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Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series.

Abstract

OBJECTIVES

To describe the outcomes of 10 patients with chronic biceps tendinopathy treated by physical therapy with the novel approach of dry needling (DN), eccentric-concentric exercise (ECE), and stretching of the long head of the biceps tendon (LHBT).

METHODS

Ten individuals reporting chronic anterior shoulder symptoms (> 3 months), pain with palpation of the LHBT, and positive results on a combination of tests including active shoulder flexion, Speed's, Hawkins Kennedy, Neer, and Yergason's tests participated in this case series. Validated self-reported outcome measures including the mean numeric pain rating scale (NPRS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) were taken at baseline. Participants were treated with two to eight sessions of DN to the LHBT and an ECE program and stretching of the biceps muscle. At discharge, patients completed the global rating of change (GROC), QuickDASH and NPRS.

RESULTS

Patients had an improved mean NPRS of 3.9 (SD, 1.3; p < 0.001), QuickDASH of 19.01% (SD, 10.8; p < 0.02) and GROC +5.4 (SD, 1.3).

CONCLUSION

Findings from this case series suggest that DN and ECE may be beneficial for the management of patients with chronic LHBT tendinopathy. Further research on the efficacy of this novel treatment approach is warranted.

Authors+Show Affiliations

a Physical Therapy Program , University of Colorado , Aurora , CO , USA. b School of Health Sciences , University of Newcastle , Callaghan , Australia. d CU Sports Physical Therapy and Rehabilitation , University of Colorado Health , Denver , CO , USA.b School of Health Sciences , University of Newcastle , Callaghan , Australia.c Doctor of Physical Therapy Program , Franklin Pierce University , Manchester , NH , USA.d CU Sports Physical Therapy and Rehabilitation , University of Colorado Health , Denver , CO , USA.d CU Sports Physical Therapy and Rehabilitation , University of Colorado Health , Denver , CO , USA.a Physical Therapy Program , University of Colorado , Aurora , CO , USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29932797

Citation

McDevitt, Amy W., et al. "Treatment of Individuals With Chronic Bicipital Tendinopathy Using Dry Needling, Eccentric-concentric Exercise and Stretching; a Case Series." Physiotherapy Theory and Practice, 2018, pp. 1-11.
McDevitt AW, Snodgrass SJ, Cleland JA, et al. Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series. Physiother Theory Pract. 2018.
McDevitt, A. W., Snodgrass, S. J., Cleland, J. A., Leibold, M. B. R., Krause, L. A., & Mintken, P. E. (2018). Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series. Physiotherapy Theory and Practice, pp. 1-11. doi:10.1080/09593985.2018.1488023.
McDevitt AW, et al. Treatment of Individuals With Chronic Bicipital Tendinopathy Using Dry Needling, Eccentric-concentric Exercise and Stretching; a Case Series. Physiother Theory Pract. 2018 Jun 22;1-11. PubMed PMID: 29932797.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series. AU - McDevitt,Amy W, AU - Snodgrass,Suzanne J, AU - Cleland,Joshua A, AU - Leibold,Mary Becky R, AU - Krause,Lindsay A, AU - Mintken,Paul E, Y1 - 2018/06/22/ PY - 2018/6/23/entrez PY - 2018/6/23/pubmed PY - 2018/6/23/medline KW - Dry needling KW - biceps tendinopathy KW - eccentric exercise SP - 1 EP - 11 JF - Physiotherapy theory and practice JO - Physiother Theory Pract N2 - OBJECTIVES: To describe the outcomes of 10 patients with chronic biceps tendinopathy treated by physical therapy with the novel approach of dry needling (DN), eccentric-concentric exercise (ECE), and stretching of the long head of the biceps tendon (LHBT). METHODS: Ten individuals reporting chronic anterior shoulder symptoms (> 3 months), pain with palpation of the LHBT, and positive results on a combination of tests including active shoulder flexion, Speed's, Hawkins Kennedy, Neer, and Yergason's tests participated in this case series. Validated self-reported outcome measures including the mean numeric pain rating scale (NPRS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) were taken at baseline. Participants were treated with two to eight sessions of DN to the LHBT and an ECE program and stretching of the biceps muscle. At discharge, patients completed the global rating of change (GROC), QuickDASH and NPRS. RESULTS: Patients had an improved mean NPRS of 3.9 (SD, 1.3; p < 0.001), QuickDASH of 19.01% (SD, 10.8; p < 0.02) and GROC +5.4 (SD, 1.3). CONCLUSION: Findings from this case series suggest that DN and ECE may be beneficial for the management of patients with chronic LHBT tendinopathy. Further research on the efficacy of this novel treatment approach is warranted. SN - 1532-5040 UR - https://www.unboundmedicine.com/medline/citation/29932797/Treatment_of_individuals_with_chronic_bicipital_tendinopathy_using_dry_needling_eccentric_concentric_exercise_and_stretching L2 - http://www.tandfonline.com/doi/full/10.1080/09593985.2018.1488023 DB - PRIME DP - Unbound Medicine ER -