1. Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial.
- Author
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DUNNING, JAMES, WALSH, SUZANNE, ARIAS-BURÍA, JOSÉ L., BUTTS, RAYMOND, GOULT, CHRISTOPHER, GARCIA, JODAN, FERNÁNDEZ-DE-LAS-PEÑAS, CÉSAR, GILLETT, BRANDON, and YOUNG, IAN A.
- Subjects
PAIN management ,SHOULDER injury treatment ,SHOULDER physiology ,ANALYSIS of covariance ,CHI-squared test ,COMPARATIVE studies ,CONFIDENCE intervals ,ELECTROTHERAPEUTICS ,EXERCISE ,OUTPATIENT services in hospitals ,RANGE of motion of joints ,MANIPULATION therapy ,MEDICAL cooperation ,MYOFASCIAL pain syndrome treatment ,PAIN ,PHYSICAL therapy ,RESEARCH ,STATISTICAL sampling ,SHOULDER disorders ,STATISTICS ,DATA analysis ,RANDOMIZED controlled trials ,TREATMENT effectiveness ,BLIND experiment ,DATA analysis software ,PATIENTS' attitudes ,ADVERSE health care events ,DESCRIPTIVE statistics ,ACROMION ,EVALUATION - 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, multi-center 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. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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