Dry needling in addition to standard physical therapy treatment for sub-acromial pain syndrome: a randomized controlled trial protocol.
Dry-needling
Manual therapy
Physical therapy
Shoulder pain
Subacromial impingement syndrome
Subacromial pain syndrome
Journal
Brazilian journal of physical therapy
ISSN: 1809-9246
Titre abrégé: Braz J Phys Ther
Pays: Brazil
ID NLM: 101615124
Informations de publication
Date de publication:
Historique:
received:
27
09
2018
revised:
21
10
2018
accepted:
23
10
2018
pubmed:
21
11
2018
medline:
16
10
2019
entrez:
21
11
2018
Statut:
ppublish
Résumé
Trigger point dry needling interventions are utilized by physical therapists to manage shoulder pain. Observational studies have shown positive short-term outcomes in patients with subacromial pain syndrome receiving trigger point dry needling. However, little research has been done to evaluate the long-term effectiveness of trigger point dry needling specifically as it compares to other commonly utilized interventions such as exercise and manual therapy. The purpose of this study is to assess the additive short and long-term effectiveness of trigger point dry needling to a standard physical therapy approach of manual therapy and exercise for patients with subacromial pain syndrome. This multicenter randomized trial with 3 arms was designed following the standard protocol items for randomized interventional trials. Results will be reported consistent with the consolidated standards of reporting trials guidelines. 130 participants will be randomized to receive standard PT interventions alone (manual therapy and exercise), standard PT and trigger point dry needling or standard PT and sham trigger point dry needling. The primary outcome measures will be the Shoulder Pain and Disability Index and Patient Reported Outcomes Measurement Information Systems (PROMIS-57) scores collected at baseline, 6-weeks, 6-months and one year. Healthcare utilization will be collected for 12 months following enrollment and groups analyzed for differences. It is not known if trigger point dry needling provides long-term benefit for individuals with subacromial pain syndrome. This study will help determine if this intervention provides additive benefits over those observed with the commonly applied interventions of exercise and manual therapy. Identifier: NCT03442894 (https://clinicaltrials.gov/ct2/show/NCT03442894) on 22 February 2018.
Sections du résumé
BACKGROUND
BACKGROUND
Trigger point dry needling interventions are utilized by physical therapists to manage shoulder pain. Observational studies have shown positive short-term outcomes in patients with subacromial pain syndrome receiving trigger point dry needling. However, little research has been done to evaluate the long-term effectiveness of trigger point dry needling specifically as it compares to other commonly utilized interventions such as exercise and manual therapy. The purpose of this study is to assess the additive short and long-term effectiveness of trigger point dry needling to a standard physical therapy approach of manual therapy and exercise for patients with subacromial pain syndrome.
METHODS
METHODS
This multicenter randomized trial with 3 arms was designed following the standard protocol items for randomized interventional trials. Results will be reported consistent with the consolidated standards of reporting trials guidelines. 130 participants will be randomized to receive standard PT interventions alone (manual therapy and exercise), standard PT and trigger point dry needling or standard PT and sham trigger point dry needling. The primary outcome measures will be the Shoulder Pain and Disability Index and Patient Reported Outcomes Measurement Information Systems (PROMIS-57) scores collected at baseline, 6-weeks, 6-months and one year. Healthcare utilization will be collected for 12 months following enrollment and groups analyzed for differences.
DISCUSSION
CONCLUSIONS
It is not known if trigger point dry needling provides long-term benefit for individuals with subacromial pain syndrome. This study will help determine if this intervention provides additive benefits over those observed with the commonly applied interventions of exercise and manual therapy.
TRIAL REGISTRATION
BACKGROUND
Identifier: NCT03442894 (https://clinicaltrials.gov/ct2/show/NCT03442894) on 22 February 2018.
Identifiants
pubmed: 30455091
pii: S1413-3555(18)30787-1
doi: 10.1016/j.bjpt.2018.10.010
pmc: PMC6630109
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT03442894']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
355-363Informations de copyright
Copyright © 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.
Références
J Hand Ther. 2001 Apr-Jun;14(2):68-76
pubmed: 11382257
J Altern Complement Med. 2002 Feb;8(1):11-9
pubmed: 11890429
Acupunct Med. 2006 Mar;24(1):5-12
pubmed: 16618043
J Occup Rehabil. 2006 Mar;16(1):7-25
pubmed: 16705497
Behav Res Methods. 2007 May;39(2):175-91
pubmed: 17695343
Rheumatology (Oxford). 2008 May;47(5):724-30
pubmed: 18411219
Methods Mol Biol. 2007;404:213-34
pubmed: 18450052
Circulation. 2008 Nov 4;118(19):2005-10
pubmed: 18981315
J Orthop Sports Phys Ther. 2009 Feb;39(2):105-17
pubmed: 19194023
Arthritis Rheum. 2009 May 15;61(5):623-32
pubmed: 19405008
Curr Rev Musculoskelet Med. 2008 Jun;1(2):88-91
pubmed: 19468878
J Orthop Sports Phys Ther. 2010 Aug;40(8):474-93
pubmed: 20710088
BMJ. 2012 Feb 20;344:e787
pubmed: 22349588
BMC Musculoskelet Disord. 2012 Nov 29;13:238
pubmed: 23190941
Curr Pain Headache Rep. 2013 Aug;17(8):353
pubmed: 23801006
Open Orthop J. 2013 Sep 06;7:347-51
pubmed: 24082973
Acta Orthop. 2014 Jun;85(3):314-22
pubmed: 24847788
Pain Med. 2014 Nov;15(11):1892-901
pubmed: 25138978
Phys Ther. 2015 May;95(5):791-800
pubmed: 25504491
Man Ther. 2015 Oct;20(5):646-56
pubmed: 25920340
Acupunct Med. 2015 Dec;33(6):485-90
pubmed: 26546163
J Man Manip Ther. 2015 Dec;23(5):276-93
pubmed: 26955257
J Orthop Sports Phys Ther. 2016 May;46(5):327-43
pubmed: 26999408
Int J Sports Phys Ther. 2016 Apr;11(2):254-63
pubmed: 27104059
Rev Panam Salud Publica. 2015 Dec;38(6):506-14
pubmed: 27440100
J Orthop Sports Phys Ther. 2016 Aug;46(8):617-28
pubmed: 27477473
J Pain. 2017 Jan;18(1):11-18
pubmed: 27720812
J Orthop Sports Phys Ther. 2017 Jan;47(1):11-20
pubmed: 27937046
Eur J Pain. 2017 Jul;21(6):1007-1019
pubmed: 28106306
Am J Sports Med. 2017 Feb;45(2):449-453
pubmed: 28146398
J Orthop Sports Phys Ther. 2017 Apr;47(4):232-239
pubmed: 28257614
J Orthop Sports Phys Ther. 2018 Jun;48(6):460-475
pubmed: 29629615
Ann Intern Med. 2018 Sep 4;169(5):329-332
pubmed: 30083766
J Rheumatol. 1995 Apr;22(4):727-32
pubmed: 7791172