PMID- 27410163 OWN - NLM STAT- MEDLINE DCOM- 20170622 LR - 20220310 IS - 1809-9246 (Electronic) IS - 1413-3555 (Print) IS - 1413-3555 (Linking) VI - 20 IP - 5 DP - 2016 Jul 11 TI - Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain. PG - 422-431 LID - 10.1590/bjpt-rbf.2014.0176 [doi] AB - BACKGROUND: Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. OBJECTIVE: To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. METHOD: This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited. Randomization was performed, and 31 patients received DN treatment (DN group) and 31 received DN and PENS (DN+PENS group). The primary outcomes were neck disability index (NDI) and visual analog scale for pain for both post-needling soreness (PNS) and neck pain intensity (NPI). Pressure pain threshold (PPT) and cervical range of motion (CROM) were the secondary outcomes. RESULTS: We detected between-group differences in NPI and PNS in favor of the DN+PENS group immediately after treatment. No between-group differences in NDI were observed. CONCLUSION: PENS application after dry needling treatment is more effective than dry needling alone for decreasing soreness in the short term and improving neck pain intensity immediately in patients with myofascial chronic neck pain. FAU - Leon-Hernandez, Jose V AU - Leon-Hernandez JV AD - Department of Physical Therapy, Faculty of Health Science, The Center for Advanced Studies University La Salle, Universidad Autonoma de Madrid, Aravaca, Madrid, Spain. AD - Research Group on Movement and Behavioural Science and Study of Pain, The Center for Advanced Studies University La Salle, Universidad Autonoma de Madrid, Aravaca, Madrid, Spain. FAU - Martin-Pintado-Zugasti, Aitor AU - Martin-Pintado-Zugasti A AD - Department of Physical Therapy, Faculty of Medicine, Universidad CEU San Pablo, Madrid, Spain. FAU - Frutos, Laura G AU - Frutos LG AD - Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain. FAU - Alguacil-Diego, Isabel M AU - Alguacil-Diego IM AD - Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain. FAU - de la Llave-Rincon, Ana I AU - de la Llave-Rincon AI AD - Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain. FAU - Fernandez-Carnero, Josue AU - Fernandez-Carnero J AD - Research Group on Movement and Behavioural Science and Study of Pain, The Center for Advanced Studies University La Salle, Universidad Autonoma de Madrid, Aravaca, Madrid, Spain. AD - Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain. AD - Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain. LA - eng PT - Journal Article DEP - 20160711 PL - Brazil TA - Braz J Phys Ther JT - Brazilian journal of physical therapy JID - 101615124 SB - IM MH - *Acupuncture Therapy MH - Adult MH - Chronic Pain/*physiopathology MH - Electric Stimulation Therapy MH - Humans MH - Myofascial Pain Syndromes/*physiopathology MH - Neck Pain/*physiopathology MH - Pressure MH - *Transcutaneous Electric Nerve Stimulation PMC - PMC5123263 EDAT- 2016/07/15 06:00 MHDA- 2017/06/24 06:00 PMCR- 2016/09/01 CRDT- 2016/07/14 06:00 PHST- 2015/08/13 00:00 [received] PHST- 2016/02/25 00:00 [accepted] PHST- 2016/07/15 06:00 [pubmed] PHST- 2017/06/24 06:00 [medline] PHST- 2016/07/14 06:00 [entrez] PHST- 2016/09/01 00:00 [pmc-release] AID - S1413-35552016005011103 [pii] AID - 10.1590/bjpt-rbf.2014.0176 [doi] PST - epublish SO - Braz J Phys Ther. 2016 Jul 11;20(5):422-431. doi: 10.1590/bjpt-rbf.2014.0176.