1. Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial.
- Author
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Dunning J, Butts R, Fernández-de-Las-Peñas C, Walsh S, Goult C, Gillett B, Arias-Buría JL, Garcia J, and Young IA
- Subjects
- Adult, Combined Modality Therapy, Disability Evaluation, Female, Humans, Male, Middle Aged, Pain Measurement, Single-Blind Method, Dry Needling methods, Manipulation, Spinal methods, Shoulder Pain therapy
- Abstract
Objectives: To compare the effects of spinal thrust manipulation and electrical dry needling (TMEDN group) to those of nonthrust peripheral joint/soft tissue mobilization, exercise, and interferential current (NTMEX group) on pain and disability in patients with subacromial pain syndrome (SAPS)., Design: Randomized, single-blinded, multicenter parallel-group trial., Methods: Patients with SAPS were randomized into the TMEDN group (n = 73) or the NTMEX group (n = 72). Primary outcomes included the Shoulder Pain and Disability Index and the numeric pain-rating scale. Secondary outcomes included the global rating of change scale (GROC) and medication intake. The treatment period was 6 weeks, with follow-ups at 2 weeks, 4 weeks, and 3 months., Results: At 3 months, the TMEDN group experienced greater reductions in shoulder pain and disability ( P <.001) compared to the NTMEX group. Effect sizes were large in favor of the TMEDN group. At 3 months, a greater proportion of patients within the TMEDN group achieved a successful outcome (GROC score of 5 or greater) and stopped taking medication ( P <.001)., Conclusion: Cervicothoracic and upper-rib thrust manipulation combined with electrical dry needling resulted in greater reductions in pain, disability, and medication intake than nonthrust peripheral joint/soft tissue mobilization, exercise, and interferential current in patients with SAPS. The effects were maintained at 3 months. J Orthop Sports Phys Ther 2021;51(2):72-81. Epub 28 Aug 2020. doi:10.2519/jospt.2021.9785 .
- Published
- 2021
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