DRY NEEDLING AND PHYSICAL THERAPY VERSUS PHYSICAL THERAPY ALONE FOLLOWING SHOULDER STABILIZATION REPAIR: A RANDOMIZED CLINICAL TRIAL

2020 ◽  
Vol 15 (1) ◽  
pp. 81-102
Author(s):  
Rob Halle ◽  
Michael Crowell ◽  
Donald Goss
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Dry Needling ◽  
Shoulder Stabilization

Inclusion of Trigger Point Dry Needling in a Multimodal Physical Therapy Program for Postoperative Shoulder Pain: A Randomized Clinical Trial

2015 ◽  
Vol 38 (3) ◽  
pp. 179-187 ◽  
Author(s):  
José L. Arias-Buría ◽  
Raquel Valero-Alcaide ◽  
Joshua Aland Cleland ◽  
Jaime Salom-Moreno ◽  
Ricardo Ortega-Santiago ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Shoulder Pain ◽  
Trigger Point ◽  
Dry Needling ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
Postoperative Shoulder

Contribution of Dry Needling to Individualized Physical Therapy Treatment of Shoulder Pain: A Randomized Clinical Trial

2017 ◽  
Vol 47 (1) ◽  
pp. 11-20 ◽  
Author(s):  
Sara Pérez-Palomares ◽  
Bárbara Oliván-Blázquez ◽  
Ana Pérez-Palomares ◽  
Elena Gaspar-Calvo ◽  
Marina Pérez-Benito ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Shoulder Pain ◽  
Dry Needling ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

scholarly journals The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

2020 ◽  
Author(s):  
Michael S Crowell ◽  
Richard A Brindle ◽  
John S Mason ◽  
William J Pitt ◽  
Erin M Miller ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Mixed Model ◽  
Global Rating ◽  
Shoulder Stabilization ◽  
Pain Medications ◽  
Post Operative Pain ◽  
Average Pain ◽  
Opioid Medications

Abstract Introduction: There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, Battlefield Acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain.Methods: This is a single-blind randomized clinical trial featuring a 2x5 mixed-model factorial design. The two independent variables are intervention (2 levels; standard physical therapy and standard physical therapy plus Battlefield Acupuncture) and time (5 levels; 24-hours, 48-hours, 72-hours, 1-week, and 4-weeks post shoulder stabilization surgery). The primary dependent variable is worst and average pain as measured on the Visual Analog Scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change.Discussion: The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between group differences that include MCIDs between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration: ClinicalTrials.gov, NCT04094246. Registered 16 September 2019, http://clinicaltrials.gov/NCT04094246.

scholarly journals The effectiveness of battlefield acupuncture in addition to standard physical therapy treatment after shoulder surgery: a protocol for a randomized clinical trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael S. Crowell ◽  
Richard A. Brindle ◽  
John S. Mason ◽  
Will Pitt ◽  
Erin M. Miller ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Global Rating ◽  
Shoulder Stabilization ◽  
Pain Medications ◽  
Post Operative Pain ◽  
Average Pain ◽  
Physical Therapy Treatment ◽  
Opioid Medications

Abstract Introduction There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, battlefield acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain. Methods This is a parallel, two-arm, single-blind randomized clinical trial. The two independent variables are intervention (2 levels, standard physical therapy and standard physical therapy plus battlefield acupuncture) and time (5 levels, 24 h, 48 h, 72 h, 1 week, and 4 weeks post shoulder stabilization surgery). The primary dependent variables are worst and average pain as measured on the visual analog scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change. Discussion The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between-group differences that include minimal clinically important differences between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration ClinicalTrials.gov NCT04094246. Registered on 16 September 2019.

scholarly journals The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

2020 ◽  
Author(s):  
Michael S Crowell ◽  
Richard A Brindle ◽  
John S Mason ◽  
William J Pitt ◽  
Erin M Miller ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Global Rating ◽  
Shoulder Stabilization ◽  
Pain Medications ◽  
Post Operative Pain ◽  
Average Pain ◽  
Physical Therapy Treatment ◽  
Opioid Medications

