Contribution of dry needling to individualized physical therapy treatment of shoulder pain: A randomized clinical trial

Pérez-Palomares, Sara ; Oliván-Blázquez, Bárbara (Universidad de Zaragoza) ; Pérez-Palomares, Ana (Universidad de Zaragoza) ; Gaspar-Calvo, Elena (Universidad de Zaragoza) ; Pérez-Benito, Marina (Universidad de Zaragoza) ; López-Lapeña, Elena ; Torre Beldarraín, María Luisa de la ; Magallón-Botaya, Rosa (Universidad de Zaragoza)

Resumen: STUDY DESIGN: Multicenter, parallel randomized clinical trial. BACKGROUND: Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. OBJECTIVES: To investigate the effectiveness of dry needling in addition to evidence-based personalized physical therapy treatment in the treatment of shoulder pain. METHODS: One hundred twenty patients with nonspecific shoulder pain were randomly allocated into 2 parallel groups: (1) personalized, evidencebased physical therapy treatment; and (2) trigger point dry needling in addition to personalized, evidence-based physical therapy treatment. Patients were assessed at baseline, posttreatment, and 3-month follow-up. The primary outcome measure was pain assessed by a visual analog scale at 3 months, and secondary variables were joint range-of-motion limitations, Constant-Murley score for pain and function, and number of active MTrPs. Clinical efficacy was assessed using intention-to-treat analysis. RESULTS: Of the 120 enrolled patients, 63 were randomly assigned to the control group and 57 to the intervention group. There were no significant differences in outcome between the 2 treatment groups. Both groups showed improvement over time. CONCLUSION: Dry needling did not offer benefits in addition to personalized, evidencebased physical therapy treatment for patients with nonspecific shoulder pain. Copyright

Idioma: Inglés

DOI: 10.2519/jospt.2017.6698

Año: 2017

Publicado en: JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY 47, 1 (2017), 11-20, B1-B9
ISSN: 0190-6011

Factor impacto JCR: 3.09 (2017)

Categ. JCR: ORTHOPEDICS rank: 12 / 77 = 0.156 (2017) - Q1 - T1
Categ. JCR: SPORT SCIENCES rank: 14 / 81 = 0.173 (2017) - Q1 - T1
Categ. JCR: REHABILITATION rank: 8 / 63 = 0.127 (2017) - Q1 - T1

Factor impacto SCIMAGO: 1.357 - Medicine (miscellaneous) (Q1) - Sports Science (Q1) - Physical Therapy, Sports Therapy and Rehabilitation (Q1)

Financiación: info:eu-repo/grantAgreement/ES/DGA/E22
Financiación: info:eu-repo/grantAgreement/ES/FIS/PI07-90924
Financiación: info:eu-repo/grantAgreement/ES/MINECO/MTM2014-53340-P

Tipo y forma: Artículo (PostPrint)

Área (Departamento): Área Estadís. Investig. Opera. (Dpto. Métodos Estadísticos)
Área (Departamento): Área Psicología Social (Dpto. Psicología y Sociología)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)