Department of Physical Medicine and Rehabilitation, Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey.
Complement Ther Clin Pract. 2022 May;47:101571. doi: 10.1016/j.ctcp.2022.101571. Epub 2022 Mar 5.
To investigate the effectiveness of dry-needling(DN) together with exercise therapy on pain, ultrasonographic parameters of myofascial trigger points(MTrPs), and upper trapezius(UT) muscles, and neck disability in patients with myofascial pain syndrome.
This was a single-blind, prospective, randomized, and controlled trial. Participants aged 18-45 years with persistent neck pain for >3 months caused by the active MTrPs in the UT muscles were included. The exercise therapy was performed 3 times/week for 3 months. DN therapy was applied once a week, for a total of three sessions. The pain intensity, ultrasonographic measurements of the thickness of the UT muscle, and diameter of the MTrPs in the UT muscle were the primary outcomes. The secondary outcome was the neck disability.
Seventy participants were randomized into two groups: the dry-needling together with exercise group(DNG, n = 35) and the exercise-only group(EG, n = 35). A total of 8 participants dropped out of the study, and the study was completed with 62 participants(DNG = 33; EG = 29). There was a significant difference in terms of VAS(at night, at rest, and during activity)(p < 0.001) at post-treatment and after 3 months, the thickness of UT muscle(p = 0.004), and diameter of MTrP(p = 0.021) at post-treatment between the groups. No statistical differences were identified in terms of NDI(p = 0.065).
This study demonstrated the effects of DN applied together with exercise therapy on reduction of the pain intensity at short(post-treatment) and mid-term(after 3 months), and the ultrasonographic parameters of MTrPs and UT muscles at short-term(post-treatment).
探讨干针（DN）联合运动疗法对肌筋膜触发点（MTrPs）和上斜方肌（UT）肌肉疼痛、超声参数以及颈部活动障碍的影响。
这是一项单盲、前瞻性、随机对照试验。纳入年龄在 18-45 岁之间、因 UT 肌肉内活动 MTrPs 引起的持续性颈部疼痛超过 3 个月的患者。运动疗法每周进行 3 次，共 3 个月。DN 疗法每周 1 次，共 3 次。主要结局为疼痛强度、UT 肌肉厚度的超声测量值和 UT 肌肉内 MTrPs 的直径。次要结局为颈部活动障碍。
70 名参与者被随机分为两组：干针联合运动组（DNG，n=35）和仅运动组（EG，n=35）。共有 8 名参与者退出研究，62 名参与者完成了研究（DNG=33；EG=29）。治疗后和 3 个月后，VAS（夜间、休息时和活动时）（p<0.001）、UT 肌肉厚度（p=0.004）和 MTrP 直径（p=0.021）在组间存在显著差异。在 NDI 方面（p=0.065）无统计学差异。
本研究表明，DN 联合运动疗法可在短期（治疗后）和中期（3 个月后）减轻疼痛强度，以及在短期（治疗后）改善 MTrPs 和 UT 肌肉的超声参数。
