Article

OBJECTIVE: To evaluate current evidence of the effectiveness of dry needling of
myofascial trigger points (MTrPs) associated with neck and shoulder pain. DATA
SOURCES: PubMed, EBSCO, Physiotherapy Evidence Database, ScienceDirect, The
Cochrane Library, ClinicalKey, Wanfang Data Chinese database, China Knowledge
Resource Integrated Database, Chinese Chongqing VIP Information, and SpringerLink
databases were searched from database inception to January 2014. STUDY SELECTION:
Randomized controlled trials were performed to determine whether dry needling was
used as the main treatment and whether pain intensity was included as an outcome.
Participants were diagnosed with MTrPs associated with neck and shoulder pain.
DATA EXTRACTION: Two reviewers independently screened the articles, scored
methodological quality, and extracted data. The results of the study of pain
intensity were extracted in the form of mean and SD data. Twenty randomized
controlled trials involving 839 patients were identified for meta-analysis. DATA
SYNTHESIS: Meta-analyses were performed using RevMan version 5.2 and Stata
version 12.0. The results suggested that compared with control/sham, dry needling
of MTrPs was effective in the short term (immediately to 3 days) (standardized
mean difference [SMD]=-1.91; 95% confidence interval [CI], -3.10 to -.73; P=.002)
and medium term (SMD=-1.07; 95% CI, -1.87 to -.27; P=.009); however, wet needling
(including lidocaine) was superior to dry needling in relieving MTrP pain in the
medium term (SMD=1.69; 95% CI, .40-2.98; P=.01). Other therapies (including
physiotherapy) were more effective than dry needling in treating MTrP pain in the
medium term (9-28d) (SMD=.62; 95% CI, .02-1.21; P=.04). CONCLUSIONS: Dry needling
can be recommended for relieving MTrP pain in neck and shoulders in the short and
medium term, but wet needling is found to be more effective than dry needling in
relieving MTrP pain in neck and shoulders in the medium term.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS