toggle visibility Search & Display Options

Select All    Deselect All
 |   | 
Details
   print
  Record Links
Author Couto, C.; de Souza, I.C.C.; Torres, I.L.S.; Fregni, F.; Caumo, W. url  doi
openurl 
  Title Paraspinal Stimulation Combined With Trigger Point Needling and Needle Rotation for the Treatment of Myofascial Pain: A Randomized Sham-controlled Clinical Trial Type of Study Journal Article
  Year 2014 Publication Clinical Journal of Pain Abbreviated Journal Clin J Pain  
  Volume 30 Issue 3 Pages 214-223  
  Keywords Electrotherapy; Myofascial Pain Syndromes -- Therapy; Body Regions; Acupuncture; Adult; Analgesics -- Therapeutic Use; Anesthetics, Local -- Therapeutic Use; Female; Human; Lidocaine -- Therapeutic Use; Myofascial Pain Syndromes -- Drug Therapy; Needles; Pain Measurement; Pain Threshold; Psychological Tests; Quality of Life; Rotation; Self Report; Sleep; Time Factors; Treatment Outcomes; Young Adult  
  Abstract BACKGROUND: There are different types and parameters of dry needling (DN) that can affect its efficacy in the treatment of pain that have not been assessed properly. OBJECTIVE: To test the hypothesis that either multiple deep intramuscular stimulation therapy multiple deep intramuscular stimulation therapy (MDIMST) or TrP lidocaine injection (LTrP-I) is more effective than a placebo-sham for the treatment of myofascial pain syndrome (MPS) and that MDIMST is more effective than LTrP-I for improving pain relief, sleep quality, and the physical and mental state of the patient. METHODS: Seventy-eight females aged 20 to 40 who were limited in their ability to perform active and routine activities due to MPS in the previous 3 months were recruited. The participants were randomized into 1 of the 3 groups as follows: placebo-sham, LTrP-I, or MDIMST. The treatments were provided twice weekly over 4 weeks using standardized MDIMST and LTrP-I protocols. RESULTS: There was a significant interaction (time vs. group) for the main outcomes. Compared with the sham-treated group, MDIMST and LTrP-I administration improved pain scores based on a visual analog scale, the pain pressure threshold (P<0.001 for all analyses), and analgesic use (P<0.01 for all analyses). In addition, when comparing the active groups for these outcomes, MDIMST resulted in better improvement than LTrP-I (P<0.01 for all analyses). In addition, both active treatments had a clinical effect, as assessed by a sleep diary and by the SF-12 physical and mental health scores. CONCLUSIONS: This study highlighted the greater efficacy of MDIMST over the placebo-sham and LTrP-I and indicated that both active treatments are more effective than placebo-sham for MPS associated with limitations in active and routine activities.  
  Address ¶Pain and Palliative Care Service at the Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS) tPharmacology Department, Instituto de Ciências Básicas da Saúde, UFRGS, Brazil *Post Graduate Program in Medical Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS) tLaboratory of Pain & Neuromodulation at HCPA/UFRGS §Laboratory of Neuromodulation, Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital and Massachusetts General Hospital Physical Medicine and Rehabilitation #Neurology Harvard Medical School.  
  Publisher Lippincott Williams & Wilkins
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes Accession Number: 107884350. Language: English. Entry Date: 20141031. Revision Date: 20150712. Publication Type: Journal Article; research; randomized controlled trial. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Pain and Pain Management. NLM UID: 8507389. Approved no  
  Call Number OCOM @ refbase @ 107884350 Serial 2391  
Permanent link to this record
Select All    Deselect All
 |   | 
Details
   print

Save Citations:
Export Records: