PMID- 37900876
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231031
IS  - 1933-6586 (Print)
IS  - 1933-6594 (Electronic)
IS  - 1933-6586 (Linking)
VI  - 35
IP  - 5
DP  - 2023 Oct 1
TI  - Is Dry Needling Treatment an Extra Contribution to Conventional Treatment for 
      Hemiplegic Shoulder Pain? A Prospective, Randomized Controlled Study.
PG  - 236-245
LID - 10.1089/acu.2023.0060 [doi]
AB  - OBJECTIVE: This research was conducted to evaluate the effect of adding dry 
      needling (DN) treatment to conventional rehabilitation for pain, range of motion 
      (ROM), and functionality in patients with hemiplegic shoulder pain (HSP). 
      MATERIALS AND METHODS: Patients with HSP (n = 38) were divided into 2 groups. A 
      multimodal rehabilitation protocol, including physical therapy and exercise 
      treatments, was given to both groups (5 sessions per week for 15 sessions). In 
      addition to this rehabilitation, 3 sessions of DN therapy were given to one of 
      the 2 groups. Measurements were a visual analogue scale; ROM; and 2 other scales 
      (Quick Disability of the Arm, Shoulder, Hand; and the Fugl-Meyer Assessment Upper 
      Extremity). Evaluations were made before, after, and at the third month after 
      treatment. RESULTS: While a statistically significant improvement was seen in 
      both groups in all parameters after their treatments, a statistical superiority 
      was found in the conventional treatment+DN group (P < 0.05). However, the 
      differences were not greater than the minimal clinically important difference 
      values (MCID). At the 3rd month follow-up, there was no difference in pain and 
      functionality parameters between the groups, while flexion and abduction 
      measurements were higher in the conventional treatment+DN group (P < 0.05). 
      CONCLUSIONS: Adding DN treatment to conventional rehabilitation did not show any 
      difference except in some joint ROM measurements in the subacute time. Although 
      the changes found were statistically significant, they were not clinically 
      significant as they did not reach MCID values.This study was registered 
      prospectively at ClinicalTrials.gov (ref. no: NCT04790071).
CI  - Copyright 2023, Mary Ann Liebert, Inc., publishers.
FAU - Bagcier, Fatih
AU  - Bagcier F
AD  - Clinic of Physical Medicine and Rehabilitation, Cam and Sakura City Hospital, 
      Istanbul, Turkey.
FAU - Yurdakul, Ozan Volkan
AU  - Yurdakul OV
AD  - Department of Physical Medicine and Rehabilitation, Faculty of Medicine, 
      Bezmialem University Istanbul, Turkey.
FAU - Deniz, Gamze
AU  - Deniz G
AD  - Department of Physiotherapy and Rehabilitation, Biruni University Physiotherapy 
      High School, Istanbul, Turkey.
FAU - Akbulut, Ahmet
AU  - Akbulut A
AD  - Department of Physiotherapy and Rehabilitation, Biruni University Physiotherapy 
      High School, Istanbul, Turkey.
FAU - Celik, Yusuf
AU  - Celik Y
AD  - Department of Biostatistics, Biruni University, Faculty of Education, Istanbul, 
      Turkey.
FAU - Temel, Mustafa Huseyin
AU  - Temel MH
AD  - Clinic of Physical Medicine and Rehabilitation, Uskudar State Hospital, Istanbul, 
      Turkey.
LA  - eng
SI  - ClinicalTrials.gov/NCT04790071
PT  - Journal Article
DEP - 20231017
PL  - United States
TA  - Med Acupunct
JT  - Medical acupuncture
JID - 100899009
PMC - PMC10606952
OTO - NOTNLM
OT  - dry needling
OT  - hemiplegia
OT  - myofascial trigger point
OT  - shoulder pain
COIS- No competing financial interests exist.
EDAT- 2023/10/30 06:46
MHDA- 2023/10/30 06:47
PMCR- 2024/10/01
CRDT- 2023/10/30 04:40
PHST- 2024/10/01 00:00 [pmc-release]
PHST- 2023/10/30 06:47 [medline]
PHST- 2023/10/30 06:46 [pubmed]
PHST- 2023/10/30 04:40 [entrez]
AID - 10.1089/acu.2023.0060 [pii]
AID - 10.1089/acu.2023.0060 [doi]
PST - ppublish
SO  - Med Acupunct. 2023 Oct 1;35(5):236-245. doi: 10.1089/acu.2023.0060. Epub 2023 Oct 
      17.