Bahramian Mehrdad, Dabbaghipour Narges, Aria Amir, Sajadi Moghadam Fard Tehrani Bahareh, Dommerholt Jan
Department of Physiotherapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran.
Department of Physical Therapy, College of Health Science &Professions, University of North Georgia, Dahlonega, USA.
Med J Islam Repub Iran. 2022 Dec 20;36:156. doi: 10.47176/mjiri.36.156. eCollection 2022.
In this case report of a 31-year-old female, we describe the effects of dry needling on scar tissue following total hip arthroplasty. A 31-year-old woman underwent an elective bilateral total hip replacement due to a motor vehicle accident. Based on physical examination, the patient had burning pain at the incision site at the time of menstruation and limited hip range of motion worse on the right side. The treatment program consisted of six sessions of dry needling over a three-week period alongside infrared radiation for 20 minutes during each session. The needles were spaced along the entire length of the scar tissue and rotation was performed back and forth across the scar region to release the adhesion between the scar line and the underlying tissue, focusing more on the painful-to-touch spots and adhesive points. Following the completion of the dry needling treatments hip range of motion and the patient's functional outcome improved. Dry needling may be an effective and rapid treatment for scar tissue adhesion after surgical procedures. High-quality randomized-controlled studies are needed to verify the efficacy of this method.
在这份关于一名31岁女性的病例报告中,我们描述了干针疗法对全髋关节置换术后瘢痕组织的影响。一名31岁女性因机动车事故接受了择期双侧全髋关节置换术。根据体格检查,患者在月经期间切口部位有灼痛,髋关节活动范围受限,右侧更严重。治疗方案包括在三周内进行六次干针治疗,每次治疗期间同时进行20分钟的红外线照射。针沿着瘢痕组织的全长间隔排列,并在瘢痕区域来回旋转,以松解瘢痕线与深层组织之间的粘连,更多地关注触痛部位和粘连点。干针治疗完成后,髋关节活动范围和患者的功能结果得到改善。干针疗法可能是一种治疗手术后瘢痕组织粘连的有效且快速的方法。需要高质量的随机对照研究来验证该方法的疗效。