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Is Dry Needling Treatment an Extra Contribution to Conventional Treatment for Hemiplegic Shoulder Pain? A Prospective, Randomized Controlled Study   
Yazarlar (6)
Fatih Bagcier
Ozan Volkan Yurdakul
Gamze Deniz
Arş. Gör. Ahmet Batuhan AKBULUT Arş. Gör. Ahmet Batuhan AKBULUT
Kastamonu Üniversitesi, Türkiye
Yusuf Celik
Mustafa Huseyin Temel
Devamını Göster
Özet
This research was conducted to evaluate the effect of adding dry needling (DN) treatment to conventional rehabilitation for pain, range of motion (ROM), and functionality in patients with hemiplegic shoulder pain (HSP). Patients with HSP ( = 38) were divided into 2 groups. A multimodal rehabilitation protocol, including physical therapy and exercise treatments, was given to both groups (5 sessions per week for 15 sessions). In addition to this rehabilitation, 3 sessions of DN therapy were given to one of the 2 groups. Measurements were a visual analogue scale; ROM; and 2 other scales (Quick Disability of the Arm, Shoulder, Hand; and the Fugl-Meyer Assessment Upper Extremity). Evaluations were made before, after, and at the third month after treatment. While a statistically significant improvement was seen in both groups in all parameters after their treatments, a statistical superiority was found in the conventional treatment+DN group ( < 0.05). However, the differences were not greater than the minimal clinically important difference values (MCID). At the 3rd month follow-up, there was no difference in pain and functionality parameters between the groups, while flexion and abduction measurements were higher in the conventional treatment+DN group ( < 0.05). Adding DN treatment to conventional rehabilitation did not show any difference except in some joint ROM measurements in the subacute time. Although the changes found were statistically significant, they were not clinically significant as they did not reach MCID values.This study was registered prospectively at ClinicalTrials.gov (ref. no: NCT04790071).
Anahtar Kelimeler
hemiplegia | shoulder pain | myofascial trigger point | dry needling
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı MEDICAL ACUPUNCTURE
Dergi ISSN 1933-6586 Wos Dergi Scopus Dergi
Makale Dili İngilizce
Basım Tarihi 10-2023
Cilt No 35
Sayı 5
Sayfalar 236 / 245
Doi Numarası 10.1089/acu.2023.0060