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Author (up) Llamas-Ramos, R.; Pecos-Martin, D.; Gallego-Izquierdo, T.; Llamas-Ramos, I.É.S.; Plaza-Manzano, G.; Ortega-Santiago, R.; Cleland, J.; FernÁNdez-De-Las-PeÑAs, C.É.S. url  doi
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  Title Comparison of the Short-Term Outcomes Between Trigger Point Dry Needling and Trigger Point Manual Therapy for the Management of Chronic Mechanical Neck Pain: A Randomized Clinical Trial Type of Study Journal Article
  Year 2014 Publication Journal of Orthopaedic & Sports Physical Therapy Abbreviated Journal J Orthop Sports Phys Ther  
  Volume 44 Issue 11 Pages 852-861  
  Keywords Trigger Point -- Therapy; Needles -- Utilization; Manual Therapy; Pain Threshold; Functional Status; Range of Motion; Neck Pain -- Therapy; Human; Spain; Randomized Controlled Trials; Random Assignment; Intervention Trials; Pretest-Posttest Design; Alternative Therapies; Chronic Pain -- Therapy; Adult; Male; Female; Pain Measurement; Scales; Questionnaires; Functional Assessment; Analysis of Variance; Repeated Measures; Confidence Intervals; Summated Rating Scaling; Self Report; Interrater Reliability; Intrarater Reliability; Algometry; Biophysical Instruments; Power Analysis; Two-Tailed Test; Data Analysis Software; P-Value; Descriptive Statistics  
  Abstract STUDY DESIGN; Randomized clinical study. OBJECTIVES: To compare the effects of trigger point (TrP) dry needling (DN) and TrP manual therapy (MT) on pain, function, pressure pain sensitivity, and cervical range of motion in subjects with chronic mechanical neck pain. BACKGROUND: Recent evidence suggests that TrP DN could be effective in the treatment of neck pain. However, no studies have directly compared the outcomes of TrP DN and TrP MT in this population. METHODS: Ninety-four patients (mean ± SD age, 31 ± 3 years; 66% female) were randomized into a TrP DN group (n = 47) or a TrP MT group (n = 47). Neck pain intensity (11-point numeric pain rating scale), cervical range of motion, and pressure pain thresholds (PPTs) over the spinous process of C7 were measured at baseline, postintervention, and at follow-ups of 1 week and 2 weeks after treatment. The Spanish version of the Northwick Park Neck Pain Questionnaire was used to measure disability/function at baseline and the 2-week follow-up. Mixed-model, repeated-measures analyses of variance (ANOVAs) were used to determine if a time-by-group interaction existed on the effects of the treatment on each outcome variable, with time as the within-subject variable and group as the between-subject variable. RESULTS: The ANOVA revealed that participants who received TrP DN had outcomes similar to those who received TrP MT in terms of pain, function, and cervical range of motion. The 4-by-2 mixed-model ANOVA also revealed a significant time-by-group interaction (P<.001) for PPT: patients who received TrP DN experienced a greater increase in PPT (decreased pressure sensitivity) than those who received TrP MT at all follow-up periods (between-group differences: posttreatment, 59.0 kPa; 95% confidence interval [Cl]: 40.0, 69.2; 1- week follow-up, 69.2 kPa; 95% Cl: 49.5, 79.1; 2- week follow-up, 78.9 kPa; 95% Cl: 49.5, 89.0). CONCLUSION: The results of this clinical trial suggest that 2 sessions of TrP DN and TrP MT resulted in similar outcomes in terms of pain, disability, and cervical range of motion. Those in the TrP DN group experienced greater improvements in PPT over the cervical spine. Future trials are needed to examine the effects of TrP DN and TrP MT over long-term follow-up periods,  
  Address Department of Physical Therapy, Franklin Pierce University, Concord, NH; Rehabilitation Services, Concord Hospital, Concord, NH; Manual Therapy Fellowship Program, Regis University, Denver, CO  
  Publisher American Physical Therapy Association, Orthopaedic Section
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes Accession Number: 107807283. Language: English. Entry Date: 20141120. Revision Date: 20150712. Publication Type: Journal Article; pictorial; research; tables/charts; randomized controlled trial. Commentary: Ware John W., Llamas-Ramos Rocio, Pecos-Martín Daniel, Gallego-Izquierdo Tomás, Llamas-Ramos Inés, Plaza-Manzano Gustavo, et al. MISREPORT OF TRIGGER POINT DIAGNOSIS RELIABILITY. (J ORTHOP SPORTS PHYS THER) Feb2015; 45 (2): 144-146. Journal Subset: Allied Health; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Pain and Pain Management; Physical Therapy; Sports Medicine. Instrumentation: Numeric Pain Rating Scale (NPRS); Northwick Park Neck Pain Questionnaire [Spanish version]. NLM UID: 7908150. Approved no  
  Call Number OCOM @ refbase @ 107807283 Serial 2342  
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