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Author (up) Perez-Palomares, S.; Olivan-Blazquez, B.; Perez-Palomares, A.; Gaspar-Calvo, E.; Perez-Benito, M.; Lopez-Lapena, E.; de la Torre-Beldarrain, M.L.; Magallon-Botaya, R. url  doi
  Title Contribution of Dry Needling to Individualized Physical Therapy Treatment of Shoulder Pain: A Randomized Clinical Trial Type of Study
  Year 2017 Publication The Journal of Orthopaedic and Sports Physical Therapy Abbreviated Journal J Orthop Sports Phys Ther  
  Volume 47 Issue 1 Pages 11-20  
  Keywords Adult; Aged; Combined Modality Therapy; Evidence-Based Medicine; Exercise Therapy/*methods; Female; Humans; Intention to Treat Analysis; Male; Middle Aged; Myofascial Pain Syndromes; *Needles; Outcome Assessment (Health Care); *Pain Measurement; Range of Motion, Articular; Shoulder Pain/physiopathology/*therapy; Trigger Points/*physiopathology; *dry needling; *myofascial trigger points; *personalized physical therapy treatment  
  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 (ISRCTN30907460). J Orthop Sports Phys Ther 2017;47(1):11-20. Epub 9 Dec 2016. doi:10.2519/jospt.2017.6698.  
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:27937046 Approved no  
  Call Number OCOM @ refbase @ Serial 2213  
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