Comparing the remote effects of dry needling and ischemic pressure on pain intensity and threshold of the myofascial trigger points in women: A Single Blinded Randomized Clinical Trial

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine Pub Date : 2023-12-16 DOI:10.1016/j.ijosm.2023.100701

Tabassom Ghanavati , Hakimeh Adigozali , Mandana Rezaei , Neda Gilani , Jalal Ahadi

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引用次数: 0

Abstract

Objective

The current study aimed to investigate the remote effects of upper trapezius (UT) Dry needling (DN) and ischemic pressure (IP) on the pain intensity and threshold of the MTrPs in the extensor carpi radialis longus (ECRL) and the first dorsal interosseous (FDI) muscles.

Methods

Twenty-eight subjects were allocated into two groups in a randomized clinical trial study undergoing DN and IP interventions on the MTrPs of the UT muscle for 3 sessions. Pressure pain intensity was assessed by visual analog scale (VAS) and pressure pain threshold (PPT) before and after interventions. Upper limb functions were evaluated by the disabilities of the arm, shoulder, and hand (DASH) questionnaire.

Results

There were significant interactions between muscle, group, and time for PPT, muscle and group, group and time, and muscle and time for VAS (P < 0.05). In DN group, PPTs and VAS of the ECRL and FDI were changed after treatment in all sessions (P < 0.05). In ECRL and FDI muscles, the DN was more effective than IP (P < 0.05). Comparing the pain intensity and threshold of the ECRL, FDI, and UT muscles it was revealed that the improvement in symptoms of the ECRL muscle was the most in the DN group (P < 0.05). There was a significant interaction between group and time for DASH (P < 0.05). In both groups, the DASH score was reduced (P < 0.001).

Conclusions

UT muscle DN demonstrated significantly better remote effects in alleviating symptoms of the ipsilateral distal muscles than IP. Both interventions were effective in improving the upper limb function in myofascial pain syndrome patients.

Implications for practice

•
This study evaluated the remote effects of most common treatments on myofascial trigger points.
•
Dry needling showed therapeutic effects on pain alleviation in terms of both immediate and short term in the extensor carpi radialis longus muscle.
•
First dorsal interosseous pain threshold and intensity improved following dry needling of the upper trapezius while it is not connected to the upper trapezius muscle myofascially.

查看原文本刊更多论文

比较干针疗法和缺血压力疗法对女性肌筋膜触发点疼痛强度和阈值的远程影响：单盲随机临床试验

目的本研究旨在探讨斜方肌干针疗法（DN）和缺血性压力疗法（IP）对桡侧长伸肌（ECRL）和第一背侧骨间肌（FDI）的MTrPs疼痛强度和阈值的远程影响。通过视觉模拟量表（VAS）和压痛阈值（PPT）评估干预前后的压痛强度。结果PPT在肌肉、组别和时间之间，VAS在肌肉和组别、组别和时间以及肌肉和时间之间存在显著的交互作用（P < 0.05）。在 DN 组中，ECRL 和 FDI 的 PPT 和 VAS 在所有疗程治疗后都发生了变化（P < 0.05）。在 ECRL 和 FDI 肌肉中，DN 比 IP 更有效（P < 0.05）。比较 ECRL、FDI 和 UT 肌肉的疼痛强度和阈值发现，DN 组对 ECRL 肌肉症状的改善最大（P < 0.05）。在 DASH 方面，组别与时间之间存在明显的交互作用（P < 0.05）。两组的 DASH 评分均有所降低（P <0.001）。结论：DN 在缓解同侧远端肌肉症状方面的远期效果明显优于 IP。两种干预方法都能有效改善肌筋膜疼痛综合征患者的上肢功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.