Evidence map›Paper›PMID 32610659›Full record

ReviewJournal of clinical medicine2020

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.

Youssef Rahou-El-Bachiri, Marcos J Navarro-Santana, Guido F Gómez-Chiguano, Joshua A Cleland, Ibai López-de-Uralde-Villanueva, César Fernández-de-Las-Peñas, Ricardo Ortega-Santiago, Gustavo Plaza-Manzano

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04804228 (Comparison of the Efficacy of Electrical Dry Needling Versus Traditional Physical Therapy in the Treatment of Active Myofascial Trigger Points in Pain, Sensitivity, Functionality and Quality of Life of Patients With Chronic Non-specific Low Back Pain), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT04804228 nacompletednot on this map

Comparison of the Efficacy of Electrical Dry Needling Versus Traditional Physical Therapy in the Treatment of Active Myofascial Trigger Points in Pain, Sensitivity, Functionality and Quality of Life of Patients With Chronic Non-specific Low Back Pain

TypeinterventionalSponsorUniversidad de AlmeriaRan2020 to 2021Enrolled80ConditionsChronic Low-back PainArmsElectrical dry needling, Ischemic compression, analytical stretching and postural habits educational dossier
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  16. Invasive Physiotherapy as a Treatment of Spasticity: A Systematic Review.Degenerative neurological and neuromuscular disease · 2022
    Review
  17. Article
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  19. Article
  20. Physical Therapist Management of Anterior Knee Pain.Current reviews in musculoskeletal medicine · 2020
    Review
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

8 authors at 3 institutions in 2 countries.

Youssef Rahou-El-BachiriEscuela Internacional de Doctorado, Universidad Rey Juan Carlos (URJC), 28922 Alcorcón, Madrid, Spain.
Marcos J Navarro-SantanaDepartment of Radiology, Rehabilitation and Physiotherapy, Faculty of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Guido F Gómez-ChiguanoClínica Dinamia Fisioterapia, 28806 Madrid, Spain.
Joshua A ClelandDoctor of Physical Therapy Program, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA 02111, USA.
Ibai López-de-Uralde-VillanuevaDepartment of Radiology, Rehabilitation and Physiotherapy, Faculty of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.
César Fernández-de-Las-PeñasDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, Spain.ORCID 0000-0003-3772-9690
Ricardo Ortega-SantiagoDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, Spain.
Gustavo Plaza-ManzanoDepartment of Radiology, Rehabilitation and Physiotherapy, Faculty of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.ORCID 0000-0003-1596-5027
Universidad Complutense de Madrid · ESUniversidad Rey Juan Carlos · ESTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effect of trigger point dry needling alone or as an adjunct with other interventions on pain and related disability in people with knee pain.

methodsSeveral electronic databases were searched for randomized controlled trials where at least one group received dry needling for knee pain. Studies had to include human subjects and collect outcomes on pain and pain-related disability in musculoskeletal knee pain. Data were extracted by two reviewers. The risk of bias was assessed by the Cochrane Guidelines, methodological quality was assessed with the Physiotherapy Evidence Database (PEDro) score, and the quality of evidence by using the GRADE approach. Standardized mean differences (SMD) were calculated.

resultsTen studies (six patellofemoral pain, two knee osteoarthritis, two post-surgery knee pain) were included. The meta-analysis found moderate effect sizes of dry needling for reducing pain (SMD -0.53, 95% CI -0.87 to -0.19) and improving related disability (SMD -0.58, 95% CI -1.08 to -0.09) as compared to a comparison group at short-term. The main effect was observed for patellofemoral pain (SMD -0.64, 95% CI -1.17 to -0.11). No significant effects were observed at mid- or long-term follow-ups. The risk of bias was generally low, but the heterogenicity and the imprecision of the results downgraded the level of evidence.

conclusionLow to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain, but not knee osteoarthritis or post-surgery knee pain, at short-term. More high-quality trials investigating long-term effects are clearly needed.

Indexed as

Dry needlingknee painmeta-analysismusculoskeletal pain

Identifiers

PMID32610659
PMCPMC7409136
OpenAlexW3040006289

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.