Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial

Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial Publisher Pubmed

Almaee Nejad F¹ ; Dommerholt J^{2, 3, 4} ; Attarbashi Moghadam B¹ ; Shadmehr A¹ ; Khazaei Pour Z⁵

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1. Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Iran
2. Bethesda Physiocare, Bethesda, MD, United States
3. PhysioFitness, Rockville, MD, United States
4. Myopain Seminars, Bethesda, MD, United States
5. Tehran University of Medical Sciences, Iran

Source: Journal of Bodywork and Movement Therapies Published:2020

Abstract

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. © 2020 Elsevier Ltd

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Siamak Bashardoust Tajali (2)

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Style	Citing Format
MLA	Almaee Nejad F, et al.. "Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial." Journal of Bodywork and Movement Therapies, vol. 24, no. 4, 2020, pp. 118-123.
APA	Almaee Nejad F, Dommerholt J, Attarbashi Moghadam B, Shadmehr A, Khazaei Pour Z (2020). Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial. Journal of Bodywork and Movement Therapies, 24(4), 118-123.
Chicago	Almaee Nejad F, Dommerholt J, Attarbashi Moghadam B, Shadmehr A, Khazaei Pour Z. "Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial." Journal of Bodywork and Movement Therapies 24, no. 4 (2020): 118-123.
Harvard	Almaee Nejad F et al. (2020) 'Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial', Journal of Bodywork and Movement Therapies, 24(4), pp. 118-123.
Vancouver	Almaee Nejad F, Dommerholt J, Attarbashi Moghadam B, Shadmehr A, Khazaei Pour Z. Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial. Journal of Bodywork and Movement Therapies. 2020;24(4):118-123.
BibTex	@article{ author = {Almaee Nejad F and Dommerholt J and Attarbashi Moghadam B and Shadmehr A and Khazaei Pour Z}, title = {Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial}, journal = {Journal of Bodywork and Movement Therapies}, volume = {24}, number = {4}, pages = {118-123}, year = {2020} }
RIS	TY - JOUR AU - Almaee Nejad F AU - Dommerholt J AU - Attarbashi Moghadam B AU - Shadmehr A AU - Khazaei Pour Z TI - Impact of Physical Therapists’ Instructions on Function and the Perception of Post-Dry Needling Soreness in Mechanical Cervical Pain; a Randomized Clinical Trial JO - Journal of Bodywork and Movement Therapies VL - 24 IS - 4 SP - 118 EP - 123 PY - 2020 ER -

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