Evidence map›Paper›PMID 27297448›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2017

Beneficial Effects of Dry Needling for Treatment of Chronic Myofascial Pain Persist for 6 Weeks After Treatment Completion.

Lynn H Gerber, Siddhartha Sikdar, Jacqueline V Aredo, Katee Armstrong, William F Rosenberger, Hui Shao, Jay P Shah

Abstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
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  9. Cannabidiol for musculoskeletal regenerative medicine.Experimental biology and medicine (Maywood, N.J.) · 2023
    Review
  10. Review
  11. Review
  12. Article
  13. Needling: is there a point?The Journal of manual & manipulative therapy · 2019
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Lynn H GerberCenter for the Study of Chronic Illness and Disability, George Mason University, MSN: 2G7, 4400 University Dr., Fairfax, VA 22030(∗). Electronic address: ngerber1@gmu.edu.
Siddhartha SikdarBioengineering Department, George Mason University, Fairfax, VA(†).
Jacqueline V AredoRehabilitation Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD(‡).
Katee ArmstrongCenter for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA(§).
William F RosenbergerDepartment of Statistics, George Mason University, Fairfax, VA(‖).
Hui ShaoDepartment of Statistics, George Mason University, Fairfax, VA(¶).
Jay P ShahRehabilitation Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD(#).
George Mason University · USNational Institutes of Health Clinical Center · USNational Institutes of Health · US

Funding

Pathogenesis and Pathophysiological Mechanisms of Myofascial Trigger PointsR01AR057348 · NIAMS · GEORGE MASON UNIVERSITY · PI SIKDAR, SIDDHARTHA · 2010 to 2013
$1.8M
STATISTICAL METHODOLOGY FOR CANCER CLINICAL TRIALSR01CA087746 · NCI · UNIVERSITY OF MARYLAND BALT CO CAMPUS · PI ROSENBERGER, WILLIAM F. · 2000 to 2004
$631k
NCI NIH HHS R01 CA087746NIAMS NIH HHS R01 AR057348
6 · The paper itself

Abstract

backgroundDry needling is an effective treatment for reducing pain associated with active myofascial trigger points (a-MTrPs) in the short term. The duration of the benefits of this treatment have not been fully assessed.

objectiveTo determine whether the benefits of dry needling (DN) of a-MTrPs are sustained 6 weeks posttreatment.

designFollow-up of a prospective study.

settingUniversity.

participantsA total of 45 patients (13 male and 32 female) with cervical pain >3 months and a-MTrPs in the upper trapezius who completed 3 DN treatments and who were evaluated 6 weeks posttreatment.

interventionsNone.

main outcome measuresPrimary outcomes were changes from baseline to follow-up in scores for the verbal analogue scale (VAS), Brief Pain Inventory (BPI), and MTrP status. MTrPs were rated as active (spontaneously painful), latent (painful only on compression), and nonpalpable nodule. Responders were patients whose MTrP status changed from active to latent or nonpalpable nodule (resolved). Secondary outcomes were pain pressure threshold (PPT), Profile of Mood States, Oswestry Disability Index (ODI), MOS 36-Item Short-Form Health Survey (SF-36), and cervical range of motion.

resultsPain measures remained significantly improved 6 weeks posttreatment (P < .003), as did the SF-36 physical functioning score (0.01) and ODI (P = .002). Side bending and PPT for subjects with unilateral MTrPs had sustained improvement (P = .002). The number of subjects with sustained MTrP response at 6 weeks was significant (P < .001). Comparing responders to nonresponders, the changes in VAS and BPI were statistically significant (P = .006, P = .03) but the change in PPT was not. Patients with higher baseline VAS scores had a higher risk of not responding to DN; those with a greater drop in VAS score from baseline had a higher probability of sustained response. A 1-unit decrease in VAS at baseline resulted in a 6.3-fold increase in the odds of being a responder versus a nonresponder (P = .008).

conclusionsIn this study, there was sustained reduction of pain scores after completion of DN, which is more likely with a greater drop in VAS score. Patients with higher baseline VAS scores are less likely to respond to DN. Early intervention toward significant pain reduction is likely to be associated with sustained clinical response. LEVEL OF EVIDENCE: IV.

Indexed as

NeedlesTrigger PointsAdolescentAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedMyofascial Pain SyndromesNeck PainPain MeasurementPain ThresholdProspective StudiesTreatment Outcome

Identifiers

PMID27297448
PMCPMC5149452
OpenAlexW2412896494

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.