Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series.
CMC OA
carpometacarpal joint
dry needling
osteoarthritis
periosteal
thumb pain
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
31 Aug 2023
31 Aug 2023
Historique:
received:
12
07
2023
revised:
24
08
2023
accepted:
28
08
2023
medline:
9
9
2023
pubmed:
9
9
2023
entrez:
9
9
2023
Statut:
epublish
Résumé
Carpometacarpal (CMC) osteoarthritis (OA) of the thumb is a painful condition that affects over 15% of individuals above the age of 30 and up to 30% of post-menopausal women. Dry needling (DN) has been found to reduce pain and disability in a variety of neuromusculoskeletal conditions; however, DN in the management of CMC OA has not been well studied. Consecutive patients with clinical and radiographic evidence of CMC OA were treated with DN. The primary outcome measure was pain using the Numerical Pain Rating Scale (NPRS) at 12 weeks. Secondary outcome measures were the Upper Extremity Functional Index (UEFI-20) and the Global Rating of Change (GROC) scale. Outcome measures were collected at baseline, 4 weeks, 8 weeks, and 12 weeks. Nine patients were treated for six sessions of periosteal DN over 3 weeks. Compared to baseline, statistically significant and clinically meaningful improvements were observed in thumb pain (NPRS mean difference: 2.6; Statistically significant and clinically meaningful within-group improvements in thumb pain and function were observed at 12 weeks following six sessions of periosteal DN treatment. DN may be a useful intervention in the management of patients with CMC OA of the thumb.
Sections du résumé
BACKGROUND
BACKGROUND
Carpometacarpal (CMC) osteoarthritis (OA) of the thumb is a painful condition that affects over 15% of individuals above the age of 30 and up to 30% of post-menopausal women. Dry needling (DN) has been found to reduce pain and disability in a variety of neuromusculoskeletal conditions; however, DN in the management of CMC OA has not been well studied.
METHODS
METHODS
Consecutive patients with clinical and radiographic evidence of CMC OA were treated with DN. The primary outcome measure was pain using the Numerical Pain Rating Scale (NPRS) at 12 weeks. Secondary outcome measures were the Upper Extremity Functional Index (UEFI-20) and the Global Rating of Change (GROC) scale. Outcome measures were collected at baseline, 4 weeks, 8 weeks, and 12 weeks.
RESULTS
RESULTS
Nine patients were treated for six sessions of periosteal DN over 3 weeks. Compared to baseline, statistically significant and clinically meaningful improvements were observed in thumb pain (NPRS mean difference: 2.6;
CONCLUSION
CONCLUSIONS
Statistically significant and clinically meaningful within-group improvements in thumb pain and function were observed at 12 weeks following six sessions of periosteal DN treatment. DN may be a useful intervention in the management of patients with CMC OA of the thumb.
Identifiants
pubmed: 37685745
pii: jcm12175678
doi: 10.3390/jcm12175678
pmc: PMC10488470
pii:
doi:
Types de publication
Case Reports
Langues
eng
Références
Am J Phys Med Rehabil. 2010 Oct;89(10):831-9
pubmed: 20657263
Aust J Gen Pract. 2020 Nov;49(11):702-706
pubmed: 33123712
Physiother Can. 2014 Summer;66(3):243-53
pubmed: 25125777
Pain. 2012 Aug;153(8):1720-1726
pubmed: 22727499
J Orthop Sports Phys Ther. 2015 Feb;45(2):86-96
pubmed: 25579690
J Tradit Chin Med. 2004 Jun;24(2):144-8
pubmed: 15270274
Am J Transl Res. 2016 Sep 15;8(9):3995-4002
pubmed: 27725880
BMC Med Res Methodol. 2007 Jul 03;7:30
pubmed: 17608932
J Bodyw Mov Ther. 2019 Oct;23(4):908-912
pubmed: 31733781
Pain. 1986 Oct;27(1):117-126
pubmed: 3785962
Hong Kong J Occup Ther. 2021 Dec;34(2):132-136
pubmed: 34987351
Osteoarthritis Cartilage. 2015 Apr;23(4):589-93
pubmed: 25596324
Glob Adv Health Med. 2013 Sep;2(5):38-43
pubmed: 24416692
Clin Ther. 2013 Nov;35(11):1703-20.e5
pubmed: 24184053
J Hand Ther. 2010 Jul-Sep;23(3):261-7; quiz 268
pubmed: 20452743
J Hand Surg Eur Vol. 2014 Mar;39(3):282-5
pubmed: 24127463
Phys Ther Rev. 2014 Aug;19(4):252-265
pubmed: 25143704
Can J Plast Surg. 2011 Winter;19(4):134-8
pubmed: 23204884
J Orthop Sports Phys Ther. 2010 Aug;40(8):455-63
pubmed: 20710083
Control Clin Trials. 1989 Dec;10(4):407-15
pubmed: 2691207
Clin J Pain. 2018 Dec;34(12):1149-1158
pubmed: 29864043
J Orthop Sports Phys Ther. 2013 Sep;43(9):620-34
pubmed: 23756457
Arch Phys Med Rehabil. 2008 Jan;89(1):69-74
pubmed: 18164333
Pain. 1979 Feb;6(1):83-90
pubmed: 424236
Auton Neurosci. 2002 May 31;97(2):103-9
pubmed: 12132642
Phys Ther. 2013 Nov;93(11):1507-19
pubmed: 23813086
J Hand Surg Eur Vol. 2020 Jun;45(5):488-494
pubmed: 32212888
Phys Ther. 2017 Sep 1;97(9):875-888
pubmed: 28586468
Rheumatology (Oxford). 2007 Sep;46(9):1445-9
pubmed: 17604311
Pain. 2009 Dec 15;147(1-3):60-6
pubmed: 19766392
Med Acupunct. 2022 Feb 1;34(1):34-48
pubmed: 35251436
Acta Anaesthesiol Scand. 1992 Aug;36(6):519-25
pubmed: 1514335
J Bodyw Mov Ther. 2021 Jul;27:328-338
pubmed: 34391253
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2009 Oct;29(10):883-5
pubmed: 20073216
J Manipulative Physiol Ther. 2012 Nov-Dec;35(9):685-91
pubmed: 23206963
Pain. 2001 Nov;94(2):149-158
pubmed: 11690728
J Orthop Surg Res. 2018 May 22;13(1):122
pubmed: 29788978
Physiother Theory Pract. 2020 Aug;36(8):886-898
pubmed: 30265840
J Am Geriatr Soc. 2007 Oct;55(10):1541-7
pubmed: 17908057
J Am Acad Orthop Surg. 2008 Mar;16(3):140-51
pubmed: 18316712
Complement Ther Med. 2001 Jun;9(2):82-9
pubmed: 11444887
Rheumatology (Oxford). 2007 Dec;46(12):1763-8
pubmed: 17693442
Acupunct Med. 2001 Jun;19(1):19-26
pubmed: 11471578
CMAJ. 2013 Feb 5;185(2):149
pubmed: 23008487
Cochrane Database Syst Rev. 2010 Jan 20;(1):CD001977
pubmed: 20091527
Zhen Ci Yan Jiu. 2007 Apr;32(2):115-8
pubmed: 17650656
Eur J Pain. 2004 Aug;8(4):283-91
pubmed: 15207508
Orthop Res Rev. 2017 Nov 23;9:93-99
pubmed: 30774481
Arthritis Care Res. 1994 Sep;7(3):118-22
pubmed: 7727550
Osteoarthritis Cartilage. 2018 Nov;26(11):1506-1510
pubmed: 30009974