Ata Emre, Arda Mürvet, Küçük Ece, Temel Mustafa Hüseyin, Güler Mehmet Akif, Özsoy Ünübol Tuğba
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Sultan 2. Abdulhamid Han Training and Research Hospital, Istanbul, Türkiye.
Department of Physical Medicine and Rehabilitation, Üsküdar State Hospital, Istanbul, Türkiye.
Turk J Phys Med Rehabil. 2024 Aug 26;70(3):370-378. doi: 10.5606/tftrd.2024.14310. eCollection 2024 Sep.
This study aims to evaluate and compare the therapeutic effectiveness of static dry needling (S-DN), dynamic dry needling (D-DN), and a combined technique (CT) for managing myofascial pain syndrome (MPS).
Between January 1, 2023 and April 15, 2023, a total of 38 patients (9 males, 29 females; mean age: 40.5±12.7 years; range, 22 to 63 years) with MPS who experienced neck pain for less than six months and had at least one painful myofascial trigger point in the trapezius, rhomboids, or levator scapula muscle were included in the study. The patients were divided into three groups: D-DN, S-DN, and CT. Measurements included the Visual Analog Scale (VAS), range of motion (ROM), Neck Disability Index (NDI), and the European Quality of Life 5 Dimensions 3 Level Version (EQ5D3L). All measurements were made at baseline (T0), after the first treatment session (T1), after the final session (T2), and one-month post-treatment (T3).
The group treated with S-DN showed less significant improvement in ROM scores compared to other treatment methods. Both the D-DN and S-DN groups showed decreased VAS scores at rest and during motion across all time points, compared to the CT group. The NDI scores decreased in all groups, while the EQ5D3L scores exhibited no variations between groups or across any time point irrespective of the treatment method employed.
Our study results suggest that all three methods are effective in treating MPS, with D-DN potentially being the preferred method over S-DN and CT due to its time efficiency.
本研究旨在评估和比较静态干针疗法（S-DN）、动态干针疗法（D-DN）以及联合技术（CT）治疗肌筋膜疼痛综合征（MPS）的疗效。
在2023年1月1日至2023年4月15日期间，共有38例MPS患者（9例男性，29例女性；平均年龄：40.5±12.7岁；范围为22至63岁）纳入研究，这些患者颈部疼痛少于6个月，且斜方肌、菱形肌或肩胛提肌中至少有一个疼痛性肌筋膜触发点。患者被分为三组：D-DN组、S-DN组和CT组。测量指标包括视觉模拟量表（VAS）、活动范围（ROM）、颈部功能障碍指数（NDI）以及欧洲生活质量5维度3水平版本（EQ5D3L）。所有测量均在基线（T0）、首次治疗后（T1）、最后一次治疗后（T2）以及治疗后1个月（T3）进行。
与其他治疗方法相比，S-DN治疗组的ROM评分改善不太显著。与CT组相比，D-DN组和S-DN组在所有时间点的静息和运动时VAS评分均降低。所有组的NDI评分均下降，而无论采用何种治疗方法，EQ5D3L评分在组间或任何时间点均无变化。
我们的研究结果表明，所有三种方法在治疗MPS方面均有效，由于其时间效率，D-DN可能是比S-DN和CT更优选的方法。
