The effect of dry needling for myofascial trigger points in the neck and shoulders: A systematic review and meta-analysis

Ong, Joshua and Claydon, Leica S. (2014) The effect of dry needling for myofascial trigger points in the neck and shoulders: A systematic review and meta-analysis. Journal of Bodywork and Movement Therapies, 18 (3). pp. 390-398. ISSN 1532-9283

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Official URL: https://doi.org/10.1016/j.jbmt.2013.11.009

Abstract

Background and purpose: The aim of this systematic review with meta-analysis is to determine the effect of dry needling in the treatment of MTrPs. Methods: Searches were performed using the electronic databases AMED, EBM reviews, Embase, and Ovid MEDLINE (all from database inception-February 2012). Study selection: Randomized controlled trials (RCTs) were included if they compared dry needling with another form of treatment or placebo and included pain intensity as an outcome. Data extraction: Two blinded reviewers independently screened the articles, scored their methodological quality and extracted data. Quality assessment: Physiotherapy Evidence Database (PEDro) quality scale and the Cochrane risk of bias tool were used. Results: Four RCTs compared dry needling to lidocaine and one RCT compared dry needling to placebo. Meta-analyses of dry needling revealed no significant difference between dry needling and lidocaine immediately after treatment standardized mean difference (SMD) 0.41 (95%CI −0.15 to 0.97), at one month (SMD −1.46; 95% CI −2.04 to 4.96) and three to six months (SMD −0.28; 95% CI −0.63 to 0.07). Discussion: Although not significant in the meta-analyses, there were interesting patterns favoring lidocaine immediately after treatment and dry needling at three to six months.

Item Type: Journal Article
Keywords: Dry needling, Lidocaine, Myofascial trigger points, Randomised controlled trial
Faculty: Faculty of Health, Social Care & Education (for research post September 2011)
Depositing User: Repository Admin
Date Deposited: 08 Jul 2016 09:13
Last Modified: 17 Jul 2019 09:15
URI: http://arro.anglia.ac.uk/id/eprint/614809

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