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J Bodyw Mov Ther. 2014 Jul;18(3):390-8. doi: 10.1016/j.jbmt.2013.11.009. Epub 2013 Nov 9.

The effect of dry needling for myofascial trigger points in the neck and shoulders: a systematic review and meta-analysis.

Author information

  • 1Centre for Physiotherapy Research, University of Otago, PO Box 56, Dunedin, New Zealand.
  • 2Department of Allied Health and Medicine, Faculty of Health, Social Care, and Education, Anglia Ruskin University, Rivermead Campus, Bishops Hall Lane, Chelmsford CM1 1SQ, UK. Electronic address: leica.claydon@anglia.ac.uk.

Abstract

BACKGROUND:

and purpose: The aim of this systematic review with meta-analysis is to determine the effect of dry needling in the treatment of MTrPs.

METHODS:

Searches were performed using the electronic databases AMED, EBM reviews, Embase, and Ovid MEDLINE (all from database inception-February 2012).

STUDY SELECTION:

Randomized controlled trials (RCTs) were included if they compared dry needling with another form of treatment or placebo and included pain intensity as an outcome.

DATA EXTRACTION:

Two blinded reviewers independently screened the articles, scored their methodological quality and extracted data.

QUALITY ASSESSMENT:

Physiotherapy Evidence Database (PEDro) quality scale and the Cochrane risk of bias tool were used.

RESULTS:

Four RCTs compared dry needling to lidocaine and one RCT compared dry needling to placebo. Meta-analyses of dry needling revealed no significant difference between dry needling and lidocaine immediately after treatment standardized mean difference (SMD) 0.41 (95%CI -0.15 to 0.97), at one month (SMD -1.46; 95% CI -2.04 to 4.96) and three to six months (SMD -0.28; 95% CI -0.63 to 0.07).

DISCUSSION:

Although not significant in the meta-analyses, there were interesting patterns favoring lidocaine immediately after treatment and dry needling at three to six months.

Copyright © 2013 Elsevier Ltd. All rights reserved.

KEYWORDS:

Dry needling; Lidocaine; Myofascial trigger points; Randomised controlled trial

PMID:
25042309
[PubMed - indexed for MEDLINE]
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