Evidence map›Paper›PMID 36138055›Full record

Trial reportScientific reports2022

The effectiveness of dry needling in patients with chronic low back pain: a prospective, randomized, single-blinded study.

Joanna Rajfur, Katarzyna Rajfur, Łukasz Kosowski, Karolina Walewicz, Robert Dymarek, Kuba Ptaszkowski, Jakub Taradaj

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06203340 (Investigation of the Effectiveness of Lumbar Training or Core Stabilisation Exercises on Pain, Mobilisation and Quality of Life in Patients With Chronic Low Back Pain), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06203340 nacompletednot on this mapstarted 2024, after this paper: background citation

Investigation of the Effectiveness of Lumbar Training or Core Stabilisation Exercises on Pain, Mobilisation and Quality of Life in Patients With Chronic Low Back Pain: A Randomised Controlled Study

TypeinterventionalSponsorNecmettin Erbakan UniversityRan2024 to 2024Enrolled72ConditionsLow Back Pain, Core Stability, Core-based Exercise, Back SchoolArmsCore stabilizasyon and lumbal back school
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Inferior-Medial Dry Needling at the Thoracolumbar Junction: A Cadaveric Study.International journal of sports physical therapy · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. 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.

Joanna RajfurInstitute of Health Sciences, University of Opole, 45-060, Opole, Poland.
Katarzyna RajfurInstitute of Health Sciences, University of Opole, 45-060, Opole, Poland.
Łukasz KosowskiInstitute of Health Sciences, University of Opole, 45-060, Opole, Poland.
Karolina WalewiczInstitute of Health Sciences, University of Opole, 45-060, Opole, Poland.
Robert DymarekDepartment of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-355, Wrocław, Poland. r.dymarek@gmail.com.
Kuba PtaszkowskiDepartment of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-355, Wrocław, Poland.
Jakub TaradajInstitute of Physiotherapy and Health Sciences, Academy of Physical Education, 40-065, Katowice, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dry needling (DN) is a standard procedure for treating musculoskeletal disorders. However, there are no clear recommendations for using DN in low back pain (LBP). Therefore, this study aimed to assess the effectiveness of the novel DN program for reducing pain intensity and improving functional efficiency in patients with chronic LBP. A group of 40 patients with chronic LBP due to the L5-S1 discopathy were eligible and randomized into experimental (n = 20) and control (n = 20) groups. The DN program was performed for the experimental group according to the Five Regulatory Systems (FRS) concept. The control group received sham therapy using placebo needles. DN sessions were performed twice a week for 4 weeks. A single needling application lasted 60 min. Both groups received standard treatment and physical exercise of LBP for 1 month. Subjective pain was measured by a visual analog scale (VAS), functional efficiency was assessed with the Oswestry Disability Index (ODI), and the lower spine range of motion was measured with the Schober test. There were significant differences in pain reduction (VAS) in both groups (p < 0.001). The strongest analgesic effect in the DN group yielded 6.45 points immediately after the therapy, 6.2 points after 1 month, and 6 points after 3 months. The DN group scored higher VAS reduction than the control group (p < 0.001). There were significant differences in the functional state (ODI) in the experimental group (p < 0.001). There was a significant ODI decrease by 18.1 points, after 1 month by 18.9 points, and after 3 months by 17.6 points. No significant differences were found in the control group (p > 0.05). Intergroup differences were observed in the functional efficiency in ODI in all measurement time-points (p < 0.001). There were significant differences in the range of motion (Schober test) in the DN group (main effect: p < 0.001). For all measurements, differences (p < 0.001) were observed in favor of DN compared to the control. In conclusion, DN program according to the FRS concept stands for the novel treatment method supplemented by an exercise program, effectively reducing pain and improving functional efficiency in LBP patients.

Indexed as

Dry NeedlingLow Back PainAnalgesicsHumansProspective StudiesSingle-Blind MethodAnalgesics

Identifiers

PMID36138055
PMCPMC9500077

What OpenQuestion holds

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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.