Vahedi G, Letafatkar A, Mosallanezhad Z, Hadadnezhad M, Menhaj M, Shojaedin S S. Dry Needling Plus Conventional Physiotherapy for Patients With Chronic Nonspecific Neck Pain: A Randomized Clinical Trial. PTJ 2021; 11 (3) :157-170
URL:
http://ptj.uswr.ac.ir/article-1-479-en.html
1- Department of Biomechanics and Sport Injuries, Faculty of Physical Education and Sport Science, University of Kharazmi, Tehran, Iran.
2- Department of Physical Therapy, Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3- Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Abstract: (3048 Views)
Purpose: This study aimed to evaluate the effect of conventional physiotherapy plus Dry Needling (DN) technique in patients with chronic nonspecific neck pain with Sternocleidomastoid (SCM) and Upper Trapezius (UT) muscles involvement.
Methods: This study was designed as a single-blind randomized clinical trial. A total of 39 patients (19 men and 21 women) with chronic non-specific neck pain with a Mean±SD age of 38.13±5.68 years, a Mean±SD height of 168.28±8.34 cm, and a Mean±SD weight of 75.78±9.02 kg participated in this study. They were randomly divided into conventional physiotherapy (control group: n=19) and conventional physiotherapy plus DN (intervention group: n=20). SCM and UT muscle pain, neck disability, and thickness were assessed for all participants in the pre-test, post-test, and follow-up periods. This study was reviewed and approved by the Faculty of Physical Education and Sport Science, University of Kharazmi, Tehran, Iran. Repeated measures analysis of variance and Bonferroni post hoc tests were used for data analysis using SPSS v. 22.
Results: The results of 1-way analysis of variance showed that pain, neck disability, and SCM and UT muscle thickness in the intervention group had a significant decrease compared to the control group in the post-test and follow-up period (P<0.05). Also, according to the results of the corrected Bonferroni post hoc test, the intervention group showed a greater effect size than the control group in the post-test and the follow-up periods in the above variables.
Conclusion: The present study results show that adding DN to conventional physiotherapy for neck pain can increase the effectiveness of intervention in relieving pain, disability, and SCM and UT muscle thickness in people with chronic neck pain.
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● The study is a quasi-experimental and double-blind randomized clinical trial on chronic non-specific neck pain.
● Adding dry needle to a conventional physiotherapy program would further reduce the severity of neck pain, further improve neck disability index,
●Adding dry needle to a conventional physiotherapy program would further improve neck disability index.
● Adding dry needle to a conventional physiotherapy program would further reduce thickness of Sternocleidomastoid (SCM) and Upper Trapezius (UT) muscles.
Plain Language Summary
Physiotherapists have access to many options of conventional Physiotherapy for patients. Nowadays, it is common that Physiotherapists use dry needling to release or inactivate trigger points to relieve pain or improve range of motion. Research supports that dry needling reduces pain and muscle tension, improve function, and facilitates return to active life. Previous studies suggested need for providing more evidence to support the value of adding dry needle conventional Physiotherapy. We conducted a randomized clinical trial to evaluate the effect of adding Dry Needle (DN) technique for Sternocleidomastoid (SCM) and Upper Trapezius (UT) muscles to conventional physiotherapy for patients with chronic nonspecific neck pain. Our results showed that adding dry needle to conventional Physiotherapy program would further reduce the severity of neck pain, further improve neck disability index, and further reduce muscle thickness in people with chronic nonspecific neck pain. This study provides a powerful evidence to support adding dry needle conventional Physiotherapy to improve the effectiveness of treatment for patients with chronic nonspecific neck pain
Type of Study:
Research |
Subject:
Special Received: 2020/10/6 | Accepted: 2020/12/26 | Published: 2021/07/1