Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis
Objective. To evaluate the effects of combining dry needling with other physical therapy interventions versus the application of the other interventions or dry needling alone applied over trigger points (TrPs) associated to neck pain. Databases and Data Treatment. Electronic databases were searched...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2021/8836427 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560137443737600 |
|---|---|
| author | César Fernández-De-Las-Peñas Gustavo Plaza-Manzano Jorge Sanchez-Infante Guido F Gómez-Chiguano Joshua A Cleland José L. Arias-Buría Ibai López-de-Uralde-Villanueva Marcos J. Navarro-Santana |
| author_facet | César Fernández-De-Las-Peñas Gustavo Plaza-Manzano Jorge Sanchez-Infante Guido F Gómez-Chiguano Joshua A Cleland José L. Arias-Buría Ibai López-de-Uralde-Villanueva Marcos J. Navarro-Santana |
| author_sort | César Fernández-De-Las-Peñas |
| collection | DOAJ |
| description | Objective. To evaluate the effects of combining dry needling with other physical therapy interventions versus the application of the other interventions or dry needling alone applied over trigger points (TrPs) associated to neck pain. Databases and Data Treatment. Electronic databases were searched for randomized controlled trials where at least one group received dry needling combined with other interventions for TrPs associated with neck pain. Outcomes included pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion. The risk of bias (RoB) was assessed using the Cochrane risk of bias tool, methodological quality was assessed with PEDro score, and the quality of evidence was assessed by using the GRADE approach. Between-groups mean differences (MD) and standardized mean difference (SMD) were calculated. Results. Eight trials were included. Dry needling combined with other interventions reduced pain intensity at short-term (SMD −1.46, 95% CI −2.25 to −0.67) and midterm (SMD −0.38, 95% CI −0.74 to −0.03) but not immediately after or at long-term compared with the other interventions alone. A small effect on pain-related disability was observed at short-term (SMD −0.45, 95% CI −0.87 to −0.03) but not at midterm or long-term. The inclusion of dry needling was also effective for improving pressure pain thresholds only at short-term (MD 112.02 kPa, 95% CI 27.99 to 196.06). No significant effects on cervical range of motion or pain catastrophism were observed. Conclusion. Low-to-moderate evidence suggests a positive effect to the combination of dry needling with other interventions for improving pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion in people with neck pain associated with TrPs at short-term. No midterm or long-term effects were observed. |
| format | Article |
| id | doaj-art-bebc8f6fdfde41f9ab4d61cb9aeff239 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-bebc8f6fdfde41f9ab4d61cb9aeff2392025-02-03T01:28:18ZengWileyPain Research and Management1203-67651918-15232021-01-01202110.1155/2021/88364278836427Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-AnalysisCésar Fernández-De-Las-Peñas0Gustavo Plaza-Manzano1Jorge Sanchez-Infante2Guido F Gómez-Chiguano3Joshua A Cleland4José L. Arias-Buría5Ibai López-de-Uralde-Villanueva6Marcos J. Navarro-Santana7Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Alcorcón, Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, SpainPerformance and sport rehabilitation Laboratory, Faculty of sport sciences, University of Castilla-La Mancha, Toledo, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, SpainDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USADepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Alcorcón, Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, SpainObjective. To evaluate the effects of combining dry needling with other physical therapy interventions versus the application of the other interventions or dry needling alone applied over trigger points (TrPs) associated to neck pain. Databases and Data Treatment. Electronic databases were searched for randomized controlled trials where at least one group received dry needling combined with other interventions for TrPs associated with neck pain. Outcomes included pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion. The risk of bias (RoB) was assessed using the Cochrane risk of bias tool, methodological quality was assessed with PEDro score, and the quality of evidence was assessed by using the GRADE approach. Between-groups mean differences (MD) and standardized mean difference (SMD) were calculated. Results. Eight trials were included. Dry needling combined with other interventions reduced pain intensity at short-term (SMD −1.46, 95% CI −2.25 to −0.67) and midterm (SMD −0.38, 95% CI −0.74 to −0.03) but not immediately after or at long-term compared with the other interventions alone. A small effect on pain-related disability was observed at short-term (SMD −0.45, 95% CI −0.87 to −0.03) but not at midterm or long-term. The inclusion of dry needling was also effective for improving pressure pain thresholds only at short-term (MD 112.02 kPa, 95% CI 27.99 to 196.06). No significant effects on cervical range of motion or pain catastrophism were observed. Conclusion. Low-to-moderate evidence suggests a positive effect to the combination of dry needling with other interventions for improving pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion in people with neck pain associated with TrPs at short-term. No midterm or long-term effects were observed.http://dx.doi.org/10.1155/2021/8836427 |
| spellingShingle | César Fernández-De-Las-Peñas Gustavo Plaza-Manzano Jorge Sanchez-Infante Guido F Gómez-Chiguano Joshua A Cleland José L. Arias-Buría Ibai López-de-Uralde-Villanueva Marcos J. Navarro-Santana Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis Pain Research and Management |
| title | Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis |
| title_full | Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis |
| title_fullStr | Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis |
| title_short | Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis |
| title_sort | is dry needling effective when combined with other therapies for myofascial trigger points associated with neck pain symptoms a systematic review and meta analysis |
| url | http://dx.doi.org/10.1155/2021/8836427 |
| work_keys_str_mv | AT cesarfernandezdelaspenas isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis AT gustavoplazamanzano isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis AT jorgesanchezinfante isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis AT guidofgomezchiguano isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis AT joshuaacleland isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis AT joselariasburia isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis AT ibailopezdeuraldevillanueva isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis AT marcosjnavarrosantana isdryneedlingeffectivewhencombinedwithothertherapiesformyofascialtriggerpointsassociatedwithneckpainsymptomsasystematicreviewandmetaanalysis |