Periosteal Electrical Dry Needling Efficacy in Knee Osteoarthritis: A Systematic Review.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY

Current Pain and Headache Reports Pub Date : 2025-02-15 DOI:10.1007/s11916-025-01362-7

Alan D Kaye, Olivia Mipro, Brynne E Tynes, Brennan Abbott, Caylin Roberts, Jelena Vučenović, Kyle Jenks, Matthew Sharpe, Isabella B Lentz, Shahab Ahmadzadeh, Varsha Allampalli, Saajid Azhar, Noah Embry, Sahar Shekoohi

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引用次数: 0

Abstract

Purpose of review: Osteoarthritis is a "wear and tear" injury characterized by degeneration of articular cartilage, formation of osteophytes, microfractures, and sclerosis. These physiological changes result in joint pain, stiffness, and deformity. One potential treatment for this is periosteal electrical dry needling.

Recent findings: We performed a systematic search for studies in PubMed, Google Scholar, Embase, and Cochrane. Sources published from 2014 to the present were eligible for inclusion in the review. After an initial search, 48 studies were identified, 22 of which were duplicates that were subsequently removed. The remaining 26 were filtered by title and abstract, resulting in six studies approved for final analysis. Of the six, four found significant improvement in pain and mobility after dry needling was administered as either an adjuvant or stand-alone therapy. Electrical Dry Needling is a promising treatment for Knee Osteoarthritis. More large-scale randomized control trials are needed to evaluate its efficacy as a stand-alone treatment more fully. This review demonstrates some support for dry needling in alleviating knee pain and immobility. Future studies are needed to examine the long-term effects of dry needling and its comparative efficacy to standard treatment.

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审查目的：骨关节炎是一种 "磨损性 "损伤，其特点是关节软骨退化、骨质增生、微骨折和硬化。这些生理变化导致关节疼痛、僵硬和变形。骨膜电干针疗法是一种潜在的治疗方法：我们对 PubMed、Google Scholar、Embase 和 Cochrane 中的研究进行了系统检索。从 2014 年至今发表的资料均符合纳入综述的条件。经过初步检索，共发现 48 项研究，其中 22 项为重复研究，随后被删除。剩余的 26 项研究根据标题和摘要进行了筛选，最终有 6 项研究获准进行最终分析。在这六项研究中，有四项研究发现干针疗法作为辅助疗法或独立疗法后，疼痛和活动能力均有明显改善。电气干针疗法是一种很有前景的膝关节骨性关节炎治疗方法。需要更多大规模的随机对照试验来更全面地评估其作为独立疗法的疗效。本综述在一定程度上支持干针疗法缓解膝关节疼痛和活动不便。今后还需要进行研究，以考察干针疗法的长期效果及其与标准疗法的疗效比较。

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来源期刊

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.