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Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial.
Ma, Yan-Tao; Dong, Yu-Lin; Wang, Bo; Xie, Wen-Pin; Huang, Qiang-Min; Zheng, Yong-Jun.
Afiliação
  • Ma YT; Department of Pain Management, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
  • Dong YL; Department of Treatment, Yang Zhi Affiliated Rehabilition Hospital of Tongji, Shanghai, China.
  • Wang B; Department of Pain Management, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
  • Xie WP; Department of Pain Management, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
  • Huang QM; Department of Sport Rehabilitation, School of Kinesiology, Shanghai University of Sport, Shanghai, China. huaqia404@aliyun.com.
  • Zheng YJ; Department of Pain Management, Shanghai Ciyuan Rehablitation Hospital, Sinophama Holding, Shanghai, China. huaqia404@aliyun.com.
BMC Musculoskelet Disord ; 24(1): 36, 2023 Jan 18.
Article em En | MEDLINE | ID: mdl-36650486
ABSTRACT

BACKGROUND:

Latent and active myofascial trigger points (MTrPs) in knee-associated muscles may play a key role in pain management among patients with knee osteoarthritis (KOA). The aim of this study was to investigate the effect of dry needling treatment on pain intensity, disability, and range of motion (ROM) in patients with KOA.

METHODS:

This randomized, single-blinded, clinical trial was carried out for 6 weeks of treatment and 6-month follow-up. A total of 98 patients met the entry criteria and were randomly assigned to the dry needling latent and active myofascial trigger point (MTrPs) with the stretching group or the oral diclofenacwith the stretching group. Numeric Pain Rating Scale (NPRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and ROM were statistically analyzed before and after treatment and at the 6-month follow-up.

RESULTS:

A total of 42 patients in the dry needling group (DNG) and 35 patients in the diclofenac group (DG), respectively, completed the study, and there was no significant difference in the general data between the two groups. After treatments, both the groups showed a good effect in knee pain, function, and ROM, However, the DNG showed a significantly better result than the DG. Especially in the results of the 6-month follow-up, the DNG showed much better results than the DG.

CONCLUSIONS:

Dry needling on latent and active MTrPs combined with stretching and oral diclofenac combined with stretching can effectively relieve pain, improve function, and restore knee ROM affected by KOA. However, the effects of dry needling and stretching are better and longer lasting than those of oral diclofenac and stretching for at least 6 months. TRIAL REGISTRATION Registered in the Chinese Clinical Trial Registry ( www.chictr.org.cn ) in 17/11/2017 with the following code ChiCTR-INR-17013432.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Osteoartrite do Joelho / Agulhamento Seco / Síndromes da Dor Miofascial Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: BMC Musculoskelet Disord Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Osteoartrite do Joelho / Agulhamento Seco / Síndromes da Dor Miofascial Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: BMC Musculoskelet Disord Ano de publicação: 2023 Tipo de documento: Article