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2015 ; 2015
(ä): 327307
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Comparison of Dry Needling versus Orthopedic Manual Therapy in Patients with
Myofascial Chronic Neck Pain: A Single-Blind, Randomized Pilot Study
#MMPMID26640708
Campa-Moran I
; Rey-Gudin E
; Fernández-Carnero J
; Paris-Alemany A
; Gil-Martinez A
; Lerma Lara S
; Prieto-Baquero A
; Alonso-Perez JL
; La Touche R
Pain Res Treat
2015[]; 2015
(ä): 327307
PMID26640708
show ga
Objective. The aim of this study was to compare the efficacy of three
interventions for the treatment of myofascial chronic neck pain. Methods.
Thirty-six patients were randomly assigned to one of three intervention groups:
orthopedic manual therapy (OMT), dry needling and stretching (DN-S), and soft
tissue techniques (STT). All groups received two treatment sessions with a 48?h
time interval. Outcome measures included neck pain intensity measured using a
visual analogue scale, cervical range of motion (ROM), pressure pain threshold
for measuring mechanical hyperalgesia, and two self-reported questionnaires (neck
disability index and pain catastrophizing scale). Results. The ANOVA revealed
significant differences for the group × time interaction for neck disability,
neck pain intensity, and pain catastrophizing. The DN-S and OMT groups reduced
neck disability. Only the OMT group showed decreases in mechanical hyperalgesia
and pain catastrophizing. The cervical ROM increased in OMT (i.e., flexion,
side-bending, and rotation) and DN-S (i.e., side-bending and rotation) groups.
Conclusions. The three interventions are all effective in reducing pain
intensity. Reduction in mechanical hyperalgesia and pain catastrophizing was only
observed in the OMT group. Cervical ROM improved in the DN-S and OMT groups and
also neck disability being only clinically relevant for OMT group.