Effects of dry needling on pain,disability,kinesiophobia,pain catastrophizing and psychological distress in patients with chronic neck pain: A randomized controlled pilot study
Restricted accessResearch articleFirst published online March, 2022
Effects of dry needling on pain,disability,kinesiophobia,pain catastrophizing and psychological distress in patients with chronic neck pain: A randomized controlled pilot study
Myofascial trigger points (MTrPs) in neck muscles seem to be related to the main symptoms of patients with chronic neck pain.
OBJECTIVE:
The objective was to investigate the effects of dry needling (DN) on pain, disability, kinesiophobia, pain catastrophizing and psychological distress in patients with chronic neck pain.
METHODS:
A double blind randomized controlled pilot trial was designed. Twenty-one patients with chronic neck pain were randomly allocated to the DN group ( 7), Sham-DN group ( 7) or Control group ( 7). All groups received a Transcutaneous Electrical Nerve Stimulation and Therapeutic Ultrasound (TENS/US) protocol with patient education. The DN and Sham-DN groups received two sessions of DN and sham DN, respectively. The primary outcome was pain intensity. Secondary outcomes were disability, kinesiophobia, pain catastrophizing, psychological distress, self-reported improvement and success of blinding.
RESULTS:
The DN group showed a greater decrease in pain intensity, disability and pain catastrophizing compared to the Sham-DN group ( 0.05) and the Control group ( 0.05). The DN group showed the highest self-reported improvement.
CONCLUSION:
Adding two sessions of DN in active MTrPs in upper trapezius, levator scapulae and sternocleidomastoid muscles to a TENS/US protocol with patient education decreased pain intensity, disability and pain catastrophizing in patients with chronic neck pain.
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