The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial

Manafnezhad, Javad; Salahzadeh, Zahra; Salimi, Mehdi; Ghaderi, Fereshteh; Ghojazadeh, Morteza

doi:10.3233/bmr-181289

Cited by 29 publications

(46 citation statements)

References 39 publications

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“…The rESWT for MTPs of UTM as performed in the present study (three rESWT sessions, one session per week, 2000 rESWs per session with EFD + of 0.10 mJ/mm 2 ) was the least session, similar to some previous studies. 22,28,29,30 resulted in a statistically significant improvement in (i) mean elastic index of UTM, (ii) mean VAS score, (iii) mean pressure pain threshold (PPT), and (iv) mean neck disability index (NDI) at one week and 4 weeks to baseline in the ESWT group, which is in line with previous studies. 22,28,29,30 The intergroup comparison with the 1%lidocaine group revealed statistically significantly better results than the rESWT group at T2 and T3, which was not in line but not statistically significant at T4 at p<0.05, which is in line with a previous study that compared with the dry needle.…”

Section: Discussionsupporting

confidence: 91%

“…22,28,29,30 The intergroup comparison with the 1%lidocaine group revealed statistically significantly better results than the rESWT group at T2 and T3, which was not in line but not statistically significant at T4 at p<0.05, which is in line with a previous study that compared with the dry needle. 30 The pathophysiologic mechanisms underlying MTrPs development were still not clear. The current data proved that ESWT was at least as effective as 1%lidocaine in pain relieving and function restoration for MPS patients after the completion of the therapy 3 sessions, once per week for 3 weeks.…”

Section: Discussionsupporting

confidence: 76%

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Effects of repeated injection of 1% lidocaine vs. radial extra-corporeal shock wave therapy for treating myofascial trigger points: a randomized controlled trial

Suputtitada

Ngamrungsiri

et al. 2021

Preprint

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Purpose: To compare the efficacy of radial extracorporeal shockwave therapy (rESWT) versus injection of 1% lidocaine for active myofascial trigger points (MTPs) at upper trapezius muscle (UTM) objectively with elastic index analysis. Patients and methods: A prospective, randomised, single-blinded clinical trial was done. 60 patients with active MTPs of UTM were randomised to receive either rESWT (n = 30); three rESWT sessions; one session per week; 2000 rESWT impulses per session; positive energy flux density = 0.10 mJ/mm2) or 1% lidocaine (4 ml) injection (n = 30) (three injections; one injection per week). The outcome measure was the elastic index of MTPs, visual analogue score (VAS score) of pain, and pressure pain threshold (PPT) three weeks after baseline. Results: Both rESWT and injection of 1% lidocaine resulted in statistically significant (P < 0.05) reduced elastic index and VAS of pain of UTM and PPT significantly (P < 0.05) at three weeks after baseline. The mean differences between rESWT and injection of 1%lidocaine showed no statistically siginificance. Conclusion: Both rESWT and 1% lidocaine injection had efficacy for active MTPs of UTM measured with elastic index, VAS of pain and PPT.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 76%

Effects of repeated injection of 1% lidocaine vs. radial extra-corporeal shock wave therapy for treating myofascial trigger points: a randomized controlled trial

Suputtitada

Ngamrungsiri

et al. 2021

Preprint

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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.…”

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%

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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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Comparison of Dry Needling and Cold‐Spray‐Stretching Treatments by Ultrasonography and Electrophysiology

Ustun,

Yorulmaz,

Geler‐Kulcu

2024

J of Ultrasound Medicine

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ObjectivesTo compare the efficacy of dry needling (DN) and cold‐spray‐stretching treatments using surface electromyography (sEMG) and ultrasound (US) in the treatment of patients with myofascial pain syndrome (MPS) with active trigger point (ATrP) in the upper trapezius muscle.MethodsThis prospective randomized single‐blind study included 60 MPS patients aged 18–65 years who have ATrP in the upper trapezius muscle. Patients were randomized into two treatment groups as DN and cold spray stretching. Both treatment groups received 1 treatment per week and totally 3 sessions. Evaluation parameters were pain level assessed by Numeric Rating Scale and algometer, neck range of motion angles, neck disability index (NDI). The effects of the treatments on ATrP were evaluated by sEMG and US histogram. All parameters were evaluated at the beginning of the treatment and at the end. Algometer and sEMG were performed also before and after the first and third sessions.ResultsThere was no significant difference between the two groups regarding demographic data. The mean age of the participants was 39.7 ± 11.6 years. Fifty‐one patients were female. Significant improvement in terms of pain level, functionality, sEMG, and US histogram were achieved in both groups (P < .05). When comparing the two groups, algometer scores and the NDI score were statistically higher in the cold‐spray‐stretching group than in the DN group (P < .008 and P < .028, respectively).ConclusionBoth treatment options should be preferred. The efficacy of both treatments was observed via sEMG and US histograms.

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The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial

Cited by 29 publications

References 39 publications

Effects of repeated injection of 1% lidocaine vs. radial extra-corporeal shock wave therapy for treating myofascial trigger points: a randomized controlled trial

Effects of repeated injection of 1% lidocaine vs. radial extra-corporeal shock wave therapy for treating myofascial trigger points: a randomized controlled trial

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

Comparison of Dry Needling and Cold‐Spray‐Stretching Treatments by Ultrasonography and Electrophysiology

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