Dry Needling and Physical Therapy Versus Physical Therapy Alone Following Shoulder Stabilization Repair: A Randomized Clinical Trial

Halle, Rob; Crowell, Michael S.; Goss, Donald

doi:10.26603/ijspt20200081

Cited by 12 publications

(26 citation statements)

References 34 publications

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“…Finally, nine RCTs [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] were included due to their meeting the inclusion criteria ( Figure 1 ). Using the PEDro scale [ 14 ], three studies received a score of 10 and three scored 9; two studies received a score of 7 and one received a score of 6.…”

Section: Resultsmentioning

confidence: 99%

“…One study assessed the effect of DN in patients whose main criterion was their status of being recently operated on for stabilization of the shoulder. Pregnant ladies, concomitant infections and cardiovascular pathology were excluded [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Table 4 shows a summary of the characteristics of the nine RCTs selected for this SR. In all the studies included, there was a total of 402 patients with SAPS, varying in range from 39 in the smallest sample size study [32] to 60 patients in the largest [35]. At the beginning of each study, the distribution between the groups selected was done in the fairest possible way, with all the groups having the same number of patients or with an intergroup variance of +1/−1.…”

Section: Study Characteristicsmentioning

confidence: 99%

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A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

Blanco‐Díaz

Ruiz-Redondo

Escobio-Prieto

et al. 2022

Biology

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Our aim was to evaluate the effectiveness of dry needling (DN) combined with conventional physiotherapy in the recovery of patients with subacromial syndrome (SAS). A search was made of the main open access health science databases. The publication date was not limited for systematic reviews but was for randomized clinical trials (RCTs), which were limited to the last five years (from 2016) in English or in Spanish. Ninety-four studies were selected. In order to assess the quality of the studies, the JADAD scale or Oxford quality scoring system was used. A total of 402 patients were analyzed in all the studies in which the application of conventional physiotherapy was compared to the DN, either in a combination or in isolation. Improvements were obtained in pain intensity (Visual Analogic Scale—VAS), Range of Movement (ROM), Pressure Pain Threshold (PPT), functionality with Disabilities of the Arm, Shoulder and Hand (DASH) and the Shoulder Pain and Disability Index (SPADI), and in the cost–benefit ratio. DN is effective and safe in reducing the pain and disability produced by SAS, with the best combination of treatment turning out to be conventional physiotherapy together with DN, obtaining more stable and longer-lasting benefits than merely applying the techniques in isolation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

Blanco‐Díaz

Ruiz-Redondo

Escobio-Prieto

et al. 2022

Biology

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“…Ice and intermittent compression will be applied for control of pain and swelling, as needed. Patients utilizing these rehabilitation guidelines after shoulder stabilization surgery have demonstrated significant improvements in pain, range of motion, and function that meet established goals for progression to the next phase of rehabilitation [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

The effectiveness of battlefield acupuncture in addition to standard physical therapy treatment after shoulder surgery: a protocol for a randomized clinical trial

Crowell

Brindle

Mason

et al. 2020

Trials

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Introduction There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, battlefield acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain. Methods This is a parallel, two-arm, single-blind randomized clinical trial. The two independent variables are intervention (2 levels, standard physical therapy and standard physical therapy plus battlefield acupuncture) and time (5 levels, 24 h, 48 h, 72 h, 1 week, and 4 weeks post shoulder stabilization surgery). The primary dependent variables are worst and average pain as measured on the visual analog scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change. Discussion The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between-group differences that include minimal clinically important differences between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration ClinicalTrials.gov NCT04094246. Registered on 16 September 2019.

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“…Ice and intermittent compression will be applied for control of pain and swelling, as needed. Patients utilizing these rehabilitation guidelines after shoulder stabilization surgery have demonstrated signi cant improvements in pain, range of motion, and function that meet established goals for progression to the next phase of rehabilitation [33].…”

Section: Interventions Standard Physical Therapy Rehabilitation (Actimentioning

confidence: 99%

The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

Crowell

Brindle

Mason

et al. 2020

Preprint

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Introduction: There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, Battlefield Acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain.Methods: This is a parallel, two-arm, single-blind randomized clinical trial. The two independent variables are intervention (2 levels; standard physical therapy and standard physical therapy plus Battlefield Acupuncture) and time (5 levels; 24-hours, 48-hours, 72-hours, 1-week, and 4-weeks post shoulder stabilization surgery). The primary dependent variables is worst and average pain as measured on the Visual Analog Scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change.Discussion: The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between group differences that include minimal clinically important differences between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration: ClinicalTrials.gov, NCT04094246. Registered 16 September 2019, http://clinicaltrials.gov/NCT04094246.

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Dry Needling and Physical Therapy Versus Physical Therapy Alone Following Shoulder Stabilization Repair: A Randomized Clinical Trial

Cited by 12 publications

References 34 publications

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

The effectiveness of battlefield acupuncture in addition to standard physical therapy treatment after shoulder surgery: a protocol for a randomized clinical trial

The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

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