جستجوی مقالات مرتبط با کلیدواژه « سوزن زدن خشک » در نشریات گروه « پزشکی »

Osteoarthritis is one of the most common knee joint diseases. It is a multifactorial, inflammatory, and destructive disorder of the joint that involves the synovial tissues and joint cartilage and causes permanent pain, functional limitations, and a decrease in patients’ quality of life (QoL). In advanced cases of the disease, total knee arthroplasty is performed to reduce pain and improve the function of the patients. The presence of pain after this surgery is a major concern that reduces the QoL of these people. One of the causes of pain after surgery is extra-articular pain and involvement of the musculoskeletal system, the most common cause of which is pain caused by active trigger points. Dry needling is one way to deactivate trigger points. This study aimed to investigate the effects of dry needling on the pain intensity and function of patients with active trigger points in the muscles around the knee after total knee arthroplasty.

This research was a before-and-after clinical trial study. In this study, 49 patients aged 55 to 80 years, with at least 3 months past their total knee arthroplasty and still having pain, were included by an orthopedic specialist after reviewing the inclusion and exclusion criteria. After the first researcher considered the inclusion and exclusion criteria and the presence of active trigger points in the muscles around the knee, including the quadriceps, hamstring, and gastrocsoleus, 27 patients were qualified. The amount of pain in these patients before, one week, and one month, after dry needling was measured and compared based on the linear visual analog scale. Also, the performance of the patients was assessed based on the knee injury and osteoarthritis outcome score questionnaire. This study aimed to investigate the short-term effects of dry needling on pain intensity and function of patients with active trigger points in the muscles around the knee after total knee arthroplasty.

The results of this study show a significant difference (P<0.001) between the amount of pain before dry needling (57.2±8.9) and one week after dry needling (10.8±33.6). Also, there is a significant (P<0.006) difference between the performance of patients before dry needling (47.5±11.9) and one week after dry needling (42.3±10.6). No significant difference was observed regarding pain and performance between one week and one month after dry needling.

Performing one dry needling session on the active trigger points of the muscles around the knee after total knee arthroplasty reduces pain and improves patients’ performance.

Studies have shown that 75% of men and 35% of women over the age of 10 have hamstring tightness. Hamstring tightness is one of the major causes of hamstring injury and loss of function. Dry needling which is a common intervention used by physiotherapists for the treatment of common various conditions can improve hamstring flexibility in less time than other interventions. So, the present study aimed to investigate the effect of dry needling on flexibility and electrophysiological indices in healthy men with hamstring tightness.

In this two-way blind clinical trial with a control group, which was performed from November 2018 to February 2019 in the laboratory of the Faculty of Rehabilitation of Tehran University of Medical Sciences, 30 healthy men with hamstring tightness were randomly divided into two groups of dry needling (n=15) and sham needle (n=15). In both groups, dry needling and sham needle, three points of hamstring muscle were needled, each point for one minute during a single session. Outcome measures included flexibility based on passive knee extension test, H-reflex latency, and motor neuron excitability, which were measured three times: before the intervention, immediately after the intervention, and one week after the intervention.

The results revealed that the mean of passive knee extension test (P=0.54), the mean delay time of H-reflex (P=0.84) and the mean of excitability of the motor neuron (P=0.41) didn’t have significant different between two groups after intervention.

The findings of this study showed that dry needling had no effect on hamstring flexibility and electrophysiological indices recorded in the soleus muscle of healthy individuals with hamstring tightness.

Tennis elbow is one of the most common injuries due to overuse in athletes and even non-athletes. The purpose of the present study was to compare the effect and durability of four weeks of eccentric and stretching exercises with dry needle therapy on pain (pain during rest and pain during activity) of athletes suffering from tennis elbow.

The statistical samples of the study consisted of 20 patients with tennis elbow who were randomly divided into two groups of combined exercises (10 participants including 5 women and 5 men) and dry needling (10 participants including 3 women and 7 men). The combined exercises group did tensile and eccentric exercises three days a week, and dry-needling was performed for the other group three days a week. In the present study, intra-group changes in the variables of the research were measured from pre-test until the end of the fourth week. Regarding the normal distribution of data, paired t-test was used to examine intra-group variation and ANCOVA test was used to examine intergroup differences.

The results of paired t-test and covariance analysis showed that four weeks of combined eccentric and tensile training as well as dry-needling significantly reduced pain (pain during rest and pain during activity) of patients with tennis elbows (P ≥0.05).

According to the results, both methods of combinational training and dry needling significantly reduced pain in athletes suffering from tennis elbow after four weeks of intervention, but the effect size in dry needling was larger.

Musculoskeletal disorders are one of the most important causes of the pain, and the myofascial pain syndrome is one of the most commonly reported cases which characterized by the presence of trigger points. The purpose of the present study was to compare the therapeutic effects of two methods of dry needling and inhibitory kinesio taping on the pain intensity and functional disability in females with upper trapezius myofascial pain syndrome.

A total of 75 patients with active trigger points in the upper trapezius muscle were enrolled and divided into experimental group 1 (dry needling treatment), experimental group 2 (inhibitory kinesio taping treatment) and control group (without intervention). The experimental group 1 and 2 received two sessions treatment with three days’ interval. The severity of the pain and the functional disability index were assessed before treatment (pre-test), three days after treatment (post-test 1), and 10 days after treatment (post-test 2).

In the both post-tests, the pain intensity and the functional disability index were significantly decreased in the both experimental groups compared to the control group (P<0.05). However, there were no significant differences between the two experimental groups in the both post-tests (P>0.05).

The use of the dry needling or the inhibitory kinesio taping method in the subjects with the myofascial trigger points in the upper trapezius muscle causes short-term improvement in the pain and the functional disability.