AcuTrials

Contribution of Dry Needling to Individualized Physical Therapy Treatment of Shoulder Pain: A Randomized Clinical Trial

Item

Title

Contribution of Dry Needling to Individualized Physical Therapy Treatment of Shoulder Pain: A Randomized Clinical Trial

Author(s)

Perez-Palomares, S.
Olivan-Blazquez, B.
Perez-Palomares, A.
de la Torre-Beldarrain, M.L.
Magallon-Botaya, R.

Journal Publication

The Journal of Orthopaedic and Sports Physical Therapy

Date

2017

volume

47(1)

Research Type

RCT

Keywords

Musculoskeletal Diseases
Acu Versus Usual Care
Dry Needling, With Acupuncture Needle
Myofascial Trigger Points
Individualized Acupuncture Protocol
Manualized Acupuncture Protocol
Symptom Based Point Selection
Usual Care Control, Physical

Abstract

Study Design Multicenter, parallel randomized clinical trial. Background Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. Objectives To investigate the effectiveness of dry needling in addition to evidence-based personalized physical therapy treatment in the treatment of shoulder pain. Methods One hundred twenty patients with nonspecific shoulder pain were randomly allocated into 2 parallel groups: (1) personalized, evidencebased physical therapy treatment; and (2) trigger point dry needling in addition to personalized, evidence-based physical therapy treatment. Patients were assessed at baseline, posttreatment, and 3-month follow-up. The primary outcome measure was pain assessed by a visual analog scale at 3 months, and secondary variables were joint range-of-motion limitations, Constant-Murley score for pain and function, and number of active MTrPs. Clinical efficacy was assessed using intention-to-treat analysis. Results Of the 120 enrolled patients, 63 were randomly assigned to the control group and 57 to the intervention group. There were no significant differences in outcome between the 2 treatment groups. Both groups showed improvement over time. Conclusion Dry needling did not offer benefits in addition to personalized, evidencebased physical therapy treatment for patients with nonspecific shoulder pain. Level of Evidence Therapy, level 1b. Registered February 11, 2009 at www.isrctn.com (ISRCTN30907460). J Orthop Sports Phys Ther 2017;47(1):11-20. Epub 9 Dec 2016. doi:10.2519/jospt.2017.6698.

doi

10.2519/jospt.2017.6698

pmid

PMID:27937046

Language

English

Frequency of Treatment

<1/WK

Time in Treatment

10 Weeks

has health condition studied

Shoulder Pain

has study population number

120

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