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干针与经皮电神经刺激联合治疗对慢性颈肌筋膜疼痛患者针刺后酸痛的即刻和短期影响。

Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain.

机构信息

Department of Physical Therapy, Faculty of Health Science, The Center for Advanced Studies University La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain.

Research Group on Movement and Behavioural Science and Study of Pain, The Center for Advanced Studies University La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain.

出版信息

Braz J Phys Ther. 2016 Jul 11;20(5):422-431. doi: 10.1590/bjpt-rbf.2014.0176.

DOI:10.1590/bjpt-rbf.2014.0176
PMID:27410163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5123263/
Abstract

BACKGROUND

Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain.

OBJECTIVE

To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle.

METHOD

This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited. Randomization was performed, and 31 patients received DN treatment (DN group) and 31 received DN and PENS (DN+PENS group). The primary outcomes were neck disability index (NDI) and visual analog scale for pain for both post-needling soreness (PNS) and neck pain intensity (NPI). Pressure pain threshold (PPT) and cervical range of motion (CROM) were the secondary outcomes.

RESULTS

We detected between-group differences in NPI and PNS in favor of the DN+PENS group immediately after treatment. No between-group differences in NDI were observed.

CONCLUSION

PENS application after dry needling treatment is more effective than dry needling alone for decreasing soreness in the short term and improving neck pain intensity immediately in patients with myofascial chronic neck pain.

摘要

背景

干针（DN）和经皮电神经刺激（PENS）是治疗肌筋膜疼痛的常用技术。

目的

研究与单独 DN 相比，DN 和 PENS 联合治疗对上斜方肌的即刻和短期效果。

方法

这是一项 72 小时随访的单盲随机对照试验。招募了 62 名患有慢性颈肌筋膜疼痛且上斜方肌有活动性肌筋膜触发点（MTrPs）的志愿者患者。进行了随机分组，31 名患者接受 DN 治疗（DN 组），31 名患者接受 DN 和 PENS 治疗（DN+PENS 组）。主要结局指标是针刺后疼痛（PNS）和颈痛强度（NPI）的颈部残疾指数（NDI）和视觉模拟量表。次要结局指标是压力疼痛阈值（PPT）和颈椎活动度（CROM）。

结果

我们发现治疗后即刻，DN+PENS 组的 NPI 和 PNS 优于 DN 组。DN 组和 DN+PENS 组之间的 NDI 无差异。

结论

与单独使用干针治疗相比，在干针治疗后应用经皮电神经刺激治疗在短期内更能减轻疼痛，并且能立即改善慢性颈肌筋膜疼痛患者的颈痛强度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/5123263/6edc06be71d7/1413-3555-rbfis-bjpt-rbf20140176-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/5123263/6edc06be71d7/1413-3555-rbfis-bjpt-rbf20140176-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/5123263/6edc06be71d7/1413-3555-rbfis-bjpt-rbf20140176-gf01.jpg

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