Abstract | OBJECTIVE: DESIGN: Randomized controlled trial. METHODS: Seventy-seven adults (mean ± SD age, 46.68 ± 14.18 years; 79% female) who were referred to physical therapy with acute, subacute, or chronic mechanical neck pain were randomly allocated to receive 7 multimodal treatment sessions over 4 weeks of (1) dry needling, manual therapy, and exercise ( needling group); or (2) sham dry needling, manual therapy, and exercise ( sham needling group). The primary outcome of disability (Neck Disability Index score) and secondary outcomes of pain (current and 24-hour average) and patient-perceived improvement were assessed at baseline and follow-ups of 4 weeks, 6 months, and 1 year by blinded assessors. Between-group differences were analyzed with a 2-way, repeated-measures analysis of variance. Global rating of change was analyzed with a Mann-Whitney U test. RESULTS: There were no group-by-time interactions for disability (Neck Disability Index: F2.37,177.47 = 0.42, P = .69), current pain (visual analog scale: F2.84,213.16 = 1.04, P = .37), or average pain over 24 hours (F2.64,198.02 = 0.01, P = .10). There were no between-group differences for global rating of change at any time point (P≥.65). Both groups improved over time for all variables (Neck Disability Index: F2.37,177.47 = 124.70, P<.001; current pain: F2.84,213.16 = 64.28, P<.001; and average pain over 24 hours: F2.64,198.02 = 76.69, P<.001). CONCLUSION:
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Authors | Eric Gattie, Joshua A Cleland, Jeevan Pandya, Suzanne Snodgrass |
Journal