Comparative study between ischemic compression and dry needling in myofascial pain syndrome: possibilities in health
Vanessa Renata Molinero de Paula, Gustavo Melo de Paula, Jadson Justi, Cláudia F. Soares, Hugo Machado Sanchez
Abstract
Introduction: Myofascial Pain Syndrome (MPS) is a neuromuscular regional dysfunction characterized by the presence of sensitive regions in strained muscle bands (trigger points), able to cause local and referred pain, functional losses and change the quality of life (QOL) of affected people. It can be triggered by musculoskeletal injuries, postural imbalances, endocrinal factors and psych emotional disorders. The diagnostic is clinical, the intervention is multidisciplinary and the treatment may involve the use of drugs and several invasive and non-invasive techniques. Objective: Compare the effects of ischemic compression associated to physiotherapy and dry needling associated to pain control and the QOL of people with MPS. Methods: 40 subjects took part of the study. They were of both genders, aged from 20 to 60 years old, with MPS, divided into 2 groups with 20 participants each. The first group receives ischemic compression and physiotherapy and the second, dry needling and physiotherapy. The statistical analysis involves proportions for categorical variables, significance and standard deviation for continuous variables. In order to evaluate the change in the pain and QOL perception of subjects, the Student’s t-test (p<0.05). Results: The best results were verified in the dry needling and physiotherapy group. Conclusion: Both ischemic compression and physiotherapy as dry needling and physiotherapy can promote pain relief and better QOL in subjects suffering from MPS.
Keywords
References
1. Santos RBC, Carneiro MIS, Oliveira DM, Maciel ABR, Silva KKM, Araújo MGR. Impact of dry needling and ischemic pressure in the myofascial syndrome: Controlled clinical trial. Fisio Mov. 2014; 4: 515-22.
2. Musse, A. Síndrome dolorosa miofascial. In: Lianza S, editor. Medicina de reabilitação. 3rd ed. Rio de Janeiro: Guanabara Koogan; 1995. p. 163-77.
3. Yeng LT, Kaziyama HH, Teixeira MJ. Síndrome dolorosa miofascial e fibromialgia. In: Siqueira JT, Teixeira MJ, editores. Dor orofacial diagnóstico, terapêutica e qualidade de vida. São Paulo: Maio; 2001. p. 405-30.
4. Asher SN. Pontos-gatilhos: uma abordagem concisa. São Paulo: Manole; 2008. 208 p.
5. Weschenfelder V, Agne JE. Efeitos da hidrocinesioterapia no tratamento da Síndrome Dolorosa Miofascial: um estudo de caso. Rev. Digital. 2007; 106: 1-2.
6. Davies C, Davies, A. Livro terapêutico do ponto-gatilho: guia de tratamento da dor. 2nd ed. São Paulo: Roca; 2012. 448 p.
7. Aranha MF, Alves MC, Bérzin F, Gavião MB. Efficacy of electroacupuncture for myofascial pain in the upper trapezius muscle: a case series. Rev Bras Fisioter. 2011; 15(5): 371-9.
8. Simons DG, Travell T, Simons LS. Myofascial pain and dysfunction: The trigger point manual. 2nd ed. Vol. 1, Upper half of body. Baltimore: Williams & Wilkins; 1999. 1038 p.
9. Wolens D. The myofascial pain syndrome: A critical appraisal. Am Phys Med Rehabil. 1998; 12(2): 299-316.
10. Abbaszadeh-Amirdehi M, Ansari NN, Naghdi S, Olyaei G, Nourbakhsh MR. The neurophysiological effects of dry needling in patients with upper trapezius myofascial trigger points: Study protocol of a controlled clinical trial. BMJ Open. 2013; 3(5):e002825.
11. Dommerholt J, Huijbregts P. Myofascial trigger points: Pathophysiology and evidence-informed diagnosis and management. Canadian: Jones & Bartlett Learning; 2011. 296 p.
12. Dixon MW. Massagem miofascial. Rio de Janeiro: Guanabara Koogan; 2007.
13. Leitão A, Leitão VA. Síndrome miofascial. In: Musse CA, editor. Clínica de reabilitação. São Paulo: Atheneu; 1995. p. 116-125.
