@article{01GRBDEBCBTWAHM6ZDJNR0FFPD,
  abstract     = {{Background
Dry needling is frequently used for the treatment of neck pain but knowledge about its neurophysiological central effects is scarce.

Objectives
To compare the immediate effects of a single session of dry needling (DN) and sham needling (SN) on local and distant pressure pain thresholds and conditioned pain modulation in patients with chronic idiopathic neck pain.

Method
Participants with chronic idiopathic neck pain were randomly allocated to a DN or SN group. The primary outcome measure was the pressure pain threshold (PPT) at one peripheral location: quadriceps muscle (Q). Secondary outcome measures were local PPTs at the treated (most painful) (tUT) and non-treated upper trapezius muscle (ntUT), absolute and relative conditioned pain modulation (CPM) effects and pain during hot water immersion. Patients were assessed at baseline and immediately post intervention. Linear mixed models were used to examine interaction effects as well as between- and within-group differences.

Results
Fifty-four participants were included for statistical analysis. Linear mixed model analyses showed no significant “group X time” interaction effects for any of the outcome measures. The relative CPM effect at the Q was significantly higher post-intervention, compared to baseline within the DN group (mean difference= 13.52%; 95% CI: 0.46, 26.59).

Conclusion
The present study shows no superior effect of DN, compared to SN, in the immediate effect on local and distant PPTs and CPM in patients with chronic idiopathic neck pain.}},
  articleno    = {{100481}},
  author       = {{Chys, Marjolein and Bontinck, Jente and Voogt, Lennard and Sendarrubias, Gracia María Gallego and Cagnie, Barbara and Meeus, Mira and De Meulemeester, Kayleigh}},
  issn         = {{1413-3555}},
  journal      = {{BRAZILIAN JOURNAL OF PHYSICAL THERAPY}},
  keywords     = {{Rehabilitation,Orthopedics and Sports Medicine,Physical Therapy, Sports Therapy and Rehabilitation,Chronic neck pain,Dry needling,Pain modulation,Pain sensitivity,MYOFASCIAL TRIGGER POINTS,CONDITIONED PAIN,PRESSURE PAIN,CENTRAL SENSITIZATION,RELIABILITY,THRESHOLD,DISABILITY,TRAPEZIUS,EXPLANATION,MOBILITY}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{9}},
  title        = {{Immediate effects of dry needling on pain sensitivity and pain modulation in patients with chronic idiopathic neck pain : a single-blinded randomized clinical trial}},
  url          = {{http://doi.org/10.1016/j.bjpt.2023.100481}},
  volume       = {{27}},
  year         = {{2023}},
}

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