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干针疗法对膝骨关节炎患者疼痛的影响:一项初步研究。

Effects of Dry Needling on Pain in Patients with Knee Osteoarthritis: A Preliminary Study.

作者信息

Amani Mohammad, Shafizadegan Zohreh, Taheri Navid

机构信息

Department of Physical Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Adv Biomed Res. 2022 Jun 29;11:47. doi: 10.4103/abr.abr_102_21. eCollection 2022.

Abstract

BACKGROUND

Osteoarthritis is one of the most common rheumatological diseases and is also considered as one of the causes of myofascial trigger points (MtrPs). Dry needling (DN) is one of the methods used for the treatment of the MtrPs. The aim of the current study was to investigate the effects of DN on pain in participants with knee osteoarthritis (KOA).

MATERIALS AND METHODS

In this before and after preliminary clinical trial study, patients with mild to moderate KOA were enrolled. In one session, after determining the location of trigger points in quadriceps and gastrocnemius muscles, the patients underwent DN. The pain was evaluated at baseline, by passing 4 days and 1 month from the intervention using the Visual Analog Scale (VAS).

RESULTS

Sixteen patients with a mean age of 56.5 (4.53) years old have completed the study and follow-up period. According to the ANOVA analysis, VAS values indicated a significant decrease in pain score at the 4 and 1 month after the intervention compared to baseline ( < 0.001). There was no significant difference between VAS at the 4 day of intervention and also 1 month later of intervention ( = 0.087).

CONCLUSION

The application of one session DN can lead to improvement in pain intensity in participants with mild to moderate KOA.

摘要

背景

骨关节炎是最常见的风湿性疾病之一,也被认为是肌筋膜触发点(MtrPs)的病因之一。干针疗法(DN)是用于治疗MtrPs的方法之一。本研究的目的是调查DN对膝骨关节炎(KOA)患者疼痛的影响。

材料与方法

在这项前后对照的初步临床试验研究中,纳入了轻度至中度KOA患者。在一次治疗中,确定股四头肌和腓肠肌触发点的位置后,患者接受DN治疗。使用视觉模拟量表(VAS)在基线、干预后4天和1个月时评估疼痛情况。

结果

16名平均年龄为56.5(4.53)岁的患者完成了研究和随访期。根据方差分析,与基线相比,干预后4天和1个月时VAS值表明疼痛评分显著降低(<0.001)。干预后4天和干预后1个月时的VAS之间无显著差异(=0.087)。

结论

单次DN治疗可改善轻度至中度KOA患者的疼痛强度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01bb/9379902/a92ba0dc10b0/ABR-11-47-g001.jpg

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