Dry Needling in Physical Therapy Treatment of Chronic Neck Pain: Systematic Review

Rodríguez-Huguet, Manuel; Vinolo-Gil, María Jesús; Góngora-Rodríguez, Jorge

doi:10.3390/jcm11092370

Cited by 6 publications

(4 citation statements)

References 53 publications

(164 reference statements)

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“…3 with full details provided in supplementary materials 1 . Confidence in the results were rated as critically low [ 19 , 20 ], low [ 21 – 32 ], moderate [ 12 , 33 – 39 ], and high [ 40 – 54 ]. The methodological weaknesses in the critically low and low rated studies are considered critical domains by AMSTAR2.…”

Section: Resultsmentioning

confidence: 99%

“…3 with full details provided in supplementary materials 1. Confidence in the results were rated as critically low [19,20], low [21][22][23][24][25][26][27][28][29][30][31][32], moderate [12,[33][34][35][36][37][38][39], and high [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54]. The methodological weaknesses in the critically low and low rated studies are considered critical domains by AMSTAR2.…”

Section: Risk Of Biasmentioning

confidence: 99%

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Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

Ramirez,

Shepherd,

Melnick

et al. 2023

J Patient Rep Outcomes

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Background Understanding which patient-reported outcome measures are being collected and utilized in clinical practice and research for patients with neck pain will help to inform recommendations for a core set of measures that provide value to patients and clinicians during diagnosis, clinical decision-making, goal setting and evaluation of responsiveness to treatment. Therefore, the aim of this study was to conduct a review of systematic reviews using a qualitative synthesis on the use of patient-reported outcome measures (PROMs) for patients presenting with neck pain to physical therapy. Methods An electronic search of systematic reviews and guideline publications was performed using MEDLINE (OVID), Embase (Elsevier), CINAHL Complete (EBSCOhost), and Web of Science (Clarivate) databases to identify reviews that evaluated physical therapy interventions or interventions commonly performed by a physical therapist for individuals with neck pain and included at least one patient-reported outcome measure. The frequency and variability in which the outcome measures were reported among the studies in the review and the constructs for which they measured were evaluated. The evaluation of a core set of outcome measures was assessed. Risk of bias and quality assessment was performed using A Measurement Tool to Assess systematic Reviews 2. Results Of the initial 7,003 articles, a total of 37 studies were included in the final review. Thirty-one PROMs were represented within the 37 reviews with eleven patient-reported outcome measures in three or more reviews. The eleven PROMs assessed the constructs of disability, pain intensity, psychosocial factors and quality of life. The greatest variability was found amongst individual measures assessing psychosocial factors. Assessment of psychosocial factors was the least represented construct in the included studies. Overall, the most frequently utilized patient reported outcome measures were the Neck Disability Index, Visual Analog Scale, and Numeric Pain Rating Scale. The most frequently used measures evaluating the constructs of disability, pain intensity, quality of life and psychosocial functioning included the Neck Disability Index, Visual Analog Scale, Short-Form-36 health survey and Fear Avoidance Belief Questionnaire respectively. Overall risk of bias and quality assessment confidence levels ranged from critically low (2 studies), low (12 studies), moderate (8 studies), and high (15 studies). Conclusion This study identified a core set of patient-reported outcome measures that represented the constructs of disability, pain intensity and quality of life. This review recommends the collection and use of the Neck Disability Index and the Numeric Pain Rating Scale or Visual Analog Scale. Recommendation for a QoL measure needs to be considered in the context of available resources and administrative burden. Further research is needed to confidently recommend a QoL and psychosocial measure for patients presenting with neck pain. Other measures that were not included in this review but should be further evaluated for patients with neck pain are the Patient Reported Outcomes Measurement Information System (PROMIS) Physical function, PROMIS Pain Interference and the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool.

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Section: Resultsmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

Ramirez,

Shepherd,

Melnick

et al. 2023

J Patient Rep Outcomes

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“…When applying surface dry needling, analgesia is achieved through mechanical stimulation of the skin and subcutaneous tissue, without the needle reaching the muscles. In deep dry needling, the needle acts directly on specific trigger points, where it penetrates the muscle tissue, which as a result produces a local twitch response that represents an involuntary reaction to the mentioned mechanical stimulation [6].…”

Section: Dry Needlingmentioning

confidence: 99%

Dry needling in cervical pain therapy: literature review

Pavlović,

Pavlović

2024

Biomedicinska istraž.

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<p>Neck pain, considering its prevalence and rate of disability, represents a significant public health problem, and we believe that the promotion of new effective methods is necessary in its treatment. Among the many therapeutic possibilities described so far, one such is dry needling (DN). This literature review aims to analyze how effective dry needling has proven to be in the treatment of neck pain. Existing works indicate the possibility of a good response from patients when using dry needling in the treatment of neck pain, so we believe that this possibility should be given more attention in practice and&nbsp;<br />research.</p>

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“…This UR included nine SRs that studied DN in the neck [43][44][45][46][47]49,51,52,54]. Based on the amount of overlap and the methodological quality of the reviews, six studies were withheld to write these results [43][44][45][46]49,51].…”

Section: Neckmentioning

confidence: 99%

Clinical Effectiveness of Dry Needling in Patients with Musculoskeletal Pain—An Umbrella Review

Chys

Meulemeester

Greef

et al. 2023

JCM

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The number of systematic reviews (SR) summarizing the literature regarding the clinical effects of Dry Needling (DN) has increased rapidly. Yet, rigorous evidence about the clinical effectiveness of this technique is still lacking. The aim of this umbrella review is to summarize the evidence about the clinical effects of trigger point DN on musculoskeletal disorders across all body regions. PubMed, Web of Science and Embase were searched to identify SRs examining the effect of DN (as a stand-alone intervention or combined with another treatment modality) compared to sham/no intervention or a physical therapy (PT) intervention with at least one clinical outcome in the domain of pain or physical functioning. Risk of bias (RoB) was assessed with the AMSTAR-2 tool. Quantification of the overlap in primary studies was calculated using the corrected covered area (CCA). The electronic search yielded 2286 results, of which 36 SRs were included in this review. Overall, DN is superior to sham/no intervention and equally effective to other interventions for pain reduction at short-term regardless of the body region. Some SRs favored wet needling (WN) over DN for short-term pain reductions. Results on physical functioning outcomes were contradictory across body regions. Limited data is available for mid- and long-term effects. DN has a short-term analgesic effect in all body regions and may be of additional value to the interventions that are used to date in clinical practice. Several studies have shown an additional treatment effect when combining DN to physiotherapeutic interventions compared to these interventions in isolation. There is a substantial need for the standardization of DN protocols to address the problem of heterogeneity and to strengthen the current evidence.

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Dry Needling in Physical Therapy Treatment of Chronic Neck Pain: Systematic Review

Cited by 6 publications

References 53 publications

Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

Dry needling in cervical pain therapy: literature review

Clinical Effectiveness of Dry Needling in Patients with Musculoskeletal Pain—An Umbrella Review

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