There are no data on the additional contribution of dry needling (DN) for trigger points (TPs) accompanying patients with cervical spondylosis (CS).
OBJECTIVE:
To analyse the contribution of DN applied to concomitant active TPs in the upper trapezius muscle on the treatment outcomes of physiotherapy in CS.
METHODS:
In this prospective randomized controlled study, 70 patients with CS and active TPs in the upper trapezius muscle were included. The first group received physiotherapy for 5 days per week for 3 weeks. The second group received DN with the same program. All participants were evaluated before treatment (day 0) and at the end of treatment (day 21) in terms of pain, functional status, quality of life, anxiety/depression scores, and number of TPs.
RESULTS:
33 patients in the first group and 32 patients in the second group completed the study. While the change over time was found significant in all variables, the change was not different between groups. The group-time interaction effect was not found to be statistically significant in any variable. Percentage changes of all variables were similar between the groups.
CONCLUSION:
DN treatment added to the physiotherapy did not contribute to recovery in patients with CS.
LvYTianWChenDLiuYWangLDuanF. The prevalence and associated factors of symptomatic cervical Spondylosis in Chinese adults: a community-based cross-sectional study. BMC Musculoskelet Disord.2018; 19(1): 325. doi: 10.1186/s12891-018-2234-0.
3.
Fernández-De-Las-PeñasCPlaza-ManzanoGSanchez-InfanteJGómez-ChiguanoGFClelandJAArias-BuríaJL, et al. Is dry needling effective when combined with other therapies for myofascial trigger points associated with neck pain symptoms? A systematic review and meta-analysis. Pain Res Manag.2021; 8836427. doi: 10.1155/2021/8836427.
4.
RibeiroDCBelgraveANadenAFangHMatthewsPParshottamS. The prevalence of myofascial trigger points in neck and shoulder-related disorders: a systematic review of the literature. BMC Musculoskelet Disord.2018; 19(1): 252. doi: 10.1186/s12891-018-2157-9.
5.
Navarro-SantanaMJSanchez-InfanteJFernández-de-Las-PeñasCClelandJAMartín-CasasPPlaza-ManzanoG. Effectiveness of dry needling for myofascial trigger points associated with neck pain symptoms: an updated systematic review and meta-analysis. J Clin Med.2020; 9(10): 3300. doi: 10.3390/jcm9103300.
6.
Cerezo-TéllezETorres-LacombaMMayoral-Del MoralOSánchez-SánchezBDommerholtJGutiérrez-OrtegaC. Prevalence of myofascial pain syndrome in chronic non-specific neck pain: a population-based cross-sectional descriptive study. Pain Med.2016; 17(12): 2369-77. doi: 10.1093/pm/pnw114.
7.
Fernández-de-Las-PeñasCNijsJ. Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm. J Pain Res.2019; 12: 1899-911. doi: 10.2147/JPR.S154728.
8.
LiuLHuangQMLiuQGYeGBoCZChenMJ, et al. Effectiveness of dry needling for myofascial trigger points associated with neck and shoulder pain: a systematic review and meta-analysis. Arch Phys Med Rehabil.2015; 96(5): 944-55. doi: 10.1016/j.apmr.2014.12.015.
9.
Rodríguez-HuguetMVinolo-GilMJGóngora-RodríguezJ. Dry needling in physical therapy treatment of chronic neck pain: systematic review. J Clin Med.2022; 11(9): 2370. doi: 10.3390/jcm11092370.
10.
Albornoz-CabelloMPérez-MármolJMBarrios QuintaCJMatarán-PeñarrochaGACastro-SánchezAMde la Cruz OlivaresB. Effect of adding interferential current stimulation to exercise on outcomes in primary care patients with chronic neck pain: a randomized controlled trial. Clin Rehabil.2019; 33(9): 1458-67. doi: 10.1177/0269215519844554.
11.
CastelliniGPillastriniPVantiCBargeriSGiagioSBordignonE, et al. Some conservative interventions are more effective than others for people with chronic non-specific neck pain: a systematic review and network meta-analysis. J Physiother.2022; 68(4): 244-54. doi: 10.1016/j.jphys.2022.09.007.
