The effect of combining physiotherapy with dry needling in patients with cervical spondylosis: A randomized controlled trial.

IF 1.4 4区 医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230287
Alper Mengi, Gül Tugba Bulut
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Abstract

Background: There are no data on the additional contribution of dry needling (DN) for trigger points (TPs) accompanying patients with cervical spondylosis (CS).

Objective: To analyse the contribution of DN applied to concomitant active TPs in the upper trapezius muscle on the treatment outcomes of physiotherapy in CS.

Methods: In this prospective randomized controlled study, 70 patients with CS and active TPs in the upper trapezius muscle were included. The first group received physiotherapy for 5 days per week for 3 weeks. The second group received DN with the same program. All participants were evaluated before treatment (day 0) and at the end of treatment (day 21) in terms of pain, functional status, quality of life, anxiety/depression scores, and number of TPs.

Results: 33 patients in the first group and 32 patients in the second group completed the study. While the change over time was found significant in all variables, the change was not different between groups. The group-time interaction effect was not found to be statistically significant in any variable. Percentage changes of all variables were similar between the groups.

Conclusion: DN treatment added to the physiotherapy did not contribute to recovery in patients with CS.

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物理治疗与干针疗法相结合对颈椎病患者的影响:随机对照试验。
背景:关于干针疗法(DN)对伴有颈椎病(CS)的触发点(TPs)的额外贡献,目前尚无数据:分析对斜方肌上部同时存在的活动性触发点进行干针治疗对 CS 物理治疗效果的影响:在这项前瞻性随机对照研究中,共纳入了 70 名患有 CS 且斜方肌上部有活动性 TPs 的患者。第一组接受每周 5 天的物理治疗,为期 3 周。第二组接受相同项目的 DN 治疗。在治疗前(第 0 天)和治疗结束时(第 21 天),对所有参与者的疼痛、功能状态、生活质量、焦虑/抑郁评分和 TPs 数量进行评估:第一组 33 名患者和第二组 32 名患者完成了研究。虽然所有变量随时间的变化都很显著,但组间变化并无差异。在任何变量中,组与组之间的交互效应均无统计学意义。各组间所有变量的百分比变化相似:结论:在物理治疗的基础上进行 DN 治疗无助于 CS 患者的康复。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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