Review article (meta-analysis)Evidence for Dry Needling in the Management of Myofascial Trigger Points Associated With Low Back Pain: A Systematic Review and Meta-Analysis
Section snippets
Methods
This systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.22
Study selection
A total of 784 articles were identified from PubMed, Ovid, EBSCO, ScienceDirect, Web of Science, Cochrane Library, CINAHL, and China National Knowledge Infrastructure databases, the reference lists of the included studies, and relevant reviews for eligible studies (fig 1). After applying the inclusion and exclusion criteria, 11 RCTs11, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39 were eligible and included in the systematic review and meta-analysis, with a total of 802 patients.
Study characteristics
Table 1 summarizes the
Discussion
This systematic review summarizes the totality of evidence to date in relation to the effectiveness of dry needling for the treatment of LBP and includes a total of 11 RCTs involving 802 patients with LBP. The low-to-moderate-quality evidence showed that compared with other treatments, dry needling resulted in significant reduction in pain intensity and functional disability at postintervention. However, dry needling plus other treatments for LBP was more effective than dry needling alone in
Conclusions
Despite its limitations, this systematic review and meta-analysis provided a moderate quality of evidence recommending dry needling over other treatments to relieve the pain intensity of LBP at postintervention. However, scientific evidence proving the effectiveness of dry needling of MTrPs on LBP compared with other treatments at follow-up remains insufficient. Accordingly, more multiple-center RCTs with high-quality, large samples, and adequate follow-up, should be conducted to provide
Suppliers
- a.
RevMan 5.3; The Nordic Cochrane Centre.
- b.
Stata 12.0; StataCorp.
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2023, Journal of Bodywork and Movement TherapiesCitation Excerpt :DN has been used effectively in the management of various musculoskeletal conditions. Several systematic reviews have reported the effectiveness of DN in reducing pain compared to sham or placebo treatment in lower back pain (Liu et al., 2018), neck and shoulder pain (Hall et al., 2018), temporomandibular pain (Machado et al., 2018) and myofascial trigger points (Morihisa et al., 2016). In addition, there is weak evidence of its positive effects on functional outcome measures (Ong and Claydon, 2014), (Tough and White, 2011).
Correlation between thoracic kyphosis and dry needle length required to reach the pleural space needling the upper trapezius: A cadaveric fluoroscopic assessment
2022, Musculoskeletal Science and PracticeCitation Excerpt :Dry needling has been recommended for immediate post-treatment reduction of pain (Kietrys et al., 2013; Kietrys et al., 2014; Cagnie et al., 2015; Gattie et al., 2017; Liu et al., 2015; Espejo-Antúnez et al., 2017; Liu et al., 2018; Griswold et al., 2019; Navarro-Santana et al., 2020; Rahou-El-Bachiri et al., 2020; Lew et al., 2021; Sanchez-Infante et al., 2021) and short-term improvement of pressure pain threshold (Espejo-Antúnez et al., 2017; Gattie et al., 2017; Vier et al., 2019; Navarro-Santana et al., 2020; Fernandez-de-las-Penas et al., 2021). When compared to other interventions in musculoskeletal diagnoses, DN is cautiously recommended over sham/placebo or no treatment (Kietrys et al., 2013; Gattie et al., 2017; Espejo-Antúnez et al., 2017; Vier et al., 2019; Sanchez-Infante et al., 2021) or recommended to be part of multimodal treatment (France et al., 2014; Liu et al., 2018; Fernandez-de-las-Penas et al., 2021) as opposed to a stand-alone intervention. Many authors, however, recommend cautious clinical interpretation of conclusions due to investigations commonly having small, heterogenous sample sizes (Gattie et al., 2017), low quality (Gattie et al., 2017; Hall et al., 2018; Vier et al., 2019; Navarro-Santana et al., 2020; Rahou-El-Bachiri et al., 2020; Fernandez-de-las-Penas et al., 2021; Pourahmadi et al., 2021; Sanchez-Infante et al., 2021), insignificant between group differences (France et al., 2014; Gattie et al., 2017; Navarro-Santana et al., 2020) or lack of clinically meaningful between-group differences (Griswold et al., 2019).
In vitro culture of muscle cells derived from myofascial trigger points
2024, Acupuncture in MedicineMechanical Needling With Sterile Water Versus Lidocaine Injection for Lumbar Spinal Stenosis
2024, Global Spine Journal
Supported by the National Natural Science Foundation of China (no. 81470105).
Disclosures: none.