The effect of dry needling for myofascial trigger points in the neck and shoulders

Untitled-1

Background

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

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.

 

This synopis and full ACE report  is available via OrthoEvidence™. OrthoEvidence™ is the global online source for high quality and timely orthopaedic–only evidence-based summaries, pre-appraised by orthopaedic medical experts.

OrthoEvidence’s repository includes over 1,400 ACE reports in 60 leading journals, representing all sub-specialities, with over 100 new reports added monthly. Current research is summarized and posted within a month timeframe, twice as fast as other evidence summary providers.

OrthoCanada has partnered with OrthoEvidence™ to support the mission to provide the best evidence based research to the orthopaedic community.

For more information on how to become a member and purchase this ACE report please go to OE-OrthoEvidence.

Do you want to start a vibrant forum about a new journal article in physiotherapy? Post your article on the OrthoCanada Journal Club #orthocanjc via twitter.

Leave a Reply

Your email address will not be published.

*