Publication: Efectividad de la punción seca frente a otras terapias en el dolor de cuello
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2022-01-31
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Universidad Complutense de Madrid
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Abstract
El dolor de cuello es una de las afecciones musculoesqueléticas más comunes en la sociedad, lo que supone un enorme coste socioeconómico. El objetivo de este estudio fue evaluar el efecto de la punción seca sola en comparación con la punción seca simulada, la infiltración y otros tratamientos físicos (con o sin intervenciones), aplicados en los puntos gatillo asociados con los síntomas de dolor de cuello. Se identificaron en las bases de datos electrónicas los ensayos controlados aleatorizados que incluían un grupo que recibía punción seca para el tratamiento de los puntos gatillo. Los resultados incluyeron la intensidad del dolor, los umbrales de dolor por presión, la discapacidad asociada al dolor y la amplitud de movimiento cervical. Para evaluar el riesgo de sesgo (RoB) y la calidad metodológica de los ensayos, se utilizó la herramienta Cochrane de riesgo de sesgo y la Base de Datos de Evidencias de Fisioterapia (PEDro). La calidad de la evidencia se evaluó a través del enfoque de Grading of Recommendations Assessment, Development, and Evaluation (GRADE), y se calcularon las diferencias medias (DM) y las diferencias de medias estandarizadas (DME) entre los grupos. Se realizaron dos metaanálisis independientes; el primer metaanálisis comparó la punción seca y otras intervenciones de fisioterapia y el segundo comparó la punción seca con la inyección de fármacos. Finalmente se incluyeron veintiocho y siete ensayos, respectivamente...
Neck pain is one of the most common musculoskeletal pain conditions in society, which supposes a huge socioeconomic cost.The objective of this study was to evaluate the effect of dry needling alone in comparison with sham needling, wet needling, and alternative physical treatments (with or without interventions), applied on trigger points associated with neck pain symptoms.Randomized controlled trials that included one group which received dry needling for myofascial trigger points were identified in electronic databases. The results included pain intensity, pressure pain thresholds, pain-associated disability, and cervical range of motion. To evaluate the risk of bias (RoB) and methodological quality of the trials, the Cochrane risk of bias tool and the Physiotherapy Evidence Database (PEDro) were used. The quality of the evidence was assessed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, and the between-groups (MD) and standardized (SMD) mean differences were calculated. Two independent metanalysis were realized; the first metanalysis compared dry needling and other physical interventions and the second one compared dry needling with drug injection. Twenty-eight and seven trials were eventually included, respectively...
Neck pain is one of the most common musculoskeletal pain conditions in society, which supposes a huge socioeconomic cost.The objective of this study was to evaluate the effect of dry needling alone in comparison with sham needling, wet needling, and alternative physical treatments (with or without interventions), applied on trigger points associated with neck pain symptoms.Randomized controlled trials that included one group which received dry needling for myofascial trigger points were identified in electronic databases. The results included pain intensity, pressure pain thresholds, pain-associated disability, and cervical range of motion. To evaluate the risk of bias (RoB) and methodological quality of the trials, the Cochrane risk of bias tool and the Physiotherapy Evidence Database (PEDro) were used. The quality of the evidence was assessed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, and the between-groups (MD) and standardized (SMD) mean differences were calculated. Two independent metanalysis were realized; the first metanalysis compared dry needling and other physical interventions and the second one compared dry needling with drug injection. Twenty-eight and seven trials were eventually included, respectively...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, leída el 28-09-2021