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Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points.
Am J Phys Med Rehabil. 2019 08; 98(8):677-684.AJ

Abstract

OBJECTIVE

The aim of the study was to compare the efficacy of radial extracorporeal shock wave therapy and dry needling in the treatment of myofascial trigger points in the upper trapezius muscle.

DESIGN

A total of 65 patients with myofascial trigger points were randomly divided into extracorporeal shock wave therapy group (n = 32) and dry needling group (n = 33). Patients received 3 wks of treatment at 1-wk intervals (in both groups). Visual analog scale, pressure pain threshold, Neck Disability Index, and shear modulus were evaluated before treatment, immediately after the first therapy, 1 mo, and 3 mos after the completion of the third therapy.

RESULTS

Significant improvements of visual analog scale, pressure pain threshold, and Neck Disability Index scores were observed at all time points after treatment (P < 0.01) in both treatment groups. The shear modulus of myofascial trigger points was reduced in both dry needling group (P < 0.05) and extracorporeal shock wave therapy group (P < 0.01) immediately after the first treatment. Significant reductions in shear modulus were maintained up to 3-mo posttreatment in both groups (P < 0.01). There were no significant differences between the radial extracorporeal shock wave therapy group and dry needling group.

CONCLUSIONS

The extracorporeal shock wave therapy is as effective as dry needling for relieving pain, improving function, and reducing shear modulus for patients with myofascial trigger points after a series of three treatments.

Authors+Show Affiliations

From the Department of Rehabilitation Medicine, Guangdong Second Provincial General Hospital, Southern Medical University, Guangzhou, People's Republic of China (SL); Department of Rehabilitation Medicine, Lianjiang People's Hospital, Guangdong, People's Republic of China (ZZ); Department of Rehabilitation, Sun Yat-Sen Memorial Hospital, Guangzhou, People's Republic of China (SL, C. Lin, SK, C. Liu, SW, CM); Department of Ultrasonic, Sun Yat-Sen Memorial Hospital, Guangzhou, People's Republic of China (JR); and Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, People's Republic of China (WX).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31318748

Citation

Luan, Shuo, et al. "Randomized Trial On Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points." American Journal of Physical Medicine & Rehabilitation, vol. 98, no. 8, 2019, pp. 677-684.
Luan S, Zhu ZM, Ruan JL, et al. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil. 2019;98(8):677-684.
Luan, S., Zhu, Z. M., Ruan, J. L., Lin, C. N., Ke, S. J., Xin, W. J., Liu, C. C., Wu, S. L., & Ma, C. (2019). Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. American Journal of Physical Medicine & Rehabilitation, 98(8), 677-684. https://doi.org/10.1097/PHM.0000000000001173
Luan S, et al. Randomized Trial On Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil. 2019;98(8):677-684. PubMed PMID: 31318748.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. AU - Luan,Shuo, AU - Zhu,Zhi-Min, AU - Ruan,Jing-Liang, AU - Lin,Cai-Na, AU - Ke,Song-Jian, AU - Xin,Wen-Jun, AU - Liu,Cui-Cui, AU - Wu,Shao-Ling, AU - Ma,Chao, PY - 2019/7/19/entrez PY - 2019/7/19/pubmed PY - 2020/3/13/medline SP - 677 EP - 684 JF - American journal of physical medicine & rehabilitation JO - Am J Phys Med Rehabil VL - 98 IS - 8 N2 - OBJECTIVE: The aim of the study was to compare the efficacy of radial extracorporeal shock wave therapy and dry needling in the treatment of myofascial trigger points in the upper trapezius muscle. DESIGN: A total of 65 patients with myofascial trigger points were randomly divided into extracorporeal shock wave therapy group (n = 32) and dry needling group (n = 33). Patients received 3 wks of treatment at 1-wk intervals (in both groups). Visual analog scale, pressure pain threshold, Neck Disability Index, and shear modulus were evaluated before treatment, immediately after the first therapy, 1 mo, and 3 mos after the completion of the third therapy. RESULTS: Significant improvements of visual analog scale, pressure pain threshold, and Neck Disability Index scores were observed at all time points after treatment (P < 0.01) in both treatment groups. The shear modulus of myofascial trigger points was reduced in both dry needling group (P < 0.05) and extracorporeal shock wave therapy group (P < 0.01) immediately after the first treatment. Significant reductions in shear modulus were maintained up to 3-mo posttreatment in both groups (P < 0.01). There were no significant differences between the radial extracorporeal shock wave therapy group and dry needling group. CONCLUSIONS: The extracorporeal shock wave therapy is as effective as dry needling for relieving pain, improving function, and reducing shear modulus for patients with myofascial trigger points after a series of three treatments. SN - 1537-7385 UR - https://www.unboundmedicine.com/medline/citation/31318748/Randomized_Trial_on_Comparison_of_the_Efficacy_of_Extracorporeal_Shock_Wave_Therapy_and_Dry_Needling_in_Myofascial_Trigger_Points L2 - https://doi.org/10.1097/PHM.0000000000001173 DB - PRIME DP - Unbound Medicine ER -