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Pain Res Treat. 2015;2015:327307. doi: 10.1155/2015/327307. Epub 2015 Nov 10.

Comparison of Dry Needling versus Orthopedic Manual Therapy in Patients with Myofascial Chronic Neck Pain: A Single-Blind, Randomized Pilot Study.

Author information

1
Faculty of Health Science, Department of Physiotherapy, The Center for Advanced Studies University La Salle, Faculty of Health Science, The Autonomous University of Madrid, Aravaca, Madrid, Spain.
2
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, King Juan Carlos University, Alcorcón, Madrid, Spain ; Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain ; Motion in Brains Research Group, The Center for Advanced Studies University La Salle, The Autonomous University of Madrid, Spain.
3
Faculty of Health Science, Department of Physiotherapy, The Center for Advanced Studies University La Salle, Faculty of Health Science, The Autonomous University of Madrid, Aravaca, Madrid, Spain ; Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain ; Motion in Brains Research Group, The Center for Advanced Studies University La Salle, The Autonomous University of Madrid, Spain ; Institute of Neuroscience and Craniofacial Pain (INDCRAN), Madrid, Spain.
4
Faculty of Health Science, Department of Physiotherapy, The Center for Advanced Studies University La Salle, Faculty of Health Science, The Autonomous University of Madrid, Aravaca, Madrid, Spain ; Motion in Brains Research Group, The Center for Advanced Studies University La Salle, The Autonomous University of Madrid, Spain ; Movement Analysis Laboratory, University Hospital Niño Jesus, Madrid, Spain.
5
Department of Physiotherapy, European University of Madrid, Villaviciosa de Odón, Madrid, Spain.

Abstract

OBJECTIVE:

The aim of this study was to compare the efficacy of three interventions for the treatment of myofascial chronic neck pain.

METHODS:

Thirty-six patients were randomly assigned to one of three intervention groups: orthopedic manual therapy (OMT), dry needling and stretching (DN-S), and soft tissue techniques (STT). All groups received two treatment sessions with a 48 h time interval. Outcome measures included neck pain intensity measured using a visual analogue scale, cervical range of motion (ROM), pressure pain threshold for measuring mechanical hyperalgesia, and two self-reported questionnaires (neck disability index and pain catastrophizing scale).

RESULTS:

The ANOVA revealed significant differences for the group × time interaction for neck disability, neck pain intensity, and pain catastrophizing. The DN-S and OMT groups reduced neck disability. Only the OMT group showed decreases in mechanical hyperalgesia and pain catastrophizing. The cervical ROM increased in OMT (i.e., flexion, side-bending, and rotation) and DN-S (i.e., side-bending and rotation) groups.

CONCLUSIONS:

The three interventions are all effective in reducing pain intensity. Reduction in mechanical hyperalgesia and pain catastrophizing was only observed in the OMT group. Cervical ROM improved in the DN-S and OMT groups and also neck disability being only clinically relevant for OMT group.

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