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Author 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 RCT
  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 AcuTrials; RCT; Shoulder Pain; Musculoskeletal Diseases; Acu Versus Usual Care; Dry Needling, With Acupuncture Needle; Myofascial Trigger Points; MTrPs; 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 (ISRCTN30907460). J Orthop Sports Phys Ther 2017;47(1):11-20. Epub 9 Dec 2016. doi:10.2519/jospt.2017.6698.  
  Address Dr. Barbara Olivan-Blazquez, Department of Psychology and Sociology, University of Zaragoza, Violante de Hungria 23, 50-009 Zaragoza, Spain  
  Language English Number of Treatments 3  
  Treatment Follow-up Frequency <1/WK Number of Participants 120  
  Time in Treatment 10 Weeks Condition Shoulder Pain
  Disease Category Shoulder Pain OCSI Score  
  Notes PMID:27937046 Approved yes  
  Call Number OCOM @ refbase @ Serial 2213  
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