|The Effectiveness of Dry Needling on Subjects With Multiple Myofascial Trigger Points in Shoulder Girdle Muscles|
|Naghikhani Mehrdad1, Tayefi NasrabadiHamid2, Soleimanirad Jafar3, Joghataei Mohammad Taghi4, Arablu Amir Massoud5|
|1Department of Anatomical Science Faculty of Medicine Tabriz University of Medical Sciences Iran
2Department of Anatomical Sciences, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
3Stem Cell Research Center, Department of Anatomical Sciences, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
4Cellular and Molecular Research Center, Department of Anatomical Science ofIran University of Medical Sciences, Tehran, Iran
5Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Keywords : Myofascial trigger points, Dry needling, Pressure pain threshold, Pain, Muscle pain, Shoulder muscles
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Objectives: In recent years, the number of patients referred to medical centers due to musculoskeletal pain has increased and the myofascial trigger points (MTrPs) are among the most common complaints. In this regard, physiotherapists accepted dry needling (DN) technique as an effective treatment for MTrPs. The current investigate aimed at evaluating the influenceof DN on patients with musculoskeletal pains caused by active MTrPs in shoulder girdle muscles. Most of the similar studies have been conducted on only one muscle.
Materials and Methods: This is a quasi-experimental study which was achieved based on the experiences and observations in clinical settings. A total of 20 subjects were selected with pain in shoulders andor upper limbs as well as head and neck who had 3 to 5 MTrPs in shoulder girdle muscles. They were candidates for treatment with DN in 5 sessions every other day during 2 weeks. The subjects were evaluated by the visual analogue scale (VAS), pressure-pain threshold (PPT), and disabilities of the arm, shoulder, and hand(DASH).The statistical analysis has been done using the paired t test.
Results: A significant difference was observed in VAS, DASH, and PPT results after the intervention, compared with those values before the intervention. P ≤0.05 was considered the level of significance.
Conclusion: Considering the improvements observed in VAS, the PPT, and DASH scores, the DN can be used as an impressive therapeutic method for myofascial trigger points (MTrPs) in shoulder girdle muscles.
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