Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial

Garcia-de-Miguel, Santiago; Pecos‐Martín, Daniel; Larroca-Sanz, Tamara; Sanz-de-Vicente, Beatriz; Garcia-Montes, Laura; Fernández-Matías, Rubén; Gallego‐Izquierdo, Tomás

doi:10.3390/jcm9061665

Cited by 18 publications

(26 citation statements)

References 61 publications

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“…In relation with the pain intensity results, there is a greater soreness decrease after 1 week and 1 month, especially in the active MTrP group, as has been observed in previous studies, even over 2 points on the VAS scale when needling is done in the upper trapezius muscle (28,(39)(40)(41).…”

Section: Discussionsupporting

confidence: 72%

Neurophysiological Effects of Dry Needling in Patients with Neck Pain, A Randomized Clinical Trial

Martín-Sacristán

Calvo‐Lobo

Pecos‐Martín

et al. 2021

Preprint

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The purpose was to determine the efficacy of deep dry needling (DDN) applied on an active myofascial trigger point (MTrP) versus a latent-MTrP versus a non-MTrP location, on pain reduction and cervical disability, in patients with chronic neck pain. A randomized, double-blind clinical trial design was used. A sample of 65 patients was divided into non-MTrP-DDN, active-MTrP-DDN and latent-MTrP-DDN groups. The visual analog scale (VAS), reproduction of the patient’s pain, number of local twitch responses, pressure pain threshold (PPT) and Neck Disability Index (NDI) were assessed before, during and after the intervention and up to 1 month post-intervention. The active-MTrP-DDN-group reduced pain intensity more than non-MTrP-DDN-group after a week and a month (p<0.01). Active-MTrP-DDN-group showed the greatest improvement in tibialis muscle PPT. An association was found with a higher percentage of subjects in whom their neck pain was reproduced when the active-MTrP (77.3%) and the latent-MTrP (81.8%) were treated. The application of DDN on an active-MTrP in the upper trapezius muscle shows greater improvements in pain intensity after one week and one month post-intervention, as well as lesser improvement in PPT in the tibialis muscle, compared to DDN applied in latent-MTrPs or outside of MTrPs in patients with neck pain

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Section: Discussionsupporting

confidence: 72%

Neurophysiological Effects of Dry Needling in Patients with Neck Pain, A Randomized Clinical Trial

Martín-Sacristán

Calvo‐Lobo

Pecos‐Martín

et al. 2021

Preprint

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“…The demographic information (year of publication, country and laboratory), contexts, participants, setting, and design of the reviewed articles are presented in Table 2 [ 12 , 19 – 26 , 41 , 49 – 121 ].…”

Section: Resultsmentioning

confidence: 99%

A scoping review of the contralateral effects of unilateral peripheral stimulation on neuromuscular function

2022

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It is known that resistance exercise using one limb can affect motor function of both the exercised limb and the unexercised contralateral limb, a phenomenon termed cross-education. It has been suggested that cross-education has clinical implications, e.g. in rehabilitation for orthopaedic conditions or post-stroke paresis. Much of the research on the contralateral effect of unilateral intervention on motor output is based on voluntary exercise. This scoping review aimed to map the characteristics of current literature on the cross-education caused by three most frequently utilised peripheral neuromuscular stimulation modalities in this context: electrical stimulation, mechanical vibration and percutaneous needling, that may direct future research and translate to clinical practice. A systematic search of relevant databases (Ebsco, ProQuest, PubMed, Scopus, Web of Science) through to the end of 2020 was conducted following the PRISMA Extension for Scoping Review. Empirical studies on human participants that applied a unilateral peripheral neuromuscular stimulation and assessed neuromuscular function of the stimulated and/or the unstimulated side were selected. By reading the full text, the demographic characteristics, context, design, methods and major findings of the studies were synthesised. The results found that 83 studies were eligible for the review, with the majority (53) utilised electrical stimulation whilst those applied vibration (18) or needling (12) were emerging. Although the contralateral effects appeared to be robust, only 31 studies claimed to be in the context of cross-education, and 25 investigated on clinical patients. The underlying mechanism for the contralateral effects induced by unilateral peripheral stimulation remains unclear. The findings suggest a need to enhance the awareness of cross-education caused by peripheral stimulation, to help improve the translation of theoretical concepts to clinical practice, and aid in developing well-designed clinical trials to determine the efficacy of cross-education therapies.

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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%

“…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%

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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Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial

Cited by 18 publications

References 61 publications

Neurophysiological Effects of Dry Needling in Patients with Neck Pain, A Randomized Clinical Trial

Neurophysiological Effects of Dry Needling in Patients with Neck Pain, A Randomized Clinical Trial

A scoping review of the contralateral effects of unilateral peripheral stimulation on neuromuscular function

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

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