Effects of dry needling on pain, pressure pain threshold and psychological distress in patients with mild to moderate hip osteoarthritis: Secondary analysis of a randomized controlled trial

Ceballos‐Laita, Luis; Jiménez‐del‐Barrio, Sandra; Marín-Zurdo, Javier; Moreno-Calvo, Alejandro; Marín-Boné, Javier; Albarova-Corral, María Isabel; Estébanez-de-Miguel, Elena

doi:10.1016/j.ctim.2020.102443

Cited by 11 publications

(19 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, the lack of statistical difference between treatments (actual dry needling vs. sham needling) on either latent or active MTrPs in Sanchez-Romero et al49,50 studies is not surprising, given the variability of actual dry needling versus sham needling on clinical outcomes. Nonetheless, we speculate that the effectiveness of dry needling therapy on pain, disability, and function scores in OA may be related by targeting the active form of MTrPs, as demonstrated by Ceballos-Laitas et al’s study,43,48,51 instead of either latent or active 49,50. Zuil-Escobar et al64 reported that latent MTrPs are a common finding in lower limb muscles of healthy asymptomatic individuals since 166 out of 206 people presented at least 1 latent MTrP.…”

Section: Discussionmentioning

confidence: 69%

“…Six included studies used dry needling to treat lower limb MTrPs in OA. Three studies used dry needling on active MTrPs in hip OA, 43,48,51 whereas 3 used dry needling on lower limb muscles in active or latent MTrPs in knee OA individuals. 47,49,50 One study used manual ischemic compression to treat either latent or active MTrPs in patients with thumb carpometacarpal OA.…”

Section: General Characteristics Of Experimental Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Myofascial Pain as an Unseen Comorbidity in Osteoarthritis

Duarte

Chien

Ghazinour

et al. 2023

The Clinical Journal of Pain

View full text Add to dashboard Cite

Objective: This review aimed to identify, summarize, and appraise the evidence supporting the coexistence of myofascial pain (MPS) and trigger points (MTrP) in osteoarthritis (OA), and the effectiveness of MTrPs treatments in OA-related pain and physical function outcomes. Methods: Three databases were searched from inception to June 2022. We included observational and experimental studies to fulfill our 2 study aims. Two independent reviewers conducted 2-phase screening procedures and risk of bias using checklist tools for cross-sectional, quasi-experimental, and randomized control trials. Patient characteristics, findings of active and latent MTrPs in relevant muscles, treatments, and pain and physical function outcomes were extracted from low-risk bias studies. Results: The literature search yielded 2898 articles, of which 6 observational and 7 experimental studies had a low bias risk and the data extracted. Active MTrPs in knee OA patients was more evident in the quadriceps and hamstring muscles than in healthy individuals. Dry needling on active MTrPs improved pain and physical function in the short term compared with sham treatment in hip OA patients. In knee OA, dry needling on latent or active MTrPs improved pain and functional outcomes compared with sham needling but did not result in better pain and physical outcomes when combined with a physical exercise program. Discussion: The presence of active versus latent MTrPs seems to be a more sensitive discriminating feature of OA given that latent is often present in OA and healthy individuals. Dry needling on active MTrPs improved pain and physical function in the short term compared with sham treatment in hip OA patients. However, the small sample size and the few number of studies limit any firm recommendation on the treatment. Registry: The study protocol was prospectively registered in Open Science Framework (https://doi.org/10.17605/OSF.IO/8DVU3).

show abstract

Section: Discussionmentioning

confidence: 69%

Section: General Characteristics Of Experimental Studiesmentioning

confidence: 99%

Myofascial Pain as an Unseen Comorbidity in Osteoarthritis

Duarte

Chien

Ghazinour

et al. 2023

The Clinical Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Seven studies were included in the qualitative and quantitative synthesis. Three studies were excluded after reading the full text, one was a pilot study [ 31 ], other was a conference abstract [ 32 ], and the other a secondary analysis of a randomized controlled trial [ 33 ]. The description of the selection process is shown in the PRISMA flowchart diagram ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Dry Needling in Patients with Hip or Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Jiménez‐del‐Barrio

