Volume 4, Issue 15 (Autumn 2018)                   Caspian.J.Neurol.Sci 2018, 4(15): 152-158 | Back to browse issues page


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Ezzati K, Sarrafzadeh J, Ebrahimi Takamjani I, Khani S. Research Paper: The Efficacy of Superficial and Deep Dry Needling Techniques on Functional Parameters in Subjects With Upper Trapezius Myofascial Pain Syndrome. Caspian.J.Neurol.Sci. 2018; 4 (15) :152-158
URL: http://cjns.gums.ac.ir/article-1-191-en.html
1- Neuroscience Research Center, Poorsina Hospital, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2- Department of Physiotherapy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (92 Views)
Background: Few studies have compared superficial and deep dry needling techniques in treatment of trigger points in patients with Myofascial Pain Syndrome (MPS). 
Objectives: To compare the effects of Superficial Dry Needling (SDN) and Deep Dry Needling (DDN) on Range of Motion (ROM) and functional ability in subjects with upper trapezius MPS.
Materials & Methods: This is a quasi-experimental study conducted on 50 patients with MPS of upper trapezius muscle. They were randomly divided into two groups of 25 treated with SDN and DDN. They were examined in Physiotherapy Clinic of Iran University of Medical Sciences during 2016-2017. Neck disability and cervical ROM were measured using Neck Disability Index (NDI) instrument a goniometer, respectively. The subjects were evaluated before the treatment, after the treatment, and 7-and 15-day follow-up periods. The Independent t-test and ANOVA were used to compare the two groups at different times of evaluation.
Results: There was no significant difference between SDN and DDN groups in terms of age (P=0.41), weight (P=0.99), and height (P=0.51). Interaction effect between group and time on the lateral cervical ROM over the unaffected side and NDI were significant (P<0.001). The simple main effect of time and group on NDI and ROM were also significant (P<0.001).
Conclusion: The changes in the ROM and NDI were observed over time when SDN and DDN techniques were used, but these changes were more significant in patients treated with DDN, especially in the follow-up periods.
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Type of Study: Research | Subject: Special
Received: 2018/02/23 | Accepted: 2018/07/21 | Published: 2018/10/1

