soft tissue therapy .com.au
Manual Therapy Conferences and Workshops Massage, Soft Tissue Therapy & Myotherapy Australia- Jobs & rooms for rent
Soft Tissue Therapy Facebook Page Manual therapy equipment for sale
soft tissue therapy .com.au
MENU

HOME RESEARCH ARTICLES GENERAL ARTICLES SEARCH ARTICLES STT eMAG FORUM LATEST POLL CALENDAR OF EVENTS DEFINITIONS ABBREVIATIONS LINKS MY FOLDER CONTACT US STT SHOP


MAILING LIST

For up to date info, workshops, new research articles, jobs, sale items, join our mailing list!



soft tissue therapy .com.au

ARTICLE soft tissue therapy .com.au

soft tissue therapy .com.au

Title
Comparison of the Short-Term Outcomes Between Trigger Point Dry Needling Versus Trigger Point Manual Therapy for the Management of Chronic Mechanical Neck Pain: A Randomized Clinical Trial.

Author(s)
Llamas-Ramos R1, Pecos-Mart?n D, Gallego-Izquierdo T, Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, Cleland J, Fern?ndez-de-Las-Pe?as C.

Published
Sep, 2014

Published In
J Orthop Sports Phys Ther. 2014 Sep 30:1-34

Abstract
Study Design Randomized clinical study. Objectives To compare the effects of trigger point dry needling (TrP-DN) and trigger point (TrP) manual therapy 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 manual therapy in this population. Methods Ninety-four patients (mean ? SD age: 31 ? 3 years old; 66% female) were randomized into a TrP-DN group (n=47), or a TrP manual therapy group (n=47). Neck pain intensity (11-point numeric pain rating scale [NPRS]), cervical range of motion, and pressure pain thresholds (PPT) over the spinous process of C7 were measured at baseline, immediately after treatment and at a 1-week and 2-week follow-up. The Spanish version of the Northwick Park Neck Pain Questionnaire (NPQ) was used to measure disability/function at baseline and the 2-week follow-up. Mixed-model repeated measured ANOVAs were used to determine if a Group * Time interaction existed on the effects of the treatment on each outcome variable with group as the between-subjects variable and time as the within-subjects variables. Results The ANOVA revealed that subjects receiving TrP-DN had similar outcomes to individuals receiving TrP manual therapy in terms of pain, function and cervical range of motion. The 4x2 mixed model ANOVA also revealed a significant Group * Time interaction (P<0.001) for PPT: patients receiving TrP-DN experienced greater increase in PPT (decrease pressure sensitivity) than those receiving TrP manual therapy at all follow-up periods (between-groups differences, post-treatment: 59.0 [95%CI 40.0, 69.2], 1-week follow-up: 69.2 [49.5, 79.1], 2-weeks follow-up; 78.9 [49.5,89.0]). Conclusions The results of this clinical trial suggest that 2 sessions of TrP-DN and TrP manual therapy 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 manual therapy at long-term follow-up periods. Level of Evidence Therapy, Level 1b. J Orthop Sports Phys Ther, Epub 30 September 2014. doi:10.2519/jospt.2014.5229.

Further Information   |   Add To My Folder   |   Printable Version

 

SPONSORED LINKS

Portable Thoracic Rack

Sports massage magazine for soft tissue therapists


soft tissue therapy .com.au