14. Rayegani SM, Bayat M, Bahrami MH, Raeissadat SA, Kargozar E. Comparison of dry needling and physiotherapy in treatment of myofascial pain syndrome. Clin Rheumatol. 2014; 33(6): 859-64.
15. Campa-Moran I, Rey-Gudin E, Fernández-Carnero J, Paris-Alemany A, Gil-Martinez A, Lerma Lara S, et al. Comparison of dry needling versus orthopedic manual therapy in patients with myofascial chronic neck pain: A single-blind, randomized pilot study. Pain Res Treat. 2015; 2015:327307.
16. Akamatsu FE, Ayres BR, Saleh SO, Hojaij F, Andrade M1, Hsing WT, et al. Trigger points: An anatomical substratum. Biomed Res Int. 2015; 2015:623287.
17. Llamas-Ramos R, Pecos-Martín D, Gallego-Izquierdo T, Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, et al. Comparison of the shortterm outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: A randomized clinical trial. J Orthop Sports Phys Ther. 2014; 44(11): 852-61.
18. Venancio RA, Alencar FG Jr, Zamperini C. Botulinum toxin, lidocaine, and dry-needling injections in patients with myofascial pain and headaches. Cranio. 2009; 27(1): 46-53.
19. Hou CR, Tsai LC, Cheng KF, Chung KC, Hong CZ. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch Phys Med Rehabil. 2002; 83(10): 1406-14.
20. Kim DS, Jeong TY, Kim YK, Chang WH, Yoon JG, Lee SC. Usefulness of a myofascial trigger point injection for groin pain in patients with chronic prostatitis/chronic pelvic pain syndrome: A pilot study. Arch Phys Med Rehabil. 2013; 94(5): 930-6.
21. Junqueira MS. Influência da dor miofascial na enxaqueca e na cefaléia do tipo tensional. Mig Cef. 2006; 9(2): 41-4.
22. Vulfsons S1, Ratmansky M, Kalichman L. Trigger point needling: Techniques and outcome. Curr Pain Headache Rep. 2012;16(5): 407-12.
23. Tough EA, White AR. Effectiveness of acupuncture/dry needling for myofascial trigger point pain. Phys Ther Rev. 2011; 16(2): 147-54.
24. Cerezo-Téllez E, Torres-Lacomba M, Mayoral-Del Moral O, SánchezSánchez B, Dommerholt J, Gutiérrez-Ortega C. Prevalence of Myofascial Pain Syndrome in chronic non-specific neck pain: A population-based cross-sectional descriptive study. Pain Med. 2016; 17(12): 2369-2377.
25. Hong CZ. Lidocaine injection versus dry needling to myofascial trigger point. The importance of the local twitch response. Am J Phys Med Rehabil. 1994;73(4): 256-63.
26. Montañez-Aguilera FJ, Valtueña-Gimeno N, Pecos-Martín D, ArnauMasanet R, Barrios-Pitarque C, Bosch-Morell F. Changes in a patient with neck pain after application of ischemic compression as a trigger point therapy. J Back Musculoskelet Rehabil. 2010; 23(2): 101-4.
27. Hong CZ, Kuan TS, Chen JT, Chen SM Referred pain elicited by palpation and by needling of myofascial trigger points: A comparison. Arch Phys Med Rehabil. 1997; 78(9): 957-60.
28. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001; 8(12): 1153-7.
29. Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, Pinzon V. [Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref]. Rev Saude Publica. 2000; 34(2): 178-83.
30. Ay S, Evcik D, Tur BS. Comparison of injection methods in myofascial pain syndrome: a randomized controlled trial. Clin Rheumatol. 2010; 29(1): 19-23.
31. Hanten WP, Olson SL, Butts NL, Nowicki AL. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Phys Ther. 2000; 80(10): 997-1003.
32. Cagnie B, Castelein B, Pollie F, Steelant L, Verhoeyen H, Cools A. Evidence for the use of ischemic compression and dry needling in the management of trigger points of the upper trapezius in patients with neck pain: A systematic review. Am J Phys Med Rehabil. 2015; 94(7): 573-83.
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