Abstract Introduction: There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, Battlefield Acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain.Methods: This is a parallel, two-arm, single-blind randomized clinical trial. The two independent variables are intervention (2 levels; standard physical therapy and standard physical therapy plus Battlefield Acupuncture) and time (5 levels; 24-hours, 48-hours, 72-hours, 1-week, and 4-weeks post shoulder stabilization surgery). The primary dependent variables is worst and average pain as measured on the Visual Analog Scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change.Discussion: The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between group differences that include minimal clinically important differences between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration: ClinicalTrials.gov, NCT04094246. Registered 16 September 2019, http://clinicaltrials.gov/NCT04094246.

scholarly journals Effectiveness of Acromioclavicular Joint Mobilization and Physical Therapy vs Physical Therapy Alone in Patients with Frozen Shoulder: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Mohammad Rahbar ◽  
Sepideh Ranjbar Kiyakalayeh ◽  
Bina Eftekharsadat ◽  
Behzad Izadseresht ◽  
Neda Dolatkhah
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Shoulder Pain ◽  
Acromioclavicular Joint ◽  
Frozen Shoulder ◽  
Secondary Outcome ◽  
Control Group ◽  
Joint Mobilization ◽  
Active Abduction

Abstract Background: Frozen shoulder (FS) is a prevalent musculoskeletal condition characterized by an often prolonged pain, disability and limited active and passive range of motion (ROM), however its management remains challenging yet. The objective of this trial was to compare the efficacy of acromioclavicular joint mobilization and physical therapy versus physical therapy in treatment of FS.Methods: In this single-blind randomized clinical trial, patients with diagnosis of FS were randomly allocated into mobilization + physical therapy (n=28) as experiment group, and physical therapy (n=28) as control group in two outpatient clinics of Tabriz University of Medical Sciences, Iran. The primary outcomes were self-reported shoulder pain-related disability measured by the Shoulder Pain and Disability Index (SPADI) questionnaire and goniometric assessment of shoulder ROM. The secondary outcome was the Visual Analogue Scale (VAS). Measures were performed at the baseline, immediately and one month after beginning the treatments.Results: Totally 51 patients with 25.73 ± 6.88 years old of age completed the study and their data were analyzed. VAS, SPADI, pain and disability improved more significantly in experiment group compared to control group immediately [-4.63 (-5.58- -3.67) vs. -2.22 (-2.96- -1.47), p<0.001; -23.08 (-28.63- -17.53) vs. -13.04 (-17.93- -8.16), p=0.008; -26.00 (-31.71- -20.29) vs. -16.35 (-23.39- -9.31), p=0.034 and -21.25 (-29.11- -13.39) vs. -10.98 (-17.53- -4.43), p=0.042, respectively] and one month after beginning of treatment [-5.58 (-6.45- -4.72) vs. -3.61 (-4.60- -2.62), p<0.001; -33.43 (-40.85- -26.01) vs. -20.03 (-26.00- -14.07), p=0.001; --42.83 (-49.09- -36.57) vs. -25.57 (-33.92- -17.21), p<0.001 and -27.55 (-36.19- -15.94) vs. -16.58 (-24.48- -8.67), p=0.041, respectively]. Active abduction ROM was also improved more significantly immediately after treatment in experiment group compared to control group [25.83 (11.45- 40.13) vs. 10.17 (1.02- 19.15), p=0.025], however there were no significant differences between two groups concerning other measured ROMs immediately and one month after treatment (all p>0.05). Conclusions: Acromioclavicular mobilization along with conventional physical therapy was more efficient in decreasing pain and disability and improving active abduction ROM compared to physical therapy in patients with FS. These findings would suggest a new therapeutic method for shoulder disorders with pain and disability.Trial registrationwww.irct.ir, IRCT20100605004104N7, registered 06.01.2019 (https://www.irct.ir/trial/35900)

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