Evidence map›Paper›PMID 41256787›Full record

ArticleTurkish journal of physical medicine and rehabilitation2025

Comparison of the effectiveness of dry needling and balneotherapy on pain, mood, anxiety, kinesiophobia, disability, and quality of life of patients with myofascial pain syndrome: A prospective, single-blind, randomized study.

Zeynep Karakuzu Güngör, Fatmanur Aybala Koçak, Figen Tuncay, Hatice Rana Erdem, Emine Eda Kurt, Senem Şaş, Erdal Güngör

Abstract read
In one paragraph

Article in Turkish journal of physical medicine and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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.

Zeynep Karakuzu GüngörDepartment of Physical Medicine and Rehabilitation, Kırşehir Training Research Hospital, Kırşehir, Türkiye.ORCID 0000-0002-9010-334X
Fatmanur Aybala KoçakDepartment of Physical Medicine and Rehabilitation, Kırşehir Training Research Hospital, Kırşehir, Türkiye.ORCID 0000-0002-2224-3324
Figen TuncayDepartment of Physical Medicine and Rehabilitation, Kırşehir Training Research Hospital, Kırşehir, Türkiye.ORCID 0000-0002-0886-2006
Hatice Rana ErdemDepartment of Physical Medicine and Rehabilitation, Kırşehir Training Research Hospital, Kırşehir, Türkiye.ORCID 0000-0001-8275-7645
Emine Eda KurtDepartment of Physical Medicine and Rehabilitation, Kırşehir Training Research Hospital, Kırşehir, Türkiye.ORCID 0000-0003-1237-8580
Senem ŞaşDepartment of Physical Medicine and Rehabilitation, Kırşehir Training Research Hospital, Kırşehir, Türkiye.ORCID 0000-0002-5616-5723
Erdal GüngörDepartment of Orthopedics and Traumatology, Kırşehir Training Research Hospital, Kırşehir, Türkiye.ORCID 0000-0002-9556-2166

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aims to compare the efficacy of dry needling and balneotherapy in the treatment of trapezius muscle myofascial pain syndrome (MPS). Patients and methods: This prospective study was conducted between February 2020 and May 2020. One hundred twenty patients (23 males, 97 females; mean age: 42.3±6.8 years; range, 18 to 50 years) were divided into three groups: dry needling (Group 1), balneotherapy (Group 2), and dry needling + balneotherapy combination (Group 3). Pain was assessed using a Visual Analog Scale (VAS) and the pressure pain threshold (PPT), cervical joint range of motion (ROM) using goniometry, mood using the Beck Depression Scale (BDS), anxiety levels using the Beck Anxiety Scale (BAS), fear of movement using the Tampa Kinesiophobia Scale (TKS), disability using the Neck Disability Index (NDI), and quality of life using the 36-item Short-Form Health Survey (SF-36). The measurements were repeated before the treatment and at the first week and third month after the treatment. Results: There were significant improvements in all parameters after the treatment in all three groups (p<0.05). It was found that Group 1 was superior to Group 2 in terms of VAS (p=0.010), BDS (p<0.001), BAS (p=0.007), and NDI (p<0.001) values. There was no difference between Group 1 and Group 2 in PPT evaluations (p=0.070). There was no difference between the groups in ROM measurements (p>0.05). The highest level of well-being was detected in Group 3 (p<0.001) in the TKS values. Considering SF-36 scores, statistically more significant score increases occurred in dry needling groups (Group 1 and Group 3) than in the group that received only balneotherapy treatment (Group 2; p<0.005). Conclusion: Both dry needling and balneotherapy were effective in improving pain, cervical ROM, depressive mood, anxiety, kinesiophobia, functionality, and quality of life scores in MPS. Combination of these two methods increased the success of the treatment.

Indexed as

Balneotherapydry needlingmyofascial pain syndrome.

Identifiers

PMID41256787
PMCPMC12621574

What OpenQuestion holds

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Registered trials

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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.