Department of Physiatry and Nursing, Faculty of Sciences, University of Zaragoza, Zaragoza, Spain.
Physiotherapy Research Unit, University of Zaragoza, Zaragoza 50009, Spain.
Pain Res Manag. 2023 Aug 23;2023:1523834. doi: 10.1155/2023/1523834. eCollection 2023.
The purpose of this systematic review and meta-analysis was to assess the short-, mid-, and long-term effectiveness of dry needling in improving pain and functional capacity of patients with chronic neck pain. Search strategy was performed on PubMed, Web of Science, Scopus, PEDro, and Cochrane Library Plus biomedical databases. The risk of bias was assessed using the RoB2 tool. Randomised controlled clinical trials in which at least 1 of the groups received dry needling were included. 662 studies were found; 14 clinical trials were selected for qualitative analysis and 13 for quantitative analysis. The quality of most of the studies included was "high." All the studies reported improvements in cervical pain and/or disability, regardless of the protocol followed and the muscles targeted. No serious adverse effects were reported. Dry needling showed to be more effective when compared with other therapies in both women and men, without differences by sex. When the analysis was carried out by age, patients over 40 years old benefitted more than those below 40 years old. Our meta-analysis supports the use of dry needling to improve pain and functional capacity in patients with chronic neck pain at short- and mid-term intervals.
本系统评价和荟萃分析的目的是评估干针治疗在改善慢性颈痛患者的疼痛和功能能力方面的短期、中期和长期效果。检索策略在 PubMed、Web of Science、Scopus、PEDro 和 Cochrane Library Plus 生物医学数据库中进行。使用 RoB2 工具评估偏倚风险。纳入至少有 1 组接受干针治疗的随机对照临床试验。共发现 662 项研究；对 14 项临床试验进行定性分析，对 13 项临床试验进行定量分析。纳入的大多数研究的质量为“高”。所有研究均报告了颈椎疼痛和/或残疾的改善，无论所遵循的方案和目标肌肉如何。均未报告严重不良事件。与其他疗法相比，干针治疗在女性和男性中均更有效，且性别之间无差异。当按年龄进行分析时，40 岁以上的患者比 40 岁以下的患者获益更多。我们的荟萃分析支持在短期和中期内使用干针治疗来改善慢性颈痛患者的疼痛和功能能力。
