Dry Needling for Chronic Lumbar Radiculopathy with Knee Osteoarthritis in Elderly

Background: The objectives of the study was to evaluate the efficacy of dry needling inactivation of trigger points in acute pain relief and function improvement in patients with severe knee osteoarthritis.Methods: Thirty participants choose between dry needling or static stretching. It was analyzed the immediate effects of a single dry needling intervention, compared to a control group that received static stretching. Outcomes of the study was timed up and go test; visual analogue scale and brief pain inventory.Results: The group treated with dry needling had a better result on the visual analogue scale and on the brief pain inventory scale. There was no difference in time up and go performance in relation to the control group. The muscle group with the highest prevalence of trigger points was the thigh adductors (83.3%), despite valgus or varus frontal plane misalignment of the limb.Conclusions: The inactivation of trigger points by dry needling in patients with acute pain due to severe osteoarthritis of the knees obtained better relief compared to static stretching of the musculature.

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Effects of dry needling in an exercise program for older adults with knee osteoarthritis

Medicine ◽

10.1097/md.0000000000011255 ◽

2018 ◽

Vol 97 (26) ◽

pp. e11255 ◽

Cited By ~ 8

Author(s):

Eleuterio A. Sánchez-Romero ◽

Daniel Pecos-Martín ◽

César Calvo-Lobo ◽

Victoria Ochoa-Sáez ◽

Verónica Burgos-Caballero ◽

...

Keyword(s):

Older Adults ◽

Knee Osteoarthritis ◽

Exercise Program ◽

Dry Needling

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Effectiveness of Dry Needling Techniques in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2021.02.015 ◽

2021 ◽

Author(s):

Reepa A. Ughreja ◽

V. Prem

Keyword(s):

Systematic Review ◽

Knee Osteoarthritis ◽

Meta Analysis ◽

Dry Needling

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Acupuncture for Knee Osteoarthritis, Chasteberry for Premenstrual Syndrome, Probiotics for Irritable Bowel Syndrome, Yoga for Hypertension, and Trigger Point Dry Needling for Plantar Fasciitis

EXPLORE ◽

10.1016/j.explore.2014.12.009 ◽

2015 ◽

Vol 11 (2) ◽

pp. 157-161 ◽

Cited By ~ 2

Author(s):

Richard Glickman-Simon ◽

Jamey Wallace

Keyword(s):

Irritable Bowel Syndrome ◽

Knee Osteoarthritis ◽

Premenstrual Syndrome ◽

Plantar Fasciitis ◽

Trigger Point ◽

Dry Needling ◽

Irritable Bowel

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The effect of one dry needling session on pain, central pain processing, muscle co-contraction and gait characteristics in patients with knee osteoarthritis: a randomized controlled trial

Scandinavian Journal of Pain ◽

10.1515/sjpain-2021-0091 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Sophie Vervullens ◽

Lotte Meert ◽

Isabel Baert ◽

Nicolas Delrue ◽

Christiaan H. W. Heusdens ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Controlled Trial ◽

Pain Modulation ◽

Group Differences ◽

Conditioned Pain Modulation ◽

Pain Processing ◽

Central Pain ◽

Dry Needling ◽

Spatiotemporal Parameters ◽

Central Pain Processing

Abstract Objectives To assess the immediate and three days postintervention effect of one dry needling session compared to one sham needling session on pain, central pain processing, muscle co-contraction and spatiotemporal parameters during gait in knee osteoarthritis patients. Methods A double-blind randomized controlled trial was conducted. Sixty-one knee osteoarthritis patients were randomly assigned to the dry needling or sham needling group. Primary outcomes were pain and central pain processing. Secondary outcomes included muscle co-contraction and spatiotemporal parameters during gait. Patients were assessed at baseline and 15 min after the intervention, and pain also three days after the intervention. Linear mixed models were used to examine between- and within-group differences. Results No significant between-group differences for pain were found, but within-group scores showed a significant decrease 15 min after sham needling and three days after dry needling. The mean conditioned pain modulation effect measured at the m. Trapezius worsened significantly 15 min after sham needling compared to after dry needling (between-group difference). However, individual conditioned pain modulation percentage scores remained stable over time. Various significant within-group differences were found 15 min after sham needling: a decrease of conditioned pain modulation measured at m. Quadriceps and m. Trapezius and stride- and step-time scores, and an increase in step length and widespread pain pressure threshold. A significant decrease in muscle co-contraction index of the m. Vastus Medialis and Semitendinosus was found as within-group difference 15 min after dry needling. Conclusions Dry needling has no larger effect on pain, central pain processing, muscle co-contraction and gait pattern 15 min and three days postintervention compared to sham needling. Mean conditioned pain modulation scores worsened after sham needling compared to after dry needling. Further research remains necessary.

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Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Journal of Clinical Medicine ◽

10.3390/jcm9072044 ◽

2020 ◽

Vol 9 (7) ◽

pp. 2044 ◽

Cited By ~ 5

Author(s):

Youssef Rahou-El-Bachiri ◽

Marcos J. Navarro-Santana ◽

Guido F Gómez‐Chiguano ◽

Joshua Cleland ◽

Ibai López‐de‐Uralde‐ Villanueva ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Knee Pain ◽

Trigger Point ◽

Meta Analysis ◽

Patellofemoral Pain ◽

Risk Of Bias ◽

Dry Needling ◽

Short Term ◽

Post Surgery

Background: To evaluate the effect of trigger point dry needling alone or as an adjunct with other interventions on pain and related disability in people with knee pain. Methods: Several electronic databases were searched for randomized controlled trials where at least one group received dry needling for knee pain. Studies had to include human subjects and collect outcomes on pain and pain-related disability in musculoskeletal knee pain. Data were extracted by two reviewers. The risk of bias was assessed by the Cochrane Guidelines, methodological quality was assessed with the Physiotherapy Evidence Database (PEDro) score, and the quality of evidence by using the GRADE approach. Standardized mean differences (SMD) were calculated. Results: Ten studies (six patellofemoral pain, two knee osteoarthritis, two post-surgery knee pain) were included. The meta-analysis found moderate effect sizes of dry needling for reducing pain (SMD −0.53, 95% CI −0.87 to −0.19) and improving related disability (SMD −0.58, 95% CI −1.08 to −0.09) as compared to a comparison group at short-term. The main effect was observed for patellofemoral pain (SMD −0.64, 95% CI −1.17 to −0.11). No significant effects were observed at mid- or long-term follow-ups. The risk of bias was generally low, but the heterogenicity and the imprecision of the results downgraded the level of evidence. Conclusion: Low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain, but not knee osteoarthritis or post-surgery knee pain, at short-term. More high-quality trials investigating long-term effects are clearly needed.

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