness of DN with conventional physiotherapy in the population of LE with myofascial trigger points. Methods For four weeks, the experimental group ( n = 19) received DN with weekly one session, and the control group ( n = 19) received therapeutic ultrasound combined with deep friction massage for 2 sessions per week at the active sites of active MTrPs. Both groups performed two eccentric exercises sessions from the 5th to the 6th week. Handgrip, pain and disability scores of patient rated tennis elbow evaluation (PRTEE) at baseline, 4th week, 6th week, and follow-up of 12th week were analysed. Results Handgrip strength, pain, and disability scores were significantly improved for the experimental group at 4th week (SMD of 1.21 kg in handgrip, 12.26 in PRTEE scores) and 6th week (SMD of 1.58 kg in handgrip, 10.15 in PRTEE scores) compared to the control group. However, no significant group differences (p > 0.05) after 12th week either grip strength (SMD = 0.84) or PRTEE scores (SMD = 3.74) were obtained. Conclusions Dry needling with exercise produced greater short-term improvements in grip strength and disability compared to the control group. However, no significant difference in outcomes was found between groups over a 12-week follow-up period.https://physioquart.awf.wroc.pl/Effectiveness-of-dry-needling-combined-with-eccentric-strength-training-in-lateral,175218,0,2.htmlorthopedicsphysical activity and sports of handicappedsport physiotherapy |
| spellingShingle | Sukumar Shanmugam Lawrence Mathias Ramprasad Muthukrishnan Praveen Kumar Kandakurti Satheeskumar Durairaj Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points Physiotherapy Quarterly orthopedics physical activity and sports of handicapped sport physiotherapy |
| title | Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points |
| title_full | Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points |
| title_fullStr | Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points |
| title_full_unstemmed | Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points |
| title_short | Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points |
| title_sort | effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points |
| topic | orthopedics physical activity and sports of handicapped sport physiotherapy |
| url | https://physioquart.awf.wroc.pl/Effectiveness-of-dry-needling-combined-with-eccentric-strength-training-in-lateral,175218,0,2.html |
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