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Détail de l'auteur
Auteur Eric Gattie
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheDry Needling Adds No Benefit to the Treatment of Neck Pain: A Sham-Controlled Randomized Clinical Trial With 1-Year Follow-up / Eric Gattie in Journal of Orthopaedic & Sports Physical Therapy, Vol. 51, 1 (Janvier 2021)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 51, 1 (Janvier 2021) . - p. 37-45
Titre : Dry Needling Adds No Benefit to the Treatment of Neck Pain: A Sham-Controlled Randomized Clinical Trial With 1-Year Follow-up Type de document : article de périodique Auteurs : Eric Gattie ; Joshua Cleland ; [et al.], Auteur Année de publication : 2021 Article en page(s) : p. 37-45 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Cervicalgie Mots-clés : Dry needling Résumé : Objective
To examine the short- and long-term effectiveness of dry needling on disability, pain, and patient-perceived improvements in patients with mechanical neck pain when added to a multimodal treatment program that includes manual therapy and exercise.
Design
Randomized controlled trial.
Methods
Seventy-seven adults (mean ± SD age, 46.68 ± 14.18 years; 79% female) who were referred to physical therapy with acute, subacute, or chronic mechanical neck pain were randomly allocated to receive 7 multimodal treatment sessions over 4 weeks of (1) dry needling, manual therapy, and exercise (needling group); or (2) sham dry needling, manual therapy, and exercise (sham needling group). The primary outcome of disability (Neck Disability Index score) and secondary outcomes of pain (current and 24-hour average) and patient-perceived improvement were assessed at baseline and follow-ups of 4 weeks, 6 months, and 1 year by blinded assessors. Between-group differences were analyzed with a 2-way, repeated-measures analysis of variance. Global rating of change was analyzed with a Mann-Whitney U test.
Results
There were no group-by-time interactions for disability (Neck Disability Index: F2.37,177.47 = 0.42, P = .69), current pain (visual analog scale: F2.84,213.16 = 1.04, P = .37), or average pain over 24 hours (F2.64,198.02 = 0.01, P = .10). There were no between-group differences for global rating of change at any time point (P≥.65). Both groups improved over time for all variables (Neck Disability Index: F2.37,177.47 = 124.70, P<.001; current pain: F2.84,213.16 = 64.28, P<.001; and average pain over 24 hours: F2.64,198.02 = 76.69, P<.001).
Conclusion
There were no differences in outcomes between trigger point dry needling and sham dry needling when added to a multimodal treatment program for neck pain. Dry needling should not be part of a first-line approach to managing neck pain.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible JOU Périodique Erasme - périodiques Périodiques Disponible The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis / Joshua Cleland in Journal of Orthopaedic & Sports Physical Therapy, Vol. 47, 3 (Mars 2017)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 47, 3 (Mars 2017) . - p.133-149
Titre : The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis Type de document : article de périodique Auteurs : Joshua Cleland ; Eric Gattie ; Suzanne, J. Snodgrass Année de publication : 2017 Article en page(s) : p.133-149 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Essai contrôlé randomisé Résumé : Study Design Systematic review and meta-analysis.
Background
An increasing number of physical therapists in the United States and throughout the world are using dry needling to treat musculoskeletal pain.
Objective
To examine the short- and long-term effectiveness of dry needling delivered by a physical therapist for any musculoskeletal pain condition.
Methods
Electronic databases were searched. Eligible randomized controlled trials included those with human subjects who had musculoskeletal conditions that were treated with dry needling performed by a physical therapist, compared with a control or other intervention. The overall quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation.
Results
The initial search returned 218 articles. After screening, 13 were included. Physiotherapy Evidence Database quality scale scores ranged from 4 to 9 (out of a maximum score of 10), with a median score of 7. Eight meta-analyses were performed. In the immediate to 12-week follow-up period, studies provided evidence that dry needling may decrease pain and increase pressure pain threshold when compared to control/sham or other treatment. At 6 to 12 months, dry needling was favored for decreasing pain, but the treatment effect was not statistically significant. Dry needling, when compared to control/sham treatment, provides a statistically significant effect on functional outcomes, but not when compared to other treatments.
Conclusion
Very low-quality to moderate-quality evidence suggests that dry needling performed by physical therapists is more effective than no treatment, sham dry needling, and other treatments for reducing pain and improving pressure pain threshold in patients presenting with musculoskeletal pain in the immediate to 12-week follow-up period. Low-quality evidence suggests superior outcomes with dry needling for functional outcomes when compared to no treatment or sham needling. However, no difference in functional outcomes exists when compared to other physical therapy treatments. Evidence of long-term benefit of dry needling is currently lacking.
Level of Evidence
Therapy, level 1aPermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Livre Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible