Universidad de Castilla-La Mancha, Faculty of Physiotherapy and Nursing, Avenida Carlos III, S/n, 45071, Toledo, Spain; ABC-age Research Group, Spain.
Universidad de Castilla-La Mancha, Faculty of Physiotherapy and Nursing, Avenida Carlos III, S/n, 45071, Toledo, Spain.
J Bodyw Mov Ther. 2024 Oct;40:1086-1092. doi: 10.1016/j.jbmt.2024.07.003. Epub 2024 Jul 14.
The combination of dry needling and stretching has been proposed for the treatment of myofascial trigger points (MTPs), but it is not currently known whether the combination of both interventions would be of greater interest than the application of stretching alone. Thus, this systematic review aimed to compare the effectiveness of deep dry needling with stretching versus stretching alone on pain among patients with MTPs.
The PubMed, Web of Science, Cochrane Library, and Scopus databases were searched to identify studies analysing the effect of deep dry needling in combination with stretching versus stretching alone for the treatment of pain. The Cochrane risk of bias 2 tool (RoB2) was used to assess the risk of bias, and the DerSimonian‒Laird method was applied to estimate the pooled standard effect sizes (ESs) and their 95% confidence intervals (95% CIs).
Five randomized controlled trials were included in this systematic review, and their pooled ES for pain was -1.73 (95% CI: -3.06; -0.40). The RoB2 tool revealed that four studies had an unclear risk of bias, and one study had a high risk of bias.
Adding deep dry needling to stretching for the treatment of MTP may be an effective approach for the treatment of pain in patients with MTPs. Further research is needed to clarify the ideal number of local twitch responses to perform during deep dry needling.
干针与拉伸相结合已被提议用于治疗肌筋膜触发点（MTP），但目前尚不清楚两者联合干预是否比单独应用拉伸更有意义。因此，本系统评价旨在比较深部干针与拉伸与单独拉伸对 MTP 患者疼痛的疗效。
检索 PubMed、Web of Science、Cochrane Library 和 Scopus 数据库，以确定分析深部干针联合拉伸与单独拉伸治疗疼痛效果的研究。使用 Cochrane 偏倚风险 2 工具（RoB2）评估偏倚风险，并应用 DerSimonian‒Laird 方法估计汇总标准效应大小（ES）及其 95%置信区间（95%CI）。
本系统评价纳入了 5 项随机对照试验，其疼痛的汇总 ES 为-1.73（95%CI：-3.06；-0.40）。RoB2 工具显示，四项研究存在不明确的偏倚风险，一项研究存在高偏倚风险。
将深部干针与拉伸结合用于治疗 MTP 可能是治疗 MTP 患者疼痛的有效方法。需要进一步的研究来阐明在深部干针治疗期间进行局部抽搐反应的理想次数。
