Taşoğlu Özlem, Şahin Onat Şule, Bölük Hüma, Taşoğlu İrfan, Özgirgin Neşe
Department of Physical Medicine and Rehabilitation, Ankara Physcial Medicine and Rehabiliation Training and Research Hospital, Ankara,
Agri. 2017 Jan;29(1):9-16. doi: 10.5505/agri.2016.38991.
To compare the efficacy of two different dry needling (DN) techniques (deep dry needling & peppering) in myofascial pain syndrome (MPS).
Seventy-two patients, who were diagnosed as MPS at our outpatient clinic were randomly assigned into two groups as deep dry needling (DDN) and peppering. All patients were evaluated four times as: before the treatment and 1-5-12 weeks after the completion of treatment protocol. In each evaluation, Visual analogue scale (VAS), Nottingham extended activities of daily living scale (NEADLS), Beck depression inventory (BDI) scores were recorded. Additionally, all patients were evaluated for the pain felt during the procedure and side effect profile.
Twenty-six patients from DDN group and twenty-eight patients from peppering group accomplished the follow-up period. Both DDN and peppering seem to be effective for relieving pain and depressive symptoms and improving functionality compared to baseline when evaluated on the 1st, 5th and 12th weeks. On the other hand the intergroup analyses showed no significant differences between DDN and peppering groups. The only significant difference between the groups is the lesser pain felt during the procedure in the DDN group.
Both DDN and peppering are effective in MPS and the effects last up to 12 weeks. Also the adverse event profiles of the two techniques are similar. On the other hand, DDN is a painless procedure.
比较两种不同的干针疗法（深部干针疗法和散刺法）治疗肌筋膜疼痛综合征（MPS）的疗效。
将我院门诊诊断为MPS的72例患者随机分为深部干针疗法（DDN）组和散刺法组。所有患者在治疗前、治疗方案完成后的1周、5周和12周进行4次评估。每次评估时，记录视觉模拟量表（VAS）、诺丁汉日常生活活动扩展量表（NEADLS）、贝克抑郁量表（BDI）得分。此外，对所有患者进行操作过程中的疼痛感受和副作用情况评估。
DDN组26例患者和散刺法组28例患者完成了随访。在第1周、第5周和第12周评估时，与基线相比，DDN和散刺法在缓解疼痛和抑郁症状以及改善功能方面似乎都有效。另一方面，组间分析显示DDN组和散刺法组之间无显著差异。两组之间唯一的显著差异是DDN组在操作过程中疼痛较轻。
DDN和散刺法治疗MPS均有效，且效果可持续12周。此外，两种技术的不良事件情况相似。另一方面，DDN是一种无痛操作。