References
1. Simons DG, Travell JG, Simons LS. Travell & Simons' myofascial pain and dysfunction: Upper half of body. Philadelphia: Williams and Wilkins; 1999.
2. Fernández-de-Las-Pe-as C, Alonso Blanco C, Miangolarra JC. Myofascial trigger points in subjects presenting with mechanical neck pain: A blinded, controlled study. Man Ther. 2007; 12(1):29-33. [DOI:10.1016/j.math.2006.02.002] [DOI:10.1016/j.math.2006.02.002]
3. Dommerholt J, Huijbregts P. Myofascial trigger points: Pathophysiology and evidence-informed diagnosis and management. Burlington: Jones & Bartlett Learning; 2010.
4. Niel Asher S. The concise book of trigger points: A professional and self-help manual. Berkeley: North Atlantic Books; 2014.
5. Behnam A, Mahyar S, Ezzati K, Rad SM. The use of dry needling and myofascial meridians in a case of plantar fasciitis. J Chiropr Med. 2014; 13(1):43-8. [DOI:10.1016/j.jcm.2014.01.006] [PMID] [PMCID] [DOI:10.1016/j.jcm.2014.01.006]
6. Baldry P. Superficial versus deep dry needling. Acupunct Med. 2002; 20(2-3):78-81. [DOI:10.1136/aim.20.2-3.78] [PMID] [DOI:10.1136/aim.20.2-3.78]
7. Edwards J, Knowles N. Superficial dry needling and active stretching in the treatment of myofascial pain: A randomised controlled trial. Acupunct Med. 2003; 21(3):80-6. [DOI:10.1136/aim.21.3.80] [PMID] [DOI:10.1136/aim.21.3.80]
8. Haker E, Lundeberg T. Acupuncture treatment in epicondylalgia: A comparative study of two acupuncture techniques. Clin J Pain. 1990; 6(3):221-6. [DOI:10.1097/00002508-199009000-00009] [PMID]
9. Ceccherelli F, Rigoni MT, Gagliardi G, Ruzzante L. Comparison of superficial and deep acupuncture in the treatment of lumbar myofascial pain: A double-blind randomized controlled study. Clin J Pain. 2002; 18(3):149-53. [DOI:10.1097/00002508-200205000-00003] [PMID] [DOI:10.1097/00002508-200205000-00003]
10. Itoh K, Katsumi Y, Kitakoji H. Trigger point acupuncture treatment of chronic low back pain in elderly patients–a blinded RCT. Acupunct Med. 2004; 22(4):170-7. [DOI:10.1136/aim.22.4.170] [PMID] [DOI:10.1136/aim.22.4.170]
11. Mousavi SJ, Parnianpour M, Montazeri A, Mehdian H, Karimi A, Abedi M, et al. Translation and validation study of the Iranian versions of the neck disability index and the neck pain and disability dcale. Spine. 2007; 32(26):E825-31. [DOI:10.1097/BRS.0b013e31815ce6dd] [PMID] [DOI:10.1097/BRS.0b013e31815ce6dd]
12. Reese NB, Bandy W. Joint range of motion and muscle length testing. Philadelphia: Saunders; 2002.
13. Sedighi A, Ansari NN, Naghdi S. Comparison of acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache. J Bodyw Mov Ther. 2017; 21(4):810-4. [DOI:10.1016/j.jbmt.2017.01.002] [PMID] [DOI:10.1016/j.jbmt.2017.01.002]
14. Pecos Martín D, Monta-ez Aguilera FJ, Gallego Izquierdo T, Urraca Gesto A, Gómez Conesa A, Romero Franco N, et al. Effectiveness of dry needling on the lower trapezius in patients with mechanical neck pain: A randomized controlled trial. Arch Phys Med Rehabil. 2015; 96(5):775-81. [DOI:10.1016/j.apmr.2014.12.016] [DOI:10.1016/j.apmr.2014.12.016]
15. Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine. 2004; 29(1):33-40. [DOI:10.1097/01.BRS.0000103944.10408.BA] [PMID] [DOI:10.1097/01.BRS.0000103944.10408.BA]
16. Pavkovich R. The use of dry needling for a subject with acute onset of neck pain: A case report. Int J Sports Phys Ther. 2015; 10(1):104-13. [PMID] [PMCID] [PMID] [PMCID]
17. Rock JM, Rainey CE. Treatment of nonspecific thoracic spine pain with trigger point dry needling and intramuscular electrical stimulation: a case series. Int J Sports Phys Ther. 2014; 9(5):699-711. [PMID] [PMCID] [PMID] [PMCID]
18. Ailliet L, Rubinstein SM, De Vet HC, Van Tulder MW, Terwee CB. Reliability, responsiveness and interpretability of the neck disability index-Dutch version in primary care. Eur Spine J. 2015; 24(1):88-93. [DOI:10.1007/s00586-014-3359-y] [PMID]
19. Kubo K, Yajima H, Takayama M, Ikebukuro T, Mizoguchi H, Takakura N. Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo. Eur J Appl Physiol. 2010; 109(3):545-50. [DOI:10.1007/s00421-010-1368-z] [PMID] [DOI:10.1007/s00421-010-1368-z]
20. Koppenhaver SL, Walker MJ, Su J, McGowen JM, Umlauf L, Harris KD, et al. Changes in lumbar multifidus muscle function and nociceptive sensitivity in low back pain patient responders versus non-responders after dry needling treatment. Man Ther. 2015; 20(6):769-76. [DOI:10.1016/j.math.2015.03.003] [DOI:10.1016/j.math.2015.03.003]
21. Arendt Nielsen L, Graven Nielsen T. Muscle pain: Sensory implications and interaction with motor control. Clin J Pain. 2008; 24(4):291-8. [DOI:10.1097/AJP.0b013e31815b608f] [PMID] [DOI:10.1097/AJP.0b013e31815b608f]
22. Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014; 18(2):298-305. [DOI:10.1016/j.jbmt.2013.11.004] [PMID] [DOI:10.1016/j.jbmt.2013.11.004]

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