PMID- 33218498
OWN - NLM
STAT- MEDLINE
DCOM- 20210728
LR  - 20210728
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Linking)
VI  - 24
IP  - 4
DP  - 2020 Oct
TI  - Impact of physical therapists' instructions on function and the perception of 
      post-dry needling soreness in mechanical cervical pain; a randomized clinical 
      trial.
PG  - 118-123
LID - S1360-8592(20)30102-9 [pii]
LID - 10.1016/j.jbmt.2020.06.023 [doi]
AB  - BACKGROUND: To investigate the impact of physical therapists' instructions on the 
      perception of post dry needling (DN) soreness and function in patients with 
      mechanical neck pain. METHODS: Seventy-five patients with neck pain were randomly 
      assigned to three groups: "positive" group (n = 25) received positive verbal 
      input; "negative" group (n = 25) received negative verbal input, and control 
      group (n = 25) did not receive any input about post-needling soreness. All three 
      groups received DN of a trigger point in the upper trapezius muscle. The 
      subjective pain experience, pressure pain threshold (PPT), and neck disability 
      Index (NDI) were assessed before and after DN. RESULTS: Patients in all groups 
      showed improvement in pain, PPT and NDI. There were no significant differences in 
      pain (P = 0.41) and PPT (P = 0.68) in the positive and negative groups compared 
      with the control group. Significant difference in function was seen with the NDI 
      after DN of patients in the positive and negative groups compared with the 
      control group (P = 0.011, standard error: 1.08-1.5). CONCLUSION: Considering that 
      the power of our study may be too low to draw more definitive conclusions, DN 
      appears to be an effective technique to improve pain and mechanical hyperalgesia. 
      The experience of post-needling soreness does not appear to influence the outcome 
      of DN on pain, PPT, and NDI. Post-needling soreness does not seem to be a 
      limiting factor in achieving acceptable outcomes, especially when clinicians 
      offer DN within a therapeutic emphasizing a positive patient response. This study 
      questions whether any treatments need to be offered to patients receiving DN.
CI  - Copyright (c) 2020 Elsevier Ltd. All rights reserved.
FAU - Almaee Nejad, Farnaz
AU  - Almaee Nejad F
AD  - Department of Physiotherapy, School of Rehabilitation, Tehran University of 
      Medical Sciences, Iran. Electronic address: Almaeefarnaz@gmail.com.
FAU - Dommerholt, Jan
AU  - Dommerholt J
AD  - Bethesda Physiocare, Bethesda, MD, USA; PhysioFitness, Rockville, MD, USA; 
      Myopain Seminars, Bethesda, MD, USA. Electronic address: jan@myopain4u.com.
FAU - Attarbashi Moghadam, Behrouz
AU  - Attarbashi Moghadam B
AD  - Department of Physiotherapy, School of Rehabilitation, Tehran University of 
      Medical Sciences, Iran. Electronic address: attarbashi@tums.ac.ir.
FAU - Shadmehr, Azadeh
AU  - Shadmehr A
AD  - Department of Physiotherapy, School of Rehabilitation, Tehran University of 
      Medical Sciences, Iran. Electronic address: shadmehr@tums.ac.ir.
FAU - Khazaei Pour, Zahra
AU  - Khazaei Pour Z
AD  - Tehran University of Medical Sciences, Iran. Electronic address: 
      z_kh14@yahoo.com.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20200713
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
SB  - IM
MH  - *Dry Needling
MH  - Humans
MH  - Neck Pain/therapy
MH  - Pain Threshold
MH  - *Physical Therapists
MH  - Trigger Points
OTO - NOTNLM
OT  - Active trigger point
OT  - Dry needling
OT  - Mechanical neck pain
OT  - Post-needling soreness
OT  - Upper trapezius
COIS- Declaration of competing interest This manuscript has not been published and is 
      not under consideration for publication elsewhere. Jan Dommerholt has a relevant 
      affiliation and financial involvement with Myopain Seminars, LLC, a post-graduate 
      continuing education company in the United States teaching courses about 
      myofascial pain, dry needling, and manual therapy. Jan Dommerholt has provided 
      expert testimony on the topic of dry needling and receives royalties from books.
EDAT- 2020/11/22 06:00
MHDA- 2021/07/29 06:00
CRDT- 2020/11/21 05:25
PHST- 2019/04/23 00:00 [received]
PHST- 2020/03/10 00:00 [revised]
PHST- 2020/06/07 00:00 [accepted]
PHST- 2020/11/21 05:25 [entrez]
PHST- 2020/11/22 06:00 [pubmed]
PHST- 2021/07/29 06:00 [medline]
AID - S1360-8592(20)30102-9 [pii]
AID - 10.1016/j.jbmt.2020.06.023 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2020 Oct;24(4):118-123. doi: 10.1016/j.jbmt.2020.06.023. Epub 
      2020 Jul 13.