María José Guzmán-Pavón , Ana Isabel Torres-Costoso , Iván Cavero-Redondo , Sara Reina-Gutiérrez , Patricia Lorenzo-García , Celia Álvarez-Bueno
{"title":"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","authors":"María José Guzmán-Pavón , Ana Isabel Torres-Costoso , Iván Cavero-Redondo , Sara Reina-Gutiérrez , Patricia Lorenzo-García , Celia Álvarez-Bueno","doi":"10.1016/j.jbmt.2024.07.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>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).</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1360859224003395/pdfft?md5=89ea1c845ffc5584973275d28117fdf0&pid=1-s2.0-S1360859224003395-main.pdf","citationCount":"0","resultStr":"{\"title\":\"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\",\"authors\":\"María José Guzmán-Pavón , Ana Isabel Torres-Costoso , Iván Cavero-Redondo , Sara Reina-Gutiérrez , Patricia Lorenzo-García , Celia Álvarez-Bueno\",\"doi\":\"10.1016/j.jbmt.2024.07.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>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).</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div>\",\"PeriodicalId\":51431,\"journal\":{\"name\":\"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-07-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1360859224003395/pdfft?md5=89ea1c845ffc5584973275d28117fdf0&pid=1-s2.0-S1360859224003395-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1360859224003395\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1360859224003395","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
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
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.
期刊介绍：
The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina
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