Otadi Khadijeh, Sarafraz Hadi, Jalaie Shohreh, Rasouli Omid
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Occupational Medicine, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
J Chiropr Med. 2020 Dec;19(4):222-229. doi: 10.1016/j.jcm.2020.02.005. Epub 2020 Nov 24.
The purpose of this study was to compare immediate and short-term effects of combining dray needling (DN) + patient education vs ischemic compression (IC) + patient education for treating myofascial trigger points (MTP) in office workers with neck pain.
This was a single-blinded, randomized trial. Thirty-two participants were randomly assigned to either DN + patient education or IC + patient education group. Both groups received 2 treatment sessions with a 48-hour time interval. Pain intensity, cervical range of motion, Neck Disability Index, and satisfaction were measured.
Pain intensity and neck disability level decreased, whereas the cervical range of motion (side-bending and rotation) increased in both groups. Analysis of variance revealed a significant interaction of group × treatment only for pain intensity, indicating a greater reduction in the IC group. Satisfaction generally increased in the follow-up assessment in both groups.
Both intervention groups had some positive immediate and short-term effects after 2 treatment sessions. However, IC + patient education was more effective than DN + patient education in the treatment of MTPs in office workers with neck pain.
本研究旨在比较干针疗法(DN)+患者教育与缺血性按压(IC)+患者教育对颈部疼痛上班族肌筋膜触发点(MTP)的即时和短期治疗效果。
这是一项单盲随机试验。32名参与者被随机分配到DN+患者教育组或IC+患者教育组。两组均接受2次治疗,间隔48小时。测量疼痛强度、颈椎活动范围、颈部功能障碍指数和满意度。
两组的疼痛强度和颈部功能障碍水平均降低,而颈椎活动范围(侧屈和旋转)增加。方差分析显示,仅疼痛强度存在组×治疗的显著交互作用,表明IC组的疼痛减轻更明显。两组随访评估中的满意度普遍提高。
两个干预组在2次治疗后均有一些积极的即时和短期效果。然而,在治疗颈部疼痛的上班族MTP方面,IC+患者教育比DN+患者教育更有效。