Effects of dry needling in the treatment of trigger points in cervical spine myofascial pain syndrome: a systematic review of randomized clinical trials
DOI:
https://doi.org/10.33448/rsd-v10i14.21927Keywords:
Dry needling; Trigger points; Myofascial pain syndromes.Abstract
Myofascial pain syndrome is one of the most common causes of musculoskeletal pain and disability, affecting an age group between 31 and 50 years, being more favorable in people who perform repetitive movements and more frequently in the cervical region and shoulder girdle. The exact etiology of myofascial pain syndrome is not fully defined, but its treatment is focused on decreasing pain, improving muscle strength and providing good posture. Dry needling is a minimally invasive procedure, aiming to reduce myofascial pain by placing a needle directly over the trigger point, aiming to reduce local pain, in addition to restoring range of motion. A systematic review of randomized clinical trials was carried out, aiming to identify the benefits of dry needling in the cervical spine for patients with myofascial pain syndrome through a literature review. The following databases were used: PEDro, ScieLo and Pubmed, in Portuguese and English between 2016 and 2021. A total of 552 studies were obtained, after crossing the descriptors and applying the inclusion and exclusion criteria, 10 articles were selected. Dry needling is a valuable treatment for patients with myofascial pain syndrome in the cervical spine, improving pain. However, the combination of other techniques produces muscle relaxation, range of motion of the cervical muscles, reflecting on the quality of life of these patients.
References
Arias-Buría, J. L., Monroy-Acevedo, Á., Fernández-de-las-Peñas, C., Gallego-Sendarrubias, G. M., Ortega-Santiago, R., & Plaza-Manzano, G. (2020). Effects of dry needling of active trigger points in the scalene muscles in individuals with mechanical neck pain: A randomized clinical trial. Acupuncture in Medicine, 38(6), 380–387. https://doi.org/10.1177/0964528420912254
Ay, S., Konak, H. E., Evcik, D., & Kibar, S. (2017). The effectiveness of Kinesio Taping on pain and disability in cervical myofascial pain syndrome. Revista Brasileira De Reumatologia (English Edition), 57(2), 93–99. https://doi.org/10.1016/j.rbre.2016.03.012
Aydın, T., Dernek, B., Sentürk Ege, T., Karan, A., & Aksoy, C. (2018). The effectiveness of dry needling and exercise therapy in patients with dizziness caused by cervical myofascial pain syndrome; prospective randomized clinical study. Pain Medicine, 20(1), 153–160. https://doi.org/10.1093/pm/pny072
Cabaleiro, P., J., R.., & Magalhães, A. (2020). Compressão Isquémica vs. Agulhamento Seco no Tratamento da Cervicalgia Associada à Síndrome de Dor Miofascial: Revisão da Literatura. Universidade Fernando pessoa fcs/ess licenciatura em fisioterapia projeto de estagio profissionalizante II. http://hdl.handle.net/10284/9188
Carvalho, A. V. d., Grossmann, E., Ferreira, F. R., Januzzi, E., & Fonseca, R. M. D. F. B. (2017). The use of dry needling in the treatment of cervical and masticatory myofascial pain. Revista Dor, 18(3). https://doi.org/10.5935/1806-0013.20170111
Da Silva, T., Oliveira, A. L., Dos Santos, S. M., Oliveira, T. d. J., Guimarães, L. S., Ferreira, A. M. R., Ramos, S. D. d. N., Silva, R. T. B., Cruz, T. T. d., Rodrigues dos Santos, K. P., Vieira, L. C., Lima, V. M. d., Coutinho, E. N., Carvalho, D. F. d., & Ferreira, C. P. (2020). Qualidade de vida e prevalência de dor na região cervical em acadêmicos. Revista Eletrônica Acervo Saúde, (39), Artigo e2021. https://doi.org/10.25248/reas.e2021.2020
De Meulemeester, K. E., Castelein, B., Coppieters, I., Barbe, T., Cools, A., & Cagnie, B. (2017). Comparing trigger point dry needling and manual pressure technique for the management of myofascial neck/shoulder pain: A randomized clinical trial. Journal of Manipulative and Physiological Therapeutics, 40(1), 11–20. https://doi.org/10.1016/j.jmpt.2016.10.008
De Souza, R., F. (2009). O que é um estudo clínico randomizado?. Medicina (Ribeirão Preto);42(1): 3-8
Doğan, N., Şengül, İ., Akçay-Yalbuzdağ, Ş., & Kaya, T. (2019). Kinesio taping versus dry needling in the treatment of myofascial pain of the upper trapezius muscle: A randomized, single blind (evaluator), prospective study. Journal of Back and Musculoskeletal Rehabilitation, 32(5), 819–827. https://doi.org/10.3233/bmr-181162
Fontana, F., D., da Silva Araujo, R., & Franciscatto Stieven, F. (2018). O agulhamento a seco no tratamento da dor miofascial em pontos-gatilho na coluna cervical: uma revisão sistemática de ensaios clínicos randomizados. movimento & saúde • Revista Inspirar, 17(3), 10.
