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Impact of dry needling and ischemic pressure in the myofascial syndrome: controlled clinical trial |
da Costa Santos RB, Souza Carneiro MI, de Oliveira DM, do Rego Maciel AB, do Monte-Silva KK, Rodrigues Araujo MG |
Fisioterapia em Movimento [Physical Therapy in Movement] 2014 Oct-Dec;27(4):515-522 |
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: No; 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* |
INTRODUCTION: Musculoskeletal pain is a common clinical condition and about 10% of the population have musculoskeletal disorder. OBJECTIVE: The aim of this study was to evaluate whether ischemic pressure and dry needling techniques are able to reduce the pain of patients with myofascial pain syndrome. METHOD: 22 patients aged 20 to 75 years were randomized into 3 groups: ischemic pressure (IPG = 8), dry needling (DNG = 7) and control (CG = 7). Patients in the IPG and DNG were assessed before and after 10 intervention sessions, which occurred 3 times per week. The CG was assessed initially and reassessed three weeks later. The assessment of pain was done through visual analogic scale (VAS) and quality of life through WHOQOL-BREF (5 domains: global, physical, psychological, social and environmental). RESULTS: There was no significant difference for clinical and demographic data of all groups at baseline, except for age (p = 0.042). The results of the VAS expressed that IPG had pain relief in most sessions, the same was not observed for DNG. Comparing the 2 groups was obtained difference in the 4th and 8th sessions. The results of the WHOQOL-BREF showed that the three groups had a significant increase in the psychological domain. The same was not true for global domains, physical, environmental and social. CONCLUSION: Ischemic pressure and dry needling were able to reduce the pain of patients and also change their quality of life, specifically the psychological aspect.
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