Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-14 DOI:10.1016/j.jbmt.2024.07.003

María José Guzmán-Pavón , Ana Isabel Torres-Costoso , Iván Cavero-Redondo , Sara Reina-Gutiérrez , Patricia Lorenzo-García , Celia Álvarez-Bueno

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引用次数: 0

Abstract

Objective

The combination of dry needling and stretching has been proposed for the treatment of myofascial trigger points (MTPs), but it is not currently known whether the combination of both interventions would be of greater interest than the application of stretching alone. Thus, this systematic review aimed to compare the effectiveness of deep dry needling with stretching versus stretching alone on pain among patients with MTPs.

Methods

The PubMed, Web of Science, Cochrane Library, and Scopus databases were searched to identify studies analysing the effect of deep dry needling in combination with stretching versus stretching alone for the treatment of pain. The Cochrane risk of bias 2 tool (RoB2) was used to assess the risk of bias, and the DerSimonian‒Laird method was applied to estimate the pooled standard effect sizes (ESs) and their 95% confidence intervals (95% CIs).

Results

Five randomized controlled trials were included in this systematic review, and their pooled ES for pain was −1.73 (95% CI: −3.06; −0.40). The RoB2 tool revealed that four studies had an unclear risk of bias, and one study had a high risk of bias.

Conclusions

Adding deep dry needling to stretching for the treatment of MTP may be an effective approach for the treatment of pain in patients with MTPs. Further research is needed to clarify the ideal number of local twitch responses to perform during deep dry needling.

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深层干针疗法结合拉伸疗法治疗肌筋膜触发点患者疼痛的疗效：系统回顾与荟萃分析

目的有人建议将干针疗法和拉伸疗法结合起来治疗肌筋膜触发点（MTPs），但目前尚不清楚这两种干预方法的结合是否比单独应用拉伸疗法更有效。因此，本系统性综述旨在比较深层干针疗法与拉伸疗法对 MTPs 患者疼痛的疗效。方法检索了 PubMed、Web of Science、Cochrane Library 和 Scopus 数据库，以确定分析深层干针疗法与拉伸疗法结合治疗疼痛效果的研究。结果本系统综述共纳入了五项随机对照试验，其疼痛的汇总效应大小为-1.73（95% CI：-3.06；-0.40）。RoB2工具显示，四项研究的偏倚风险不明确，一项研究的偏倚风险较高。结论在拉伸治疗MTP的基础上增加深层干针疗法可能是治疗MTP患者疼痛的有效方法。需要进一步研究以明确在深层干针疗法中进行局部抽搐反应的理想次数。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.