PMID- 26347305
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150908
LR  - 20220331
IS  - 2159-2896 (Print)
IS  - 2159-2896 (Electronic)
IS  - 2159-2896 (Linking)
VI  - 10
IP  - 4
DP  - 2015 Aug
TI  - EFFECTIVENESS OF DRY NEEDLING, STRETCHING, AND STRENGTHENING TO REDUCE PAIN AND 
      IMPROVE FUNCTION IN SUBJECTS WITH CHRONIC LATERAL HIP AND THIGH PAIN: A 
      RETROSPECTIVE CASE SERIES.
PG  - 540-51
AB  - BACKGROUND AND PURPOSE: Chronic lateral hip and thigh pain is regularly treated 
      by the physical therapist. Many issues can cause pain in this region, and trigger 
      points may contribute to pain. Dry Needling (DN) is an intervention used by 
      physical therapists where a monofilament needle is inserted into soft tissue to 
      reduce pain thereby facilitating return to prior level of function. The purpose 
      of this case series is to report the outcomes of DN and conventional physical 
      therapy as a treatment intervention for subjects with chronic lateral hip and 
      thigh pain. CASE DESCRIPTIONS: Four subjects with chronic lateral hip and thigh 
      pain attended between four and eight sixty-minute sessions of dry needling and 
      stretching/ strengthening activities over a four to eight week intervention 
      course. Outcomes were tested at baseline and upon completion of therapy. A 
      long-term follow up averaging 12.25 months (range 3 to 20 months) was also 
      performed. The outcome measures included the Visual Analog Scale (VAS) and the 
      Lower Extremity Functional Scale (LEFS). OUTCOMES: The LEFS and VAS indicated 
      clinically meaningful improvements in disability and pain in the short term and 
      upon long term follow up for each subject. The LEFS(mean) for the four subjects 
      improved from 50.75 at baseline to 66.75 at the completion of treatment. At 
      long-term follow-up, the LEFS(mean) was 65.50. Each subject met the minimal 
      clinically important difference (MCID) and minimal detectable change (MDC) for 
      the LEFS and the VAS. The VAS was broken down into best (VAS(B)), current 
      (VAS(C)), and worst (VAS(W)) rated pain levels and averaged between the four 
      subjects. The VAS(B) improved from 20 mm at the initial assessment to 0 mm upon 
      completion of the intervention duration. The VAS(C) improved from 25.75 mm to 
      11.75 mm, and the VAS(W) improved from 85 mm to 32.5 mm. At the long-term follow 
      up (average 12.25 months), the VAS(B), VAS(C), and VAS(W) scores were 0 mm, 14.58 
      mm, and 43.75 mm respectively. DISCUSSION: Clinically meaningful improvements in 
      pain and disability were noted. Subjects reported improved sleep and functional 
      mobility, which were commensurate with their different age ranges and initial 
      reported limitations in mobility. The results of this case series show promising 
      outcomes for the use of dry needling in the treatment of chronic lateral hip and 
      thigh pain. Further controlled clinical trials are recommended to determine the 
      effectiveness of adding dry needling as compared to other interventions for 
      chronic lateral hip and thigh pain. LEVEL OF EVIDENCE: Level 4.
FAU - Pavkovich, Ron
AU  - Pavkovich R
AD  - Advantage Physical Therapy, Lexington, Kentucky, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Int J Sports Phys Ther
JT  - International journal of sports physical therapy
JID - 101553140
PMC - PMC4527201
OTO - NOTNLM
OT  - Dry Needling
OT  - hip pain
OT  - iliotibial band
OT  - trochanteric bursitis
EDAT- 2015/09/09 06:00
MHDA- 2015/09/09 06:01
PMCR- 2015/08/01
CRDT- 2015/09/09 06:00
PHST- 2015/09/09 06:00 [entrez]
PHST- 2015/09/09 06:00 [pubmed]
PHST- 2015/09/09 06:01 [medline]
PHST- 2015/08/01 00:00 [pmc-release]
PST - ppublish
SO  - Int J Sports Phys Ther. 2015 Aug;10(4):540-51.