Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial

BMC Musculoskeletal Disorders

Research

Yong-Jun Zheng¹  Bo Wang¹  Yan-Tao Ma¹  Wen-Pin Xie¹  Qiang-Min Huang²  Yu-Lin Dong³ 

[1] Department of Pain Management, Huadong Hospital Affiliated to Fudan University, Shanghai, China;Department of Sport Rehabilitation, School of Kinesiology, Shanghai University of Sport, Shanghai, China;Department of Pain Management, Shanghai Ciyuan Rehablitation Hospital, Sinophama Holding, Shanghai, China;Department of Treatment, Yang Zhi Affiliated Rehabilition Hospital of Tongji, Shanghai, China;

关键词: Knee osteoarthritis;    Myofascial trigger points;    Dry needling;    Stretching;    Diclofenac;   

DOI  :  10.1186/s12891-022-06116-9

 received in 2022-09-22, accepted in 2022-12-26,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundLatent and active myofascial trigger points (MTrPs) in knee-associated muscles may play a key role in pain management among patients with knee osteoarthritis (KOA). The aim of this study was to investigate the effect of dry needling treatment on pain intensity, disability, and range of motion (ROM) in patients with KOA.MethodsThis randomized, single-blinded, clinical trial was carried out for 6 weeks of treatment and 6-month follow-up. A total of 98 patients met the entry criteria and were randomly assigned to the dry needling latent and active myofascial trigger point (MTrPs) with the stretching group or the oral diclofenacwith the stretching group. Numeric Pain Rating Scale (NPRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and ROM were statistically analyzed before and after treatment and at the 6-month follow-up.ResultsA total of 42 patients in the dry needling group (DNG) and 35 patients in the diclofenac group (DG), respectively, completed the study, and there was no significant difference in the general data between the two groups. After treatments, both the groups showed a good effect in knee pain, function, and ROM, However, the DNG showed a significantly better result than the DG. Especially in the results of the 6-month follow-up, the DNG showed much better results than the DG.ConclusionsDry needling on latent and active MTrPs combined with stretching and oral diclofenac combined with stretching can effectively relieve pain, improve function, and restore knee ROM affected by KOA. However, the effects of dry needling and stretching are better and longer lasting than those of oral diclofenac and stretching for at least 6 months.Trial registrationRegistered in the Chinese Clinical Trial Registry (www.chictr.org.cn) in 17/11/2017 with the following code: ChiCTR-INR-17013432.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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