Medrano-de-la-Fuente

Hernando-Garijo

et al. 2022

Life

View full text Add to dashboard Cite

Background: Osteoarthritis is one of the most common degenerative joint diseases. The main symptoms of the osteoarthritis have been linked to the presence of myofascial trigger points in the soft tissues. Dry needing (DN) is the most investigated technique for the treatment of myofascial trigger points. Thus, the aim of this study was to evaluate the effectiveness of DN in pain and physical function in patients with osteoarthritis in the short-, medium- and long-term. Methods: PubMed, Cochrane Library, PEDro, Web of Science, and SCOPUS databases were searched in September 2022. Randomized controlled trials involving DN compared to non-pharmacological interventions, sham techniques or no additional treatment were selected. Quality of the studies was assessed with PEDro scale and risk of bias with Cochrane Collaboration tool. Meta-analyses were conducted using fixed or random effects models according to the Cochrane handbook for systematic reviews of interventions. Results: Seven studies were included in the meta-analysis involving 291 patients with osteoarthritis. The methodological quality of the included studies ranged from fair to high. DN showed significant improvements in pain intensity (SMD = −0.76; 95% CI: −1.24, −0.29; I2: 74%) and physical function (SMD = −0.98; 95% CI: −1.54, −0.42; I2: 75%) in the short-term. No differences were found in the medium- or long-term. The risk of bias, heterogeneity, and imprecision of the results downgraded the level of evidence to very low. Conclusions: Very low-quality evidence suggests a positive effect of DN for reducing pain intensity and improving physical function in the short term in patients with osteoarthritis. Further investigation is needed to determine a medium- and long-term effects.

show abstract

“…Indeed, several studies on treatment efficacy have been conducted that measure the PPT at the TrP site before and after an intervention. Among these are dry needling [ 22 , 23 ], botulinum toxin [ 24 ], ischemic compression therapy [ 25 , 26 ], Kinesio taping [ 27 ], as well as lidocaine patches [ 28 ], exercises, and massage [ 29 ]. Although any of these treatments may be claimed to be effective in managing TrPs, a normative value of a clinically meaningful amount of pre-post difference in the PPT following whatever intervention has not been established yet.…”

Section: Introductionmentioning

confidence: 99%

Pressure Pain Threshold of the Upper Trapezius Trigger Point: A Systematic Review with Meta-Analysis of Baseline Values and Their Modification after Physical Therapy

Geri¹,

Botticchio

Rossettini

et al. 2022

JCM

View full text Add to dashboard Cite

Background: Myofascial trigger points (TrP) are diagnosed upon the presence of clinical signs among which hypersensitivity is considered one of the most important. The detection of the pressure pain threshold (PPT) is used to quantify the degree of hypersensitivity. However, there is a lack of normative data about how hypersensitive a TrP is. Therefore, the objective was to quantify the PPT for myofascial TrP in the upper trapezius muscle and its modification after manual or instrumental physical therapy interventions. Methods: A systematic review and meta-analysis were conducted among three databases (MEDLINE, Cochrane Library, and PEDro). Two independent reviewers conducted the electronic search and assessed the methodological quality of the included studies. Results: Eleven studies with a high-risk bias indicated that the PPT at TrP sites was 105.11 kPa lower (95% CI: −148.93; −61.28) at active TrP sites (Chi-squared = 1.07, df = 1 (p = 0.30), I2 = 7%) compared to the PPT of the upper trapezius muscles of healthy subjects. In addition, the PPT of TrP was also lower than the reference values coming from the pain-free population. Moreover, the PPT increased after both manual and instrumental treatment by 28.36 kPa (95% CI: 10.75; 45.96) and 75.49 kPa (95% CI: 18.02; 132.95), respectively. Conclusions: The results of the present study show that TrP has a decreased PPT when compared to healthy muscles and that physical therapy may increase the PPT. However, the clinical relevance of this decreased PPT needs to be further elucidated. Further, the high risk of bias in all the retrieved studies undermines the validity of the results.

show abstract

Effects of dry needling on pain, pressure pain threshold and psychological distress in patients with mild to moderate hip osteoarthritis: Secondary analysis of a randomized controlled trial

Cited by 11 publications

References 63 publications

Myofascial Pain as an Unseen Comorbidity in Osteoarthritis

Myofascial Pain as an Unseen Comorbidity in Osteoarthritis

The Effectiveness of Dry Needling in Patients with Hip or Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Pressure Pain Threshold of the Upper Trapezius Trigger Point: A Systematic Review with Meta-Analysis of Baseline Values and Their Modification after Physical Therapy

Contact Info

Product

Resources

About