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Percutaneous electrical nerve stimulation versus dry needling: effectiveness in the treatment of chronic low back pain
Perez-Palomares S, Olivan-Blazquez B, Magallon-Botaya R, de-la-Torre-Beldarrain MML, Gaspar-Calvo E, Romo-Calvo L, Garcia-Lazaro R, Serrano-Aparicio B
Journal of Musculoskeletal Pain 2010;18(1):23-30
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: The aim of this study was to evaluate the effectiveness of treating myofascial trigger points TrPs with dry needling DN compared to percutaneous electrical nerve stimulation PENS. METHOD: In this clinical trial, 122 subjects suffering from non-specific chronic low back pain CLBP were treated. They were randomly distributed into two treatment groups: one taking PENS and the other taking DN of TrPs on the deep lumbar paraspinal muscles lumbar multifidi, quadratus lumborum, and gluteus medius. Four variables were measured: perceived pain and sleep quality using a visual analog scale VAS, pressure-pain tolerance threshold on TrPs with an algometer, and quality of life assessed with the Oswestry Disability Index. RESULTS: At least one TrP was found in all patients, most commonly situated in the quadratus lumborum muscle 97.6 percent. The improvement achieved for both treatment groups was similar in all the measured variables, although the DN group carried out fewer sessions than the PENS group. CONCLUSIONS: It could be concluded that the effectiveness of DN is comparable to that of PENS and, therefore, it may be considered as another useful tool with limited adverse effects within the multidisciplinary approach required in the management of non-specific CLBP.
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