12.
VenosaMRomaniniEPaduaRCercielloS. Comparison of high-intensity laser therapy and combination of ultrasound treatment and transcutaneous nerve stimulation in patients with cervical spondylosis: a randomized controlled trial. Lasers Med Sci.2019; 34(5): 947-53. doi: 10.1007/s10103-018-2682-7.
13.
Abdel-aziemAADrazAHBattechaKHMosaadDM. Effect of ultrasound combined with conventional therapy on neck pain, function, and disability in patients with cervical spondylosis: a randomized placebo-controlled trial. J Muscoskel Pain.2014; 22: 199-205. doi: 10.3109/10582452.2014.907853.
14.
SalehMSMRehabNISharafMAF. Effect of deep cervical flexors training on neck proprioception, pain, muscle strength and dizziness in patients with cervical spondylosis: a randomized controlled trial. Phys Ther Rehabil.2018; 5: 14. doi: 10.7243/2055-2386-5-14.
15.
KumnoonsupS. Correlation between cervical spondylosis and myofascial pain syndrome: a retrospective study. ASEAN J Rehabil Med.2023; 33(1):10-6.
16.
TravellJGSimonsDG. Myofascial pain and dysfunction: the trigger point manual. Lippincott Williams & Wilkins; 1992.
17.
AndersenLLHansenKMortensenOSZebisMK. Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain. BMC Musculoskelet Disord.2011; 12: 169. doi: 10.1186/1471-2474-12-169.
18.
WheelerAHGoolkasianPBairdACDardenBV 2nd. Development of the Neck Pain and Disability Scale. Item analysis, face, and criterion-related validity. Spine (Phila Pa 1976).1999; 24(13): 1290-4. doi: 10.1097/00007632-199907010-00004.
19.
WareJ JrKosinskiMKellerSD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care.1996; 34(3): 220-33. doi: 10.1097/00005650-199603000-00003.
20.
AydemirÖGuvenirTKueyLKulturS. Validity and reliability of Turkish version of hospital anxiety and depression scale. Turk Psikiyatri Derg.1997; 8: 280-7.
21.
Abbaszadeh-AmirdehiMAnsariNNNaghdiSOlyaeiGNourbakhshMR. Therapeutic effects of dry needling in patients with upper trapezius myofascial trigger points. Acupunct Med.2017; 35(2): 85-92. doi: 10.1136/acupmed-2016-011082.
22.
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. doi: 10.1016/j.pmrj.2015.01.020.
23.
RayeganiSMBayatMBahramiMHRaeissadatSAKargozarE. Comparison of dry needling and physiotherapy in treatment of myofascial pain syndrome. Clin Rheumatol.2014; 33(6): 859-64. doi: 10.1007/s10067-013-2448-3.
24.
StievenFFFerreiraGEWiebuschMde AraújoFXda RosaLHTSilvaMF. Dry needling combined with guideline-based physical therapy provides no added benefit in the management of chronic neck pain: a randomized controlled trial. J Orthop Sports Phys Ther.2020; 50(8): 447-54. doi: 10.2519/jospt.2020.9389.
25.
SterlingMVicenzinoBSouvlisTConnellyLB. Dry-needling and exercise for chronic whiplash-associated disorders: a randomized single-blind placebo-controlled trial. Pain.2015; 156(4): 635-43. doi: 10.1097/01.j.pain.0000460359.40116.c1.
26.
Cerezo-TéllezETorres-LacombaMFuentes-GallardoIPerez-MuñoMMayoral-Del-MoralOLluch-GirbésE, et al. Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial. Pain.2016; 157(9): 1905-17. doi: 10.1097/j.pain.0000000000000591.
27.
BoyceDWempeHCampbellCFuehneSZylstraESmithG, et al. Adverse events associated with therapeutic dry needling. Int J Sports Phys Ther.2020; 15(1): 103-13.
28.
KazeminasabSNejadghaderiSAAmiriPPourfathiHAraj-KhodaeiMSullmanMJM, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord.2022; 23(1): 26. doi: 10.1186/s12891-021-04957-4.
