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Author (up) Arias-Buria, J.L.; Valero-Alcaide, R.; Cleland, J.A.; Salom-Moreno, J.; Ortega-Santiago, R.; Atin-Arratibel, M.A.; Fernandez-de-Las-Penas, C. doi  openurl
  Title Inclusion of Trigger Point Dry Needling in a Multimodal Physical Therapy Program for Postoperative Shoulder Pain: A Randomized Clinical Trial Type of Study Journal Article
  Year 2015 Publication Journal of manipulative and physiological therapeutics Abbreviated Journal J Manipulative Physiol Ther  
  Volume Issue Pages  
  Keywords Shoulder Pain; Rct; Postoperative; Pain, Perioperative; Acu + Usual Care Versus Usual Care; Acupuncture; Dry Needling, With Acupuncture Needle; Semi-Individualized Acupuncture Protocol; Symptom Based Point Selection; Trigger Point Acupuncture Style; Restricted Modalities, Acupuncture Only; Usual Care Control, Physical  
  Abstract OBJECTIVE: The purpose of this study was to evaluate the effects of including 1 session of trigger point dry needling (TrP-DN) into a multimodal physiotherapy treatment on pain and function in postoperative shoulder pain. METHODS: Twenty patients (5 male; 15 female; age, 58 +/- 12 years) with postoperative shoulder pain after either open reduction and internal fixation with Proximal Humeral Internal Locking System plate plate or rotator cuff tear repair were randomly divided into 2 groups: physiotherapy group (n = 10) who received best evidence physical therapy interventions and a physical therapy plus TrP-DN group (n = 10) who received the same intervention plus a single session of TrP-DN targeted at active TrPs. The Constant-Murley score was used to determine pain, activities of daily living, range of motion, and strength, which was captured at baseline and 1 week after by an assessor blinded to group assignment RESULTS: Analysis of variance showed that subjects receiving TrP-DN plus physical therapy exhibited greater improvement in the Constant-Murley total score (P < .001) and also activities of daily living (P < .001) and strength (P = .019) subscales than those receiving physical therapy alone. Between-group effect sizes were large in favor of the TrP-DN group (0.97 < SMD < 1.45). Both groups experienced similar improvements in pain (P < .001) and range of motion (P < .001). CONCLUSIONS: Our results suggest that including a single session of TrP-DN in the first week of a multimodal physical therapy approach may assist with faster increases in function in individuals with postoperative shoulder pain.  
  Publisher Copyright (c) 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
  Language Number of Treatments  
  Treatment Follow-up Frequency Journal of manipulative and physiological therapeutics Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes Date of Input: 3/10/2015; Date Modified: 4/7/2015; Availability: --In File--; Priority: Normal; Shoulder Pain; Clinician, Department of Physical Therapy, Hospital Universitario Gregorio Maranon, Madrid, Spain; Eng; Web: Approved no  
  Call Number OCOM @ refbase @ Serial 1744  
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