Gallego-Sendarrubias, G. M., Rodríguez-Sanz, D., Calvo-Lobo, C., & Martín, J. L. (2020). Efficacy of dry needling as an adjunct to manual therapy for patients with chronic mechanical neck pain: A randomised clinical trial. Acupuncture in Medicine, 38(4), 244–254. https://doi.org/10.1136/acupmed-2018-011682
Gallego-Sendarrubias, G. M., Voogt, L., Arias-Buría, J. L., Bialosky, J., & Fernández-de-las-Peñas, C. (2021). Can patient expectations modulate the short-term effects of dry needling on sensitivity outcomes in patients with mechanical neck pain? A randomized clinical trial. Pain Medicine. https://doi.org/10.1093/pm/pnab134
Galvão, T. F., & Pereira, M. G. (2014). Revisões sistemáticas da literatura: Passos para sua elaboração. Epidemiologia e Serviços de Saúde, 23(1), 183–184. https://doi.org/10.5123/s1679-49742014000100018
Garcia-de-Miguel, S., Pecos-Martin, D., Larroca-Sanz, T., Sanz-de-Vicente, B., Garcia-Montes, L., Fernandez-Matias, R., & Gallego-Izquierdo, T. (2020). Short-Term effects of PENS versus dry needling in subjects with unilateral mechanical neck pain and active myofascial trigger points in levator scapulae muscle: A randomized controlled trial. Journal of Clinical Medicine, 9(6), 1665. https://doi.org/10.3390/jcm9061665
Gil, A. C. (2002). Como elaborar projetos de pesquisa (4a ed.). ATLAS S.A.
Manafnezhad, J., Salahzadeh, Z., Salimi, M., Ghaderi, F., & Ghojazadeh, M. (2019). The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial. Journal of Back and Musculoskeletal Rehabilitation, 32(5), 811–818. https://doi.org/10.3233/bmr-181289
Martín-Rodríguez, A., Sáez-Olmo, E., Pecos-Martín, D., & Calvo-Lobo, C. (2019). Effects of dry needling in the sternocleidomastoid muscle on cervical motor control in patients with neck pain: A randomised clinical trial. Acupuncture in Medicine, 37(3), 151–163. https://doi.org/10.1177/0964528419843913
Prodanov, C. C., & de Freitas, E. C. (2013). Metodologia do trabalho cientifico: Métodos e técnicas da pesquisa e do trabalho acadêmico (2a ed.). Feevale.
Sanal Toprak, C., & Ozsoy Unubo, T. (2021). Effectiveness of dry needling in the treatment of neck pain and disability associated with myofascial trigger points. Marmara Medical Journal. https://doi.org/10.5472/marumj.866557
Stieven, F. F., Ferreira, G. E., Wiebusch, M., de Araújo, F. X., da Rosa, L. H. T., & Silva, M. F. (2020). Dry needling combined with guideline-based physical therapy provides no added benefit in the management of chronic neck pain: A randomized controlled trial. Journal of Orthopaedic & Sports Physical Therapy, 50(8), 447–454. https://doi.org/10.2519/jospt.2020.9389
Stieven, F. F., Ferreira, G. E., Wiebusch, M., de Araújo, F. X., da Rosa, L. H. T., & Silva, M. F. (2020). Dry needling combined with guideline-based physical therapy provides no added benefit in the management of chronic neck pain: A randomized controlled trial. Journal of Orthopaedic & Sports Physical Therapy, 50(8), 447–454. https://doi.org/10.2519/jospt.2020.9389
Valiente-Castrillo, P., Martín-Pintado-Zugasti, A., Calvo-Lobo, C., Beltran-Alacreu, H., & Fernández-Carnero, J. (2020). Effects of pain neuroscience education and dry needling for the management of patients with chronic myofascial neck pain: A randomized clinical trial. Acupuncture in Medicine, 096452842092030. https://doi.org/10.1177/0964528420920300
Yasar, M. F., Yaksi, E., Kurul, R., Alisik, T., & Seker, Z. (2021). Comparison of dry needling and kinesio taping methods in the treatment of myofascial pain syndrome: A single blinded randomised controlled study. International Journal of Clinical Practice. https://doi.org/10.1111/ijcp.14561
Ziaeifar, M., Arab, A. M., Mosallanezhad, Z., & Nourbakhsh, M. R. (2018). Dry needling versus trigger point compression of the upper trapezius: A randomized clinical trial with two-week and three-month follow-up. Journal of Manual & Manipulative Therapy, 27(3), 152–161. https://doi.org/10.1080/10669817.2018.1530421
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Jéssica dos Santos Silva; Gisele da Silva Cunha; Bruna Caroline dos Santos Marques; Wanderson Fernandes Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
