Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain

Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain

ABSTRACT Background Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. Objective To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. Method This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited. Randomization was performed, and 31 patients received DN treatment (DN group) and 31 received DN and PENS (DN+PENS group). The primary outcomes were neck disability index (NDI) and visual analog scale for pain for both post-needling soreness (PNS) and neck pain intensity (NPI). Pressure pain threshold (PPT) and cervical range of motion (CROM) were the secondary outcomes. Results We detected between-group differences in NPI and PNS in favor of the DN+PENS group immediately after treatment. No between-group differences in NDI were observed. Conclusion PENS application after dry needling treatment is more effective than dry needling alone for decreasing soreness in the short term and improving neck pain intensity immediately in patients with myofascial chronic neck pain.

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Main Authors: León-Hernández,Jose V., Martín-Pintado-Zugasti,Aitor, Frutos,Laura G., Alguacil-Diego,Isabel M., de la Llave-Rincón,Ana I., Fernandez-Carnero,Josue
Format: Digital revista
Language:English
Published: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552016000500422
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spelling oai:scielo:S1413-355520160005004222016-11-18Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck painLeón-Hernández,Jose V.Martín-Pintado-Zugasti,AitorFrutos,Laura G.Alguacil-Diego,Isabel M.de la Llave-Rincón,Ana I.Fernandez-Carnero,Josue neck pain disability trigger points TENS physical therapy ABSTRACT Background Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. Objective To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. Method This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited. Randomization was performed, and 31 patients received DN treatment (DN group) and 31 received DN and PENS (DN+PENS group). The primary outcomes were neck disability index (NDI) and visual analog scale for pain for both post-needling soreness (PNS) and neck pain intensity (NPI). Pressure pain threshold (PPT) and cervical range of motion (CROM) were the secondary outcomes. Results We detected between-group differences in NPI and PNS in favor of the DN+PENS group immediately after treatment. No between-group differences in NDI were observed. Conclusion PENS application after dry needling treatment is more effective than dry needling alone for decreasing soreness in the short term and improving neck pain intensity immediately in patients with myofascial chronic neck pain.info:eu-repo/semantics/openAccessAssociação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Brazilian Journal of Physical Therapy v.20 n.5 20162016-10-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552016000500422en10.1590/bjpt-rbf.2014.0176
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libraryname SciELO
language English
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author León-Hernández,Jose V.
Martín-Pintado-Zugasti,Aitor
Frutos,Laura G.
Alguacil-Diego,Isabel M.
de la Llave-Rincón,Ana I.
Fernandez-Carnero,Josue
spellingShingle León-Hernández,Jose V.
Martín-Pintado-Zugasti,Aitor
Frutos,Laura G.
Alguacil-Diego,Isabel M.
de la Llave-Rincón,Ana I.
Fernandez-Carnero,Josue
Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain
author_facet León-Hernández,Jose V.
Martín-Pintado-Zugasti,Aitor
Frutos,Laura G.
Alguacil-Diego,Isabel M.
de la Llave-Rincón,Ana I.
Fernandez-Carnero,Josue
author_sort León-Hernández,Jose V.
title Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain
title_short Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain
title_full Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain
title_fullStr Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain
title_full_unstemmed Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain
title_sort immediate and short-term effects of the combination of dry needling and percutaneous tens on post-needling soreness in patients with chronic myofascial neck pain
description ABSTRACT Background Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. Objective To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. Method This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited. Randomization was performed, and 31 patients received DN treatment (DN group) and 31 received DN and PENS (DN+PENS group). The primary outcomes were neck disability index (NDI) and visual analog scale for pain for both post-needling soreness (PNS) and neck pain intensity (NPI). Pressure pain threshold (PPT) and cervical range of motion (CROM) were the secondary outcomes. Results We detected between-group differences in NPI and PNS in favor of the DN+PENS group immediately after treatment. No between-group differences in NDI were observed. Conclusion PENS application after dry needling treatment is more effective than dry needling alone for decreasing soreness in the short term and improving neck pain intensity immediately in patients with myofascial chronic neck pain.
publisher Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552016000500422
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