Student of Doctoral Program of Physiotherapy, Department of Physiotherapy, Lovely Professional University, Punjab, India.
Department of Physiotherapy, Lovely Professional University, Punjab, India.
J Bodyw Mov Ther. 2021 Jan;25:146-150. doi: 10.1016/j.jbmt.2020.10.014. Epub 2020 Oct 26.
Adhesive Capsulitis (AC) is a common disabling musculoskeletal pain condition of unknown etiology related to the shoulder joint. Literature reported the restricted range of motion (ROM) and pain could be the result of myofascial trigger points (MTrPs) in the muscles of the shoulder girdle. Hence, the objective of this study was to assess the short-term effectiveness of MTrP dry needling (DN) in improving ROM, pain, pressure pain threshold (PPT), and physical disability among patients having AC.
In a single group pre-post experimental study design, a total of 70 clinically diagnosed patients (both male & female, age group between 40 and 65 years) with AC were recruited from three multi-specialty hospitals. The informed consent forms were received from each patient before participating in the study. Each patient received DN for the MTrPs of shoulder girdle muscles for alternative six days. In addition to DN, each patient had received conventional physiotherapy for continuous twelve days which includes electrotherapy modalities and exercises. The pain intensity (visual analog scale), shoulder ROM (Goniometer), disability (shoulder pain and disability index) and PPT (Algometer) were the outcome measures assessed at the baseline and twelfth day of the intervention.
There was a statistically significant (p < 0.05) improvement in shoulder ROM, pain intensity, shoulder disability, and PPT at the end of the twelve days of intervention as compared to baseline assessment.
MTrPs-DN techniques may improve the pain, ROM, disability and PPT along with conventional physiotherapy management among patients with AC.
粘连性肩关节囊炎（AC）是一种常见的、病因不明的、与肩关节相关的、导致肌肉骨骼疼痛的疾病。文献报道，肩关节周围肌肉中的肌筋膜触发点（MTrPs）可能导致活动范围（ROM）受限和疼痛。因此，本研究的目的是评估 MTrP 干针（DN）治疗粘连性肩关节囊炎患者改善 ROM、疼痛、压痛阈（PPT）和身体残疾的短期疗效。
采用单组前后实验设计，从三家多专科医院共招募了 70 名临床诊断为粘连性肩关节囊炎的患者（男女不限，年龄在 40 至 65 岁之间）。每位患者在参与研究前都签署了知情同意书。每位患者接受肩带肌肉 MTrPs 的 DN 治疗，每隔一天治疗一次，共治疗六天。除了 DN 治疗外，每位患者还接受了为期十二天的常规物理治疗，包括电疗和运动。在干预的基线和第十二天，使用视觉模拟量表（VAS）评估疼痛强度，使用量角器评估肩部 ROM，使用肩痛和残疾指数（SPADI）评估残疾程度，使用压力测痛计（Algometer）评估 PPT。
与基线评估相比，干预十二天后，肩部 ROM、疼痛强度、肩部残疾和 PPT 均有统计学显著改善（p<0.05）。
与常规物理治疗管理相比，MTrP-DN 技术可能会改善粘连性肩关节囊炎患者的疼痛、ROM、残疾和 PPT。
