Effects of pain neuroscience education and dry needling for the management of patients with chronic myofascial neck pain: a randomized clinical trial
| Autor: | Aitor Martín-Pintado-Zugasti, Josué Fernández-Carnero, César Calvo-Lobo, Hector Beltran-Alacreu, Pedro Valiente-Castrillo |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Facial Pain law Acupuncture medicine Humans Psychology 030212 general & internal medicine Aged Myofascial trigger point Neck pain Dry needling Neck Pain business.industry Neurosciences Chronic pain Trigger Points General Medicine Middle Aged medicine.disease Complementary and alternative medicine Dry Needling Physical therapy Female Neurology (clinical) Chronic Pain medicine.symptom business 030217 neurology & neurosurgery Patient education |
| Zdroj: | Acupuncture in Medicine. 39:91-105 |
| ISSN: | 1759-9873 0964-5284 |
| DOI: | 10.1177/0964528420920300 |
| Popis: | Objectives The aim of this study was to observe the medium-term effects on pain, disability, and psychological factors of a combination of myofascial trigger point (MTrP) dry needling (DN) with pain neuroscience education (PNE) versus DN alone versus control care as usual (CUC) in patients with chronic neck pain. Methods A total of 60 patients were randomly selected in a Spanish National Health Service Public Hospital and divided into three groups: 6 sessions of DN with 3 sessions of PNE (TrPDN + PNE group, n = 21), 6 sessions of DN alone (TrPDN group, n = 20), or 10 sessions of usual care (CUC group, n = 19). The primary outcome was neck pain intensity, while neck disability, medication intake, and psychological factors were secondary outcomes. These variables were measured at baseline, post-treatment, and at 1 month and 3 months after treatment. Results TrPDN + PNE and DN alone were associated with greater reductions in pain intensity and disability compared to CUC (p 0.05). Discussion Provision of PNE and DN in the management of chronic neck pain in a Spanish National Health Service Public Hospital was associated with greater improvements in psychological factors than DN therapy only. Conclusion DN alone was more effective at reducing chronic non-specific neck pain and disability than CUC at 3-month follow-up. However, the inclusion of PNE combined with DN resulted in greater improvements in kinesiophobia, pain anxiety, and pain-related beliefs. Trial registration number NCT03095365 (ClinicalTrials.gov). |
| Databáze: | OpenAIRE |
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