Article

The aim of this review was to describe the effects of ischemic compression and
dry needling on trigger points in the upper trapezius muscle in patients with
neck pain and compare these two interventions with other therapeutic
interventions aiming to inactivate trigger points. Both PubMed and Web of Science
were searched for randomized controlled trials using different key word
combinations related to myofascial neck pain and therapeutic interventions. Four
main outcome parameters were evaluated on short and medium term: pain, range of
motion, functionality, and quality-of-life, including depression. Fifteen
randomized controlled trials were included in this systematic review. There is
moderate evidence for ischemic compression and strong evidence for dry needling
to have a positive effect on pain intensity. This pain decrease is greater
compared with active range of motion exercises (ischemic compression) and no or
placebo intervention (ischemic compression and dry needling) but similar to other
therapeutic approaches. There is moderate evidence that both ischemic compression
and dry needling increase side-bending range of motion, with similar effects
compared with lidocaine injection. There is weak evidence regarding its effects
on functionality and quality-of-life. On the basis of this systematic review,
ischemic compression and dry needling can both be recommended in the treatment of
neck pain patients with trigger points in the upper trapezius muscle. Additional
research with high-quality study designs are needed to develop more conclusive
evidence.

Langue : ANGLAIS