scholarly journals SHORT-TERM EFFECTS OF TRIGGER POINT DRY NEEDLING ON PAIN AND DISABILITY IN SUBJECTS WITH PATELLOFEMORAL PAIN SYNDROME

2018 ◽  
Vol 13 (3) ◽  
pp. 462-473 ◽  
Author(s):  
Thomas G. Sutlive ◽  
Andrew Golden ◽  
Kristin King ◽  
William B. Morris ◽  
John E. Morrison ◽  
...  
2019 ◽  
Vol 22 (01n02) ◽  
pp. 1950005
Author(s):  
Hassan Shakeri ◽  
Manijeh Soleimanifar ◽  
Leila Nejad ◽  
Amir Massoud Arab

Purpose and Hypothesis: Trigger points (TrP) is one of the most common causes of musculoskeletal disorders. Myofascial trigger point in vastus lateralis muscle has been reported high prevalently in subjects with patellofemoral pain syndrome. The purpose of this study was to investigate the effects of dry needling and kinesio tape on trigger point in vastus lateralis muscle. Randomized controlled trial designed to investigate the effect of Dry Needling (DN) and Kinesio Taping (KT) on pain intensity and knee disability after session’s treatment in individuals with trigger point (TrP) in Vastus Lateralis (VL) muscle. Methods: 30 subjects with TrP in the VL muscle participated in this study. Subjects were randomly assigned to a DN group ([Formula: see text]) or KT group ([Formula: see text]). Results: Statistical analysis (paired [Formula: see text]-test) revealed a significant improvement in VAS during activity and KOOS scores after three sessions treatment in both of groups compared with before treatment ([Formula: see text]). But PPT was not increased after one week treatment. VAS using an algometer was decreased only at DN group ([Formula: see text]). The results showed no significant changes in variables immediately after intervention. The ANCOVA revealed no significant differences between the DN and KT groups on the post-measurement VAS during activity, VAS using an algometer, PPT, KOOS scores ([Formula: see text]). Conclusion: DN and KT produce an improvement in pain intensity and knee disability and may be prescribed for PFPS subjects with TrP in VL muscle especially when pain relief is the goal of the treatment.


2020 ◽  
Vol 38 (6) ◽  
pp. 371-379
Author(s):  
Shabnam Behrangrad ◽  
Maryam Abbaszadeh-Amirdehi ◽  
Amin Kordi Yoosefinejad ◽  
Seyed Mokhtar Esmaeilnejadganji

Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the knee versus dry needling (DN) with respect to pain, functional status and sensitivity to mechanical stimulation of vastus medialis obliquus (VMO) myofascial trigger points (MTrPs) in patients with patellofemoral pain syndrome (PFPS). Methods: A total of 54 patients with unilateral PFPS aged 20–30 years were selected randomly from patients referred to physical therapy clinics of Babol University of Medical Sciences in Iran. Twenty-seven patients were allocated to either IC or DN groups. Three sessions of treatment were applied over 1 week with follow-up at 1 week, 1 month and 3 months. Primary outcome measures comprised the Kujala questionnaire score for functional status, numerical pain rating scale (NPRS) for pain intensity and pressure pain threshold (PPT) for sensitivity to mechanical stimulation; these were measured and recorded before treatment and 1 week, 1 month and 3 months after the last treatment session. Results: There were no statistically significant differences in the between-group comparisons of any variables at the various follow-up points. Both groups (n = 27 participants each) had significant improvements (p < 0.05) in pain, functional status and PPT values at follow-up. Conclusions: There were no differences in markers of pain, function or pressure sensitivity over a 3-month follow-up period between patients with PFPS treated with DN and IC. Temporal improvements in both groups suggested that the two techniques may be similarly effective for the treatment of PFPS.


2016 ◽  
Vol 25 ◽  
pp. e82 ◽  
Author(s):  
A.I. de-la-Llave-Rincón ◽  
B. Loa-Barbero ◽  
M. Palacios-Ceña ◽  
J. Salom-Moreno ◽  
R. Ortega-Santiago ◽  
...  

2020 ◽  
Vol 9 (7) ◽  
pp. 2044 ◽  
Author(s):  
Youssef Rahou-El-Bachiri ◽  
Marcos J. Navarro-Santana ◽  
Guido F Gómez‐Chiguano ◽  
Joshua Cleland ◽  
Ibai López‐de‐Uralde‐ Villanueva ◽  
...  

Background: To evaluate the effect of trigger point dry needling alone or as an adjunct with other interventions on pain and related disability in people with knee pain. Methods: Several electronic databases were searched for randomized controlled trials where at least one group received dry needling for knee pain. Studies had to include human subjects and collect outcomes on pain and pain-related disability in musculoskeletal knee pain. Data were extracted by two reviewers. The risk of bias was assessed by the Cochrane Guidelines, methodological quality was assessed with the Physiotherapy Evidence Database (PEDro) score, and the quality of evidence by using the GRADE approach. Standardized mean differences (SMD) were calculated. Results: Ten studies (six patellofemoral pain, two knee osteoarthritis, two post-surgery knee pain) were included. The meta-analysis found moderate effect sizes of dry needling for reducing pain (SMD −0.53, 95% CI −0.87 to −0.19) and improving related disability (SMD −0.58, 95% CI −1.08 to −0.09) as compared to a comparison group at short-term. The main effect was observed for patellofemoral pain (SMD −0.64, 95% CI −1.17 to −0.11). No significant effects were observed at mid- or long-term follow-ups. The risk of bias was generally low, but the heterogenicity and the imprecision of the results downgraded the level of evidence. Conclusion: Low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain, but not knee osteoarthritis or post-surgery knee pain, at short-term. More high-quality trials investigating long-term effects are clearly needed.


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