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Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial

INTRODUCTION: Myofascial pain syndrome (MPS) affects most patients with chronic shoulder pain. Dry needling (DN) is a common treatment for MPS, but its temporal pattern and sensory effects remain unknown. OBJECTIVES: We evaluated in a randomized, sham-controlled study the pattern of analgesic effica...

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Autores principales: Pai, Marcus Yu Bin, Toma, Juliana Takiguti, Kaziyama, Helena Hideko Seguchi, Listik, Clarice, Galhardoni, Ricardo, Yeng, Lin Tchia, Teixeira, Manoel Jacobsen, Ciampi de Andrade, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240781/
https://www.ncbi.nlm.nih.gov/pubmed/34235343
http://dx.doi.org/10.1097/PR9.0000000000000939
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author Pai, Marcus Yu Bin
Toma, Juliana Takiguti
Kaziyama, Helena Hideko Seguchi
Listik, Clarice
Galhardoni, Ricardo
Yeng, Lin Tchia
Teixeira, Manoel Jacobsen
Ciampi de Andrade, Daniel
author_facet Pai, Marcus Yu Bin
Toma, Juliana Takiguti
Kaziyama, Helena Hideko Seguchi
Listik, Clarice
Galhardoni, Ricardo
Yeng, Lin Tchia
Teixeira, Manoel Jacobsen
Ciampi de Andrade, Daniel
author_sort Pai, Marcus Yu Bin
collection PubMed
description INTRODUCTION: Myofascial pain syndrome (MPS) affects most patients with chronic shoulder pain. Dry needling (DN) is a common treatment for MPS, but its temporal pattern and sensory effects remain unknown. OBJECTIVES: We evaluated in a randomized, sham-controlled study the pattern of analgesic efficacy and local sensory changes of a single session of DN for MPS in patients with chronic shoulder pain. METHODS: Patients with chronic shoulder pain were randomized into active (n = 20) or sham (n = 21) groups. A single DN was performed by a researcher blinded to group assignment and pain outcomes. Pain intensity was assessed by the numeric rating score, and sensory thresholds were evaluated with a quantitative sensory testing protocol, including the area of tactile sensory abnormalities 7 days before needling, right before, and 7 days after the intervention. RESULTS: Dry needling led to significant larger pain intensity reduction (from 6.30 ± 2.05 to 2.40 ± 2.45 in the active group; P = 0.02, effect size = −1.3 (95% CI [−2.0 to −0.68]); (number necessary to treat = 2.1). Pain reduction scores were significantly different on the second day after needling and persisted so until the seventh day and were accompanied by improvement in other dimensions of pain and a decrease in the area of mechanical hyperalgesia in the active DN group alone (P < 0.05). CONCLUSION: Active trigger points DN provided analgesic effects compared with sham and decreased the area of local mechanical hyperalgesia. These findings have practical clinical implications and may provide mechanistic insights behind MPS.
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spelling pubmed-82407812021-07-06 Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial Pai, Marcus Yu Bin Toma, Juliana Takiguti Kaziyama, Helena Hideko Seguchi Listik, Clarice Galhardoni, Ricardo Yeng, Lin Tchia Teixeira, Manoel Jacobsen Ciampi de Andrade, Daniel Pain Rep General Section INTRODUCTION: Myofascial pain syndrome (MPS) affects most patients with chronic shoulder pain. Dry needling (DN) is a common treatment for MPS, but its temporal pattern and sensory effects remain unknown. OBJECTIVES: We evaluated in a randomized, sham-controlled study the pattern of analgesic efficacy and local sensory changes of a single session of DN for MPS in patients with chronic shoulder pain. METHODS: Patients with chronic shoulder pain were randomized into active (n = 20) or sham (n = 21) groups. A single DN was performed by a researcher blinded to group assignment and pain outcomes. Pain intensity was assessed by the numeric rating score, and sensory thresholds were evaluated with a quantitative sensory testing protocol, including the area of tactile sensory abnormalities 7 days before needling, right before, and 7 days after the intervention. RESULTS: Dry needling led to significant larger pain intensity reduction (from 6.30 ± 2.05 to 2.40 ± 2.45 in the active group; P = 0.02, effect size = −1.3 (95% CI [−2.0 to −0.68]); (number necessary to treat = 2.1). Pain reduction scores were significantly different on the second day after needling and persisted so until the seventh day and were accompanied by improvement in other dimensions of pain and a decrease in the area of mechanical hyperalgesia in the active DN group alone (P < 0.05). CONCLUSION: Active trigger points DN provided analgesic effects compared with sham and decreased the area of local mechanical hyperalgesia. These findings have practical clinical implications and may provide mechanistic insights behind MPS. Wolters Kluwer 2021-06-28 /pmc/articles/PMC8240781/ /pubmed/34235343 http://dx.doi.org/10.1097/PR9.0000000000000939 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle General Section
Pai, Marcus Yu Bin
Toma, Juliana Takiguti
Kaziyama, Helena Hideko Seguchi
Listik, Clarice
Galhardoni, Ricardo
Yeng, Lin Tchia
Teixeira, Manoel Jacobsen
Ciampi de Andrade, Daniel
Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial
title Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial
title_full Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial
title_fullStr Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial
title_full_unstemmed Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial
title_short Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial
title_sort dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial
topic General Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240781/
https://www.ncbi.nlm.nih.gov/pubmed/34235343
http://dx.doi.org/10.1097/PR9.0000000000000939
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