Effects of dry needling of active trigger points in the scalene muscles in individuals with mechanical neck pain: a randomized clinical trial

Arias-Buría, José Luis; Monroy-Acevedo, Álvaro; Fernández‐de‐las‐Peñas, César; Gallego-Sendarrubias, Gracia María; Ortega‐Santiago, Ricardo; Plaza-Manzano, Gustavo

doi:10.1177/0964528420912254

Cited by 12 publications

(21 citation statements)

References 34 publications

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“…Three hundred and twenty-four ( n = 324) studies remained after removing duplicates. Two hundred and ninety-five ( n = 295) were excluded after the analysis of titles and/or abstracts, leaving 29 articles for final full-text review [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. One article [ 34 ] was excluded because the comparator was acupuncture intervention and the placebo used laser.…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen trials (53%, n = 15/28) reported information about adverse effects, with all of them reporting just minor events, and none reported any serious adverse effects [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 38 , 39 , 40 , 41 , 43 , 45 , 50 ]. Post-needling soreness was the most common adverse event and was reported in 53% (8/15) of the trials [ 27 , 28 , 32 , 38 , 40 , 43 , 45 , 48 ] and resolved spontaneously in 24–48h without further treatment. Thirteen (47%, n = 13/28) of the included studies [ 23 , 24 , 25 , 30 , 35 , 36 , 42 , 44 , 46 , 47 , 48 , 49 , 51 ] did not report any information about adverse events ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Navarro-Santana

Sánchez-Infante

Fernández‐de‐las‐Peñas

et al. 2020

JCM

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Our aim was to evaluate the effect of dry needling alone as compared to sham needling, no intervention, or other physical interventions applied over trigger points (TrPs) related with neck pain symptoms. Randomized controlled trials including one group receiving dry needling for TrPs associated with neck pain were identified in electronic databases. Outcomes included pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion. The Cochrane risk of bias tool and the Physiotherapy Evidence Database (PEDro) score were used to assessed risk of bias (RoB) and methodological quality of the trials. The quality of evidence was assessed by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Between-groups mean differences (MD) and standardized mean differences (SMD) were calculated (3) Twenty-eight trials were finally included. Dry needling reduced pain immediately after (MD −1.53, 95% CI −2.29 to −0.76) and at short-term (MD −2.31, 95% CI −3.64 to −0.99) when compared with sham/placebo/waiting list/other form of dry needling and, also, at short-term (MD −0.51, 95% CI −0.95 to −0.06) compared with manual therapy. No differences in comparison with other physical therapy interventions were observed. An effect on pain-related disability at the short-term was found when comparing dry needing with sham/placebo/waiting list/other form of dry needling (SMD −0.87, 95% CI −1.60 to −0.14) but not with manual therapy or other interventions. Dry needling was effective for improving pressure pain thresholds immediately after the intervention (MD 55.48 kPa, 95% CI 27.03 to 83.93). No effect on cervical range of motion of dry needling against either comparative group was found. No between-treatment effect was observed in any outcome at mid-term. Low to moderate evidence suggests that dry needling can be effective for improving pain intensity and pain-related disability in individuals with neck pain symptoms associated with TrPs at the short-term. No significant effects on pressure pain sensitivity or cervical range of motion were observed. Registration number: OSF Registry—https://doi.org/10.17605/OSF.IO/P2UWD.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Navarro-Santana

Sánchez-Infante

Fernández‐de‐las‐Peñas

et al. 2020

JCM

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“…While there was no difference between the groups after the treatment and at the first week of the treatment, it was observed that the dry needling treatment was superior in reducing the pain at the first month of the treatment. In addition, dry needling therapy was found to provide a greater increase in inspiratory vital capacity in all control periods compared to local pressure therapy 31 . Cerezo-Téllez E et al, in an article they published in 2016, investigated the effectiveness of dry needling in their study on office workers with neck pain.…”

