Inclusion of trigger point dry needling in a multimodal physical therapy program for postoperative shoulder pain: a randomized clinical trial.

Abstract

OBJECTIVE:

The purpose of this study was to evaluate the effects of including 1 session of trigger point dry needling (TrP-DN) into a multimodal physiotherapy treatment on pain and function in postoperative shoulder pain.

METHODS:

Twenty patients (5 male; 15 female; age, 58 ± 12 years) with postoperative shoulder pain after either open reduction and internal fixation with Proximal Humeral Internal Locking System plate plate or rotator cuff tear repair were randomly divided into 2 groups: physiotherapy group (n = 10) who received best evidence physical therapy interventions and a physical therapy plus TrP-DN group (n = 10) who received the same intervention plus a single session of TrP-DN targeted at active TrPs. The Constant-Murley score was used to determine pain, activities of daily living, range of motion, and strength, which was captured at baseline and 1 week after by an assessor blinded to group assignment.

RESULTS:

Analysis of variance showed that subjects receiving TrP-DN plus physical therapy exhibited greater improvement in the Constant-Murley total score (P < .001) and also activities of daily living (P < .001) and strength (P = .019) subscales than those receiving physical therapy alone. Between-group effect sizes were large in favor of the TrP-DN group (0.97 < SMD < 1.45). Both groups experienced similar improvements in pain (P < .001) and range of motion (P < .001).

CONCLUSIONS:

Our results suggest that including a single session of TrP-DN in the first week of a multimodal physical therapy approach may assist with faster increases in function in individuals with postoperative shoulder pain.

• Authors: José L Arias-Buría, Raquel Valero-Alcaide, Joshua Aland Cleland, Jaime Salom-Moreno, Ricardo Ortega-Santiago, María A Atín-Arratibel, César Fernández-de-las-Peñas
• Journal: Journal of manipulative and physiological therapeutics (J Manipulative Physiol Ther) 2015 Mar-Apr Vol. 38 Issue 3 Pg. 179-87 ISSN: 1532-6586 [Electronic] United States
• PMID: 25666690 (Publication Type: Journal Article, Randomized Controlled Trial)
• Copyright: Copyright © 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

Topics

• Acupuncture Points
• Combined Modality Therapy
• Female
• Humans
• Male
• Middle Aged
• Pain, Postoperative (therapy)
• Physical Therapy Modalities
• Shoulder Pain (surgery)
• Trigger Points