Effectiveness of Dry Needling on the Lower Trapezius in Patients With Mechanical Neck Pain: A Randomized Controlled Trial
| Autor: | Alicia Urraca-Gesto, Tomás Gallego-Izquierdo, Antonia Gómez-Conesa, Daniel Pecos-Martín, Gustavo Plaza-Manzano, F. Javier Montañez-Aguilera, Natalia Romero-Franco |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Pain Threshold medicine.medical_specialty Adolescent Visual analogue scale medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Injections law.invention Young Adult Double-Blind Method Randomized controlled trial law medicine Humans In patient Range of Motion Articular Physical Therapy Modalities Pain Measurement Myofascial trigger point Neck pain Dry needling Neck Pain Rehabilitation business.industry Trigger Points Middle Aged medicine.disease Superficial Back Muscles Physical therapy Female medicine.symptom business Trapezius muscle |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 96:775-781 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2014.12.016 |
| Popis: | To evaluate the effect of dry needling into a myofascial trigger point (MTrP) in the lower trapezius muscle of patients with mechanical idiopathic neck pain.A single-center, randomized, double-blinded controlled study.Patients were recruited from the student population of a local hospital by advertisement in the university clinic from January 2010 to December 2011.Patients (N=72) with unilateral neck pain, neck pain for ≥3 months, and active trigger points in the lower trapezius muscle were randomly assigned to 1 of 2 treatment groups. All the patients completed the study.Dry needling in an MTrP in the lower trapezius muscle, or dry needling in the lower trapezius muscle but not at an MTrP.The visual analog scale (VAS), Neck Pain Questionnaire (NPQ), and pressure-pain threshold (PPT) were assessed before the intervention and 1 week and 1 month postintervention.Treatment with dry needling of the lower trapezius muscle close to the MTrP showed decreases in pain and PPT as well as an improvement in the degree of disability (P.001) compared with the baseline and control group measurements (P.001). The dry-needling technique performed in the MTrP showed more significant therapeutic effects (P.001).The application of dry needling into an active MTrP of the lower trapezius muscle induces significant changes in the VAS, NPQ, and PPT levels compared with the application of dry needling in other locations of the same muscle in patients with mechanical neck pain. |
| Databáze: | OpenAIRE |
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