Restricted accessResearch articleFirst published online 2022-3
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.
HoyDGProtaniMDeRBuchbinderR. The epidemiology of neck pain. Best Pract Res Clin Rheumatol.2010 Dec; 24(6): 783-92.
2.
TsangAVon KorffMLeeSAlonsoJKaramEAngermeyerMC, et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain.2008 Oct 1; 9(10): 883-91.
3.
FejerRKyvikKOHartvigsenJ. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J.2006; 15(6): 834.
4.
MisailidouVMalliouPBenekaAKaragiannidisAGodoliasG. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. J Chiropr Med.2010 Jun; 9(2): 49.
5.
HudesK. The tampa scale of kinesiophobia and neck pain, disability and range of motion: a narrative review of the literature. J Can Chiropr Assoc.2011; 55(3): 222.
6.
JonesMEdwardsIGiffordL. Conceptual models for implementing biopsychosocial theory in clinical practice. Man Ther.2002 Feb 1; 7(1): 2-9.
7.
MelegerALKrivickasLS. Neck and back pain: musculoskeletal disorders. Neurol Clin.2007 May 1; 25(2): 419-38.
8.
SimonsDTravellJGSimonsL. Myofascial pain and dysfunction: The trigger point manual. Second ed. Madrid: Editorial Panamericana; 2007. 44.
9.
Muñoz-MuñozSMuñoz-GarcíaMTAlburquerque-SendínFArroyo-MoralesMFernández-de-las-PeñasC. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. J Manip Physiol Ther.2012 Oct 1; 35(8): 608-13.
10.
ChiarottoAClijsenRFernandez-de-las-PenasCBarberoM. The prevalence of myofascial trigger points in spinal disorders: a systematic review and meta-analysis. Arch Phys Med Rehabil.2016; 97(2): 316-37.
11.
CagnieBCasteleinBPollieFSteelantLVerhoeyenHCoolsA. Evidence for the use of ischemic compression and dry needling in the management of trigger points of the upper trapezius in patients with neck pain. Am J Phys Med Rehabil.2015; 94(7): 573-83.
12.
RibeiroDCBelgraveANadenAFangHMatthewsPParshottamS. The prevalence of myofascial trigger points in neck and shoulder-related disorders: a systematic review of the literature. BMC Musculoskelet Disord.2018; 19: 252.
13.
GerwinRD. Diagnosis of myofascial pain syndrome. Phys Med Rehabil Clin N Am.2014; 25(2): 341-55.
14.
DommerholtJMayoral del MoralOGröbliC. Trigger point dry needling. J Man Manip Ther.2006; 14(4): 70E-87E.
15.
GerberLHShahJRosenbergerWArmstrongKTuroDOttoP, et al. Dry needling alters trigger points in the upper trapezius muscle and reduces pain in subjects with chronic myofascial pain. PM R.2015; 7(7): 711-8.
16.
ItohKKatsumiYHirotaSKitakojiH. Randomised trial of trigger point acupuncture compared with other acupuncture for treatment of chronic neck pain. Complement Ther Med.2007; 15(3): 172-9.
17.
RayeganiSMBayatMBahramiMHRaeissadatSAKargozarE. Comparison of dry needling and physiotherapy in treatment of myofascial pain syndrome. Clin Rheumatol.2014; 33(6): 859-64.
18.
Campa-MoranIRey-GudinEFernández-CarneroJParis-AlemanyAGil-MartinezALerma LaraS, et al. Comparison of dry needling versus orthopedic manual therapy in patients with myofascial chronic neck pain: a single-blind, randomized pilot study. Pain Res Treat.2015; 2015: 327307.
19.
Llamas-RamosRPecos-MartinDGallego-IzquierdoTLlamas-RamosIPlaza-ManzandoGOrtega-SantiagoR, et al. Comparison of the short-term outcomes between trigger point dry needling vs. trigger point manual therapy for the management of chronic mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther.2014; 44(11): 852-61.
20.
Cerezo-TéllezETorres-LacombaMFuentes-GallardoIPerez-MuñozMMayoral-del-MoralOLluch GirbesE, et al. Effectiveness of dry needling for chronic non-specific neck pain. Vol. 157, Pain. 2016. 1 p.
21.
De MeulemeesterKECasteleinBCoppietersIBarbeTCoolsACagnieB. Comparing trigger point dry needling and manual pressure technique for the management of myofascial neck/shoulder pain: a randomized clinical trial. J Manipulative Physiol Ther.2017; 40(1): 11-20.
22.
Cobos-CarbóAAugustovskiF. Declaración CONSORT 2010: actualización de la lista de comprobación para informar ensayos clínicos aleatorizados de grupos paralelos. Med Clin (Barc).2011; 137(5): 213-5.
23.
ShahJPThakerNHeimurJAredoJVSikdarSGerberLH. Myofascial trigger points then and now: a historical and scientific perspective. PM R J Inj Funct Rehabil.2015; 7(7): 746-61.
24.
GerwinRDShannonSHongCZHubbardDGevirtzR. Interrater reliability in myofascial trigger point examination. Pain.1997; 69: 65-73.
25.
BijurPESilverWGallagherEJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med.2001; 8(12): 1153-7.
26.
