Demeco Andrea, de Sire Alessandro, Salerno Antonello, Marotta Nicola, Palermi Stefano, Frizziero Antonio, Costantino Cosimo
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Physical and Rehabilitative Medicine, Department of Experimental and Clinical Medicine, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.
Sports (Basel). 2024 Jun 5;12(6):156. doi: 10.3390/sports12060156.
The treatment of myofascial pain in athletes requires a set of rehabilitation techniques that aim to be effective quickly. In this context, dry needling (DNY) has shown interesting results due to its ability to reduce pain in the short term. Thus, the aim of this study was to investigate the role of DNY in managing myofascial shoulder pain in overhead athletes. PubMed, Scopus and Web of Science were screened up to March 2024, to identify studies that met the following inclusion criteria: overhead athletes with shoulder pain with a DNY approach for myofascial trigger points (MTrPs), RCT, case-control study, feasibility study as the study design. Exclusion criteria were studies that did not include athletes, studies that did not focus on the treatment of MTrPs with DNY, other reviews, no full-text availability and papers written in a language other than English. Out of 399 articles, 165 were excluded as duplicates. Of the 234 articles screened, only 6 articles met the inclusion criteria. A total of 6 studies were included in the systematic review. Initial results showed that DNY improved pain rapidly and in the short term; however, there is still no consensus on the minimum number and the interval between treatments. Major findings reported a rapid potential decrease in perceived pain, shoulder disability and an increase in muscle strength; in this scenario, DNY might be a valid solution in a sports rehabilitation setting.
运动员肌筋膜疼痛的治疗需要一套旨在快速起效的康复技术。在此背景下，干针疗法（DNY）因其在短期内减轻疼痛的能力而显示出有趣的结果。因此，本研究的目的是探讨干针疗法在管理上肢运动员肩肌筋膜疼痛中的作用。截至2024年3月，对PubMed、Scopus和Web of Science进行了筛选，以确定符合以下纳入标准的研究：采用干针疗法治疗肌筋膜触发点（MTrP）的上肢肩痛运动员、随机对照试验、病例对照研究、可行性研究作为研究设计。排除标准为不包括运动员的研究、未聚焦于干针疗法治疗MTrP的研究、其他综述、无全文以及非英文撰写的论文。在399篇文章中，165篇因重复而被排除。在筛选的234篇文章中，只有6篇符合纳入标准。共有6项研究纳入系统评价。初步结果显示，干针疗法能在短期内迅速改善疼痛；然而，关于治疗的最小次数和间隔仍未达成共识。主要研究结果报告了感知疼痛、肩部功能障碍的快速潜在减轻以及肌肉力量的增加；在这种情况下，干针疗法可能是运动康复环境中的一种有效解决方案。
