TY - JOUR 
A1 - Alonso Pérez, Jose Luís
AU - Campa Moran, I.
AU - Rey Gudin, E.
AU - Fernández Carnero, Josué
AU - París Alemani, A.
AU - Gil Martínez, A.
AU - Lerma Lara, Sergio
AU - Prieto Baquero, A.
AU - La Touche Arbizu, Roy Arturo
T1 - Comparison of Dry Needling versus Orthopedic Manual Therapy in Patients with Myofascial Chronic Neck Pain: A Single-Blind, Randomized Pilot Study
Y1 - 2015
SN - 2090-1550

UR - http://hdl.handle.net/11268/8078
AB - OBJECTIVE:
The aim of this study was to compare the efficacy of three interventions for the treatment of myofascial chronic neck pain.

METHODS:
Thirty-six patients were randomly assigned to one of three intervention groups: orthopedic manual therapy (OMT), dry needling and stretching (DN-S), and soft tissue techniques (STT). All groups received two treatment sessions with a 48 h time interval. Outcome measures included neck pain intensity measured using a visual analogue scale, cervical range of motion (ROM), pressure pain threshold for measuring mechanical hyperalgesia, and two self-reported questionnaires (neck disability index and pain catastrophizing scale).

RESULTS:
The ANOVA revealed significant differences for the group × time interaction for neck disability, neck pain intensity, and pain catastrophizing. The DN-S and OMT groups reduced neck disability. Only the OMT group showed decreases in mechanical hyperalgesia and pain catastrophizing. The cervical ROM increased in OMT (i.e., flexion, side-bending, and rotation) and DN-S (i.e., side-bending and rotation) groups.

CONCLUSIONS:
The three interventions are all effective in reducing pain intensity. Reduction in mechanical hyperalgesia and pain catastrophizing was only observed in the OMT group. Cervical ROM improved in the DN-S and OMT groups and also neck disability being only clinically relevant for OMT group.
KW - Cervicalgia
KW - Terapéutica
KW - Terapia
KW - Medicina clínica
LA - eng
ER -