LaucheRLanghorstJDobosGJCramerH. Clinically meaningful differences in pain, disability and quality of life for chronic nonspecific neck pain – a reanalysis of 4 randomized controlled trials of cupping therapy. Complement Ther Med.2013 Aug 1; 21(4): 342-7.
27.
Andrade OrtegaJADelgado MartínezAAlmécija RuizR. Validation of the spanish version of the neck disability index. Spine (Phila Pa 1976).2010; 35(4).
28.
Gómez-PérezLLópez-MartínezARuiz-PárragaG. Psychometric properties of the spanish version of the tampa scale for kinesiophobia (TSK). J Pain.2011; 12(4).
29.
García CampayoJRoderoBAldaMSobradielNMonteroJMorenoS. Validation of the spanish version of the pain catastrophizing scale in fibromyalgia. Med Clin (Barc).2008; 131(13): 487-92.
30.
Terol-CanteroMCCabrera-PeronaVMartín-AragónM. Revisión de estudios de la escala de ansiedad y depresión hospitalaria (HAD) en muestras españolas. An Psicol.2015; 31(2): 494.
31.
PellicciariLBonettiFDi FoggiaDMonesiMVercelliS. Patient-reported outcome measures for non-specific neck pain validated in the italian-language: a systematic review. Arch Physiother.2016; 6(9).
32.
MonticoneMGiorgiIBaiardiPBarbieriMRoccaBBonezziC. Development of the italian version of the tampa scale of kinesiophobia (TSK-I): cross-cultural adaptation, factor analysis, reliability, and validity. Spine (Phila Pa 1976).2010; 35(12).
33.
HapidouEGO’BrienMAPierrynowskiMRde las HerasEPatelMPatlaT. Fear and avoidance of movement in people with chronic pain: psychometric properties of the 11-item tampa scale for kinesiophobia (TSK-11). Physiother Canada.2012; 64(3): 235.
34.
SharmaSPathakAAbbottJHJensenMP. Measurement properties of the nepali version of the connor davidson resilience scales in individuals with chronic pain. Health Qual Life Outcomes.2018; 16(1): 265-76.
35.
ZigmondASnaithR. The hospital anxiety and depression scale. Acta Psychiatr Scand.1983 Jun 1; 67(6): 361-70.
36.
JaeschkeRSingerJGuyattGH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials.1989; 10(4): 407-15.
37.
SayilirS. The short-term effects of TENS plus therapeutic ultrasound combinations in chronic neck pain. Complement Ther Clin Pract.2018 May 1; 31: 278-81.
GrossAForgetMSt GeorgeKFraserMMGrahamNPerryL, et al. Patient education for neck pain. Cochrane Database Syst Rev.2012 Mar 14; 14(3): CD005106.
40.
DomingoAMayoralOMonterdeSSantaféMM. Neuromuscular damage and repair after dry needling in mice. Evidence-based Complement Altern Med.2013; 2013: 260806.
41.
Ceballos-LaitaLJiménez-del-BarrioSMarín-ZurdoJMoreno-CalvoAMarín-BonéJAlbarova-CorralMI, et al. Effects of dry needling in HIP muscles in patients with HIP osteoarthritis: a randomized controlled trial. Musculoskelet Sci Pract.2019; Oct; 43(July): 76-82.
42.
HongCZTorigoeY. Electrophysiological characteristics of localized twitch responses in responsive taut bands of rabbit skeletal muscle fibers. J Musculoskelet Pain.1994; 2(2): 17-43.
43.
HongCZTorigoeY. The localized twitch responses in responsive taut bands of rabbit skeletal muscle fibers are related to the reflexes at spinal cord level. J Musculoskelet Pain.1995; 3(1): 15-33.
44.
ToughEAWhiteARRichardsSHLordBCampbellJL. Developing and validating a sham acupuncture needle. Acupunct Med.2009 Sep; 27(3): 118-22.
45.
Fernández-de-las-PeñasCAlonso-BlancoCMiangolarraJC. Myofascial trigger points in subjects presenting with mechanical neck pain: a blinded, controlled study. Man Ther.2007; 12: 29-33.
46.
TaşSKorkusuzFErdenZ. Neck muscle stiffness in participants with and without chronic neck pain: a shear-wave elastography study. J Manip Physiol Ther.2018 Sep 1; 41(7): 580-8.
47.
HsiehYLYangSAYangCCChouLW. Dry needling at myofascial trigger spots of rabbit skeletal muscles modulates the biochemicals associated with pain, inflammation, and hypoxia. Evidence-based Complement Altern Med.2012; 2012: 342165.
48.
Espejo-AntúnezLTejedaJFHAlbornoz-CabelloMRodríguez-MansillaJde la Cruz-TorresBRibeiroF, et al. Dry needling in the management of myofascial trigger points: a systematic review of randomized controlled trials. Complement Ther Med.2017; 33(July 2016): 46-57.
49.
ThompsonDUrmstonMOldhamJWobyS. The association between cognitive factors, pain and disability in patients with idiopathic chronic neck pain. Disabil Rehabil.2010; 32(21): 1758-67.
50.
Ceballos-LaitaLJimenez-del-BarrioSMarín-ZurdoJMoreno-CalvoAMarín-BonéJAlbarova-CorralMI, et al. 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. Complement Ther Med.2020; 51(June 2020): 102443.
