Dry Needling Versus Manual Therapy for Patients With Mechanical Neck Pain: A Randomized Controlled Trial.
J Orthop Sports Phys Ther
; 54(4): 267-278, 2024 04.
Article
em En
| MEDLINE
| ID: mdl-38284367
ABSTRACT
OBJECTIVE:
To compare the short- and intermediate-term effects of dry needling to manual therapy on pain, disability, function, and patient-perceived improvement in patients with mechanical neck pain.DESIGN:
A single (therapist) blinded randomized controlled trial.METHODS:
Seventy-eight patients (mean ± SD age, 50.74 ± 13.81) were randomly assigned to one of the 2 groups (1) dry needling and therapeutic exercises (DN + Exercises) and (2) manual therapy and therapeutic exercises (MT + Exercises). Both groups received 7 treatment sessions over a maximum of 6 weeks. Outcome measures, collected at baseline, 2 weeks, discharge (7th treatment session), and 3 months after discharge, were as follows Neck Disability Index (NDI), numeric pain-rating scale (NPRS), Patient-Specific Functional Scale (PSFS), global rating of change (GROC), Fear-Avoidance Belief Questionnaire (FABQ), and Deep Neck Flexor Endurance Test (DNFET). Data were analyzed with mixed-model analysis of covariance (ANCOVA), using pretest scores as covariates, and a Mann-Whitney U test for GROC scores.RESULTS:
The ANCOVA revealed significant group-by-time interaction for all variables. Significant between-group differences, favoring MT + Exercises, were observed at all 3 time points on the NDI (2 weeks F1,446 = 172.68, P≤.001, [Formula see text] = .27; discharge F1,446 = 254.15, P≤.001, [Formula see text] = .36; and 3 months F1,446 = 339.40, P≤.001, [Formula see text] = .43). Results for the MT + Exercises group exceeded recommended minimal clinically important difference for all variables, at all follow-up points.CONCLUSION:
MT + Exercises was more effective, both in the short term and intermediate term, than DN + Exercises in reducing pain, disability, and improving function in patients with mechanical neck pain. J Orthop Sports Phys Ther 2024;54(4)1-12. Epub 29 January 2024. doi10.2519/jospt.2024.12091.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Métodos Terapêuticos e Terapias MTCI:
Terapias_manuales
/
Masoterapia
Assunto principal:
Manipulações Musculoesqueléticas
/
Agulhamento Seco
Tipo de estudo:
Clinical_trials
/
Guideline
/
Prognostic_studies
Idioma:
En
Revista:
J Orthop Sports Phys Ther
Ano de publicação:
2024
Tipo de documento:
Article