Almushahhim Muhannad, Nuhmani Shibili, Joseph Royes, Muslem Wafa Hashem Al, Abualait Turki
Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, P.O. Box 2435, Dammam 31451, Saudi Arabia.
Department of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia.
J Clin Med. 2022 Oct 19;11(20):6167. doi: 10.3390/jcm11206167.
This study aimed to determine the short-term effects of dry needling (DN) combined with a standard exercise program on pain and quality of life in patients with chronic mechanical neck pain (CMNP).
Thirty-one patients with CMNP were randomly allocated to the experimental and control groups. The experimental group received DN and underwent a standard exercise program (one DN session and six exercise sessions) for two weeks, whereas the control group underwent the same exercise program alone for two weeks. The participants' scores in the Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), Short Form-36 Quality of Life Scale (SF-36 QOLS), and Beck Depression Inventory (BDI) before and after the intervention were assessed.
The control and experimental groups' post-test NDI, NPRS, SF-36 QOLS, and BDI scores significantly differed from their baseline scores ( ≤ 0.05). The between-group comparison of the post-test scores using Wilcoxon rank-sum test revealed no significant differences between the NDI, NPRS, BDI, and SF-36 QOLS scores of both groups ( ≥ 0.05).
One session of trigger point DN (TrP-DN) with exercise and exercise alone showed the same pain and quality-of-life outcomes after a two-week intervention. We did not recognise TrP-DN as an efficient intervention, not because we obtained evidence that it is ineffective, but because there were inadequate high-quality studies on the subject and unavailable data on the minimum quantity of injections required for better DN outcomes in CMNP patients.
本研究旨在确定干针疗法（DN）联合标准运动方案对慢性机械性颈痛（CMNP）患者疼痛及生活质量的短期影响。
31例CMNP患者被随机分为实验组和对照组。实验组接受干针疗法并进行标准运动方案（一次干针治疗和六次运动治疗），为期两周，而对照组仅进行相同的运动方案，为期两周。评估干预前后参与者在数字疼痛评分量表（NPRS）、颈部功能障碍指数（NDI）、简短健康调查问卷36项生活质量量表（SF - 36 QOLS）和贝克抑郁量表（BDI）上的得分。
对照组和实验组干预后的NDI、NPRS、SF - 36 QOLS和BDI得分与基线得分相比均有显著差异（≤0.05）。使用Wilcoxon秩和检验对两组干预后得分进行组间比较，结果显示两组的NDI、NPRS、BDI和SF - 36 QOLS得分无显著差异（≥0.05）。
经过两周的干预，一次触发点干针疗法（TrP - DN）联合运动与单纯运动在疼痛和生活质量改善方面效果相同。我们未将TrP - DN视为一种有效的干预方法，并非因为我们获得了其无效的证据，而是因为关于该主题的高质量研究不足，且缺乏CMNP患者获得更好干针治疗效果所需的最小注射量的数据。