Section: Dry Needling and Neck Painmentioning

confidence: 85%

Effect of Dry Needling in Chronic Musculoskeletal Pain

Uludağ

Büker²

2022

International Journal of Traditional and Complementary Medicine Research

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Pain is a sensation felt in one or more parts of the body, and it is a bad feeling that bothers people. Every person who feels pain learns about pain early in life through experiences with injury. In recent years, chronic pain has begun to be accepted as a disease rather than a symptom. Therefore, pain does not always mean tissue damage. Although scientific studies have made rapid progress in our perspective on chronic pain, the mechanisms of pain have not yet been fully explained. Though many things have been tried, the continuation of pain and the inability to fully explain the pain mechanisms have increased the interest in complementary medicine applications. It has been shown that trigger points accompany many musculoskeletal pathologies within the concept of central sensitization, which has an important role in the pathogenesis of chronic pain. Dry needling therapy in trigger point therapy is often used as a minimally invasive complementary medicine option to manage pain. In this study, information about pain was examined in the light of current literature. We aimed to review the effects of dry needling therapy on the musculoskeletal system in chronic pain disease groups from a different and up-to-date perspective. After examining the literature and the concept of chronic pain and dry needling, the following conclusion was reached; When the effectiveness of dry needling is examined in chronic painful disease groups in the musculoskeletal system, dry needling, which is a minimally invasive method, is effective, but more studies are needed.

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“…Forty-two RCTs were rated as having a low risk of bias in random sequence generation: Of them, 26 [ 25 , 30 – 33 , 35 – 38 , 40 , 41 , 45 , 47 , 51 , 53 , 54 , 60 , 62 – 64 , 67 , 71 , 74 , 79 , 87 , 88 ] used various computerized randomization programs, 11 [ 43 , 44 , 50 , 55 , 58 , 66 , 68 , 72 , 78 , 81 , 85 ] used random number tables, 3 [ 27 – 29 ] used coin tossing, and 2 [ 24 , 39 ] used block randomization. In terms of allocation in the RCTs, 19 studies [ 24 , 26 , 30 – 32 , 38 – 41 , 45 , 58 , 62 , 64 , 67 , 71 , 79 , 84 , 87 , 88 ] described proper allocation concealment (the use of sealed envelopes or independent researchers). Because of the nature of the interventions, performance bias was high in most studies; only 2 studies [ 41 , 47 ] were assessed as having a low risk of bias in participant blinding due to the use of nonpenetrating SA.…”

Section: Resultsmentioning

confidence: 99%

Comparative effectiveness of different acupuncture therapies for neck pain

Noh

et al. 2022

Medicine

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Background: Neck pain is a common musculoskeletal symptom that has negative effects on quality of life and work productivity. Acupuncture has been widely used for neck pain, and a number of randomized controlled trials (RCTs) and systematic reviews (SRs) have evaluated its effectiveness. However, previous studies have obtained inconsistent results regarding the effects of acupuncture for neck pain, and there is no SR for the comparative efficacy and safety of various types of acupuncture. Therefore, we herein conducted a SR and network meta-analysis to compare and rank different types of acupuncture with respect to their effectiveness in treating neck pain.Methods: We searched 9 electronic databases for relevant RCTs published from their inception to July 1, 2021. Pairwise metaanalyses and network meta-analysis were performed with R software using the frequentist framework. Change of pain intensity was assessed as the primary outcome, and change of pain-related disability and efficacy rate were assessed as secondary outcomes. The Cochrane risk of bias tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) instrument were used to evaluate the quality of the included RCTs and the certainty of the evidence.Results: A total of 65 RCTs involving 5266 participants and 9 interventions were included. Three network meta-analyses were constructed for the following: pain intensity (42 RCTs, 3158 participants), pain-related disability (21 RCTs, 1581 participants), and efficacy rate (40 RCTs, 3512 participants). The results indicated that fire acupuncture, electroacupuncture, and warm acupuncture were more effective than manual acupuncture in terms of pain intensity reduction and efficacy rate, and that electroacupuncture decreased pain-related disability more effectively than manual acupuncture. Fire acupuncture ranked first among the 9 interventions. The overall q of evidence was very low according to the GRADE assessment. The reported adverse events were not serious. Conclusion:Fire acupuncture, warm acupuncture, acupoint catgut embedding, and electroacupuncture ranked higher than other interventions (usual care, sham acupuncture, no treatment) in reducing the pain and disability index scores and the efficacy rate. However, the included trials were evaluated as being of low quality; thus, we recommend additional well-designed RCTs with larger sample sizes to confirm these findings.

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Effects of dry needling of active trigger points in the scalene muscles in individuals with mechanical neck pain: a randomized clinical trial

Cited by 12 publications

References 34 publications

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Effect of Dry Needling in Chronic Musculoskeletal Pain

Comparative effectiveness of different acupuncture therapies for neck pain

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