Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Effects of spray and stretch on postneedling soreness and sensitivity after dry needling of a latent myofascial trigger point
Martin-Pintado-Zugasti A, Rodriguez-Fernandez AL, Garcia-Muro F, Lopez-Lopez A, Mayoral O, Mesa-Jimenez JA, Fernandez-Carnero J
Archives of Physical Medicine and Rehabilitation 2014 Oct;95(10):1925-1932
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate (1) the effect of spray and stretch (SS) versus control on reducing post-needling soreness of one latent myofascial trigger point (MTrP) and (2) if higher levels of psychological distress are associated with increased post-needling pain intensity. DESIGN: A 72-hour follow-up, single-blind randomized controlled trial. SETTING: University community. PARTICIPANTS: Healthy volunteers (n = 70: 40 men, 30 women) aged 18 to 36 years (mean +/- SD 21 +/- 4 y) with latent MTrP in one upper trapezius muscle. INTERVENTION: All subjects received a dry needling application over the upper trapezius muscle. Then, participants were randomly divided into two groups: an intervention group, which received SS over the needled trapezius muscle, and a control group that did not receive any intervention. MAIN OUTCOME MEASURES: Visual analog scale (VAS; at post-needling, post-treatment, 6, 12, 24, 48 and 72 hours), pressure pain threshold (PPT; at pre-needling, post-needling, 24 and 48 hours). Psychological distress was evaluated by the Symptom Checklist-90-Revised. RESULTS: Repeated measures analysis of variance (ANOVA) demonstrated a significant interaction between group and time (F[3,204.8] = 3.19, p < 0.05, eta-p2 = 0.04) for changes in post-needling soreness. Between-group differences were only significant immediately after intervention (p = 0.002) and there were no differences found between groups after 6 hours of the intervention (p > 0.05). Repeated measures of covariance (ANCOVA) showed that none of the psychological covariates affected these results. Somatization, anxiety, interpersonal sensitivity and hostility were significantly correlated (p < 0.05) with post-needling pain intensity. Repeated measures ANOVA did not show a significant effect of SS on mechanical hiperalgesia (F[2.6,175] = 1.9, p = 0.131, eta-p2 = 0.02). CONCLUSIONS: The SS had a short-term (less than 6 hours) effect reducing post-needling soreness of a latent MTrP. PPT did not significantly change after SS. Psychological factors are related to post-needling pain.

Full text (sometimes free) may be available at these link(s):      help