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Comparing trigger point dry needling and manual pressure technique for the management of myofascial neck/shoulder pPain : a randomized clinical trial

Kayleigh De Meulemeester (UGent) , Birgit Castelein (UGent) , Iris Coppieters (UGent) , Tom Barbe (UGent) , Ann Cools (UGent) and Barbara Cagnie (UGent)
(2017) JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS. 40(1). p.11-20
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Abstract
Objective: The aim of this study was to investigate short-term and long-term treatment effects of dry needling (DN) and manual pressure (MP) technique with the primary goal of determining if DN has better effects on disability, pain, and muscle characteristics in treating myofascial neck/shoulder pain in women. Methods: In this randomized clinical trial, 42 female office workers with myofascial neck/shoulder pain were randomly allocated to either a DN or MP group and received 4 treatments. They were evaluated with the Neck Disability Index, general numeric rating scale, pressure pain threshold, and muscle characteristics before and after treatment. For each outcome parameter, a linear mixed-model analysis was applied to reveal group-by-time interaction effects or main effects for the factor "time." Results: No significant differences were found between DN and MP. In both groups, significant improvement in the Neck Disability Index was observed after 4 treatments and 3 months (P < .001); the general numerical rating scale also significantly decreased after 3 months. After the 4-week treatment program, there was a significant improvement in pain pressure threshold, muscle elasticity, and stiffness. Conclusion: Both treatment techniques lead to short-term and long-term treatment effects. Dry needling was found to be no more effective than MP in the treatment of myofascial neck/shoulder pain.
Keywords
Neck Pain, Trigger Points, Myofascial Pain Syndromes, MECHANICAL NECK PAIN, ISCHEMIC COMPRESSION, LIDOCAINE INJECTION, TRAPEZIUS MUSCLE, SHOULDER PAIN, DISORDERS, SENSITIVITY, PREVALENCE, THERAPY, WORKERS

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MLA
De Meulemeester, Kayleigh, et al. “Comparing Trigger Point Dry Needling and Manual Pressure Technique for the Management of Myofascial Neck/Shoulder PPain : A Randomized Clinical Trial.” JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, vol. 40, no. 1, 2017, pp. 11–20.
APA
De Meulemeester, K., Castelein, B., Coppieters, I., Barbe, T., Cools, A., & Cagnie, B. (2017). Comparing trigger point dry needling and manual pressure technique for the management of myofascial neck/shoulder pPain : a randomized clinical trial. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 40(1), 11–20.
Chicago author-date
De Meulemeester, Kayleigh, Birgit Castelein, Iris Coppieters, Tom Barbe, Ann Cools, and Barbara Cagnie. 2017. “Comparing Trigger Point Dry Needling and Manual Pressure Technique for the Management of Myofascial Neck/Shoulder PPain : A Randomized Clinical Trial.” JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS 40 (1): 11–20.
Chicago author-date (all authors)
De Meulemeester, Kayleigh, Birgit Castelein, Iris Coppieters, Tom Barbe, Ann Cools, and Barbara Cagnie. 2017. “Comparing Trigger Point Dry Needling and Manual Pressure Technique for the Management of Myofascial Neck/Shoulder PPain : A Randomized Clinical Trial.” JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS 40 (1): 11–20.
Vancouver
1.
De Meulemeester K, Castelein B, Coppieters I, Barbe T, Cools A, Cagnie B. Comparing trigger point dry needling and manual pressure technique for the management of myofascial neck/shoulder pPain : a randomized clinical trial. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS. 2017;40(1):11–20.
IEEE
[1]
K. De Meulemeester, B. Castelein, I. Coppieters, T. Barbe, A. Cools, and B. Cagnie, “Comparing trigger point dry needling and manual pressure technique for the management of myofascial neck/shoulder pPain : a randomized clinical trial,” JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, vol. 40, no. 1, pp. 11–20, 2017.
@article{8504382,
  abstract     = {Objective: The aim of this study was to investigate short-term and long-term treatment effects of dry needling (DN) and manual pressure (MP) technique with the primary goal of determining if DN has better effects on disability, pain, and muscle characteristics in treating myofascial neck/shoulder pain in women. 
Methods: In this randomized clinical trial, 42 female office workers with myofascial neck/shoulder pain were randomly allocated to either a DN or MP group and received 4 treatments. They were evaluated with the Neck Disability Index, general numeric rating scale, pressure pain threshold, and muscle characteristics before and after treatment. For each outcome parameter, a linear mixed-model analysis was applied to reveal group-by-time interaction effects or main effects for the factor "time." 
Results: No significant differences were found between DN and MP. In both groups, significant improvement in the Neck Disability Index was observed after 4 treatments and 3 months (P < .001); the general numerical rating scale also significantly decreased after 3 months. After the 4-week treatment program, there was a significant improvement in pain pressure threshold, muscle elasticity, and stiffness. 
Conclusion: Both treatment techniques lead to short-term and long-term treatment effects. Dry needling was found to be no more effective than MP in the treatment of myofascial neck/shoulder pain.},
  author       = {De Meulemeester, Kayleigh and Castelein, Birgit and Coppieters, Iris and Barbe, Tom and Cools, Ann and Cagnie, Barbara},
  issn         = {0161-4754},
  journal      = {JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS},
  keywords     = {Neck Pain,Trigger Points,Myofascial Pain Syndromes,MECHANICAL NECK PAIN,ISCHEMIC COMPRESSION,LIDOCAINE INJECTION,TRAPEZIUS MUSCLE,SHOULDER PAIN,DISORDERS,SENSITIVITY,PREVALENCE,THERAPY,WORKERS},
  language     = {eng},
  number       = {1},
  pages        = {11--20},
  title        = {Comparing trigger point dry needling and manual pressure technique for the management of myofascial neck/shoulder pPain : a randomized clinical trial},
  url          = {http://dx.doi.org/10.1016/j.jmpt.2016.10.008},
  volume       = {40},
  year         = {2017},
}
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