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



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Rahou-El-Bachiri, Youssef and Navarro Santana, Marcos J. and Gómez Chiguano, Guido Fabián and Cleland, Joshua A and López de Uralde Villanueva, Ibai and Fernández de las Peñas, César and Ortega Santiago, Ricardo and Plaza Manzano, Gustavo (2020) Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 9 (7). p. 2044. ISSN 2077-0383

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Official URL: https://doi.org/10.3390/jcm9072044


Background: To 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.
Methods: Several 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.
Results: Ten 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.
Conclusion: Low 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

Item Type:Article
Uncontrolled Keywords:dry needling; knee pain; musculoskeletal pain; meta-analysis
Subjects:Medical sciences > Medicine > Physical medicine and medical rehabilitation
Medical sciences > Medicine > Musculoskeletal System
ID Code:67543
Deposited On:27 Aug 2021 10:38
Last Modified:06 Sep 2021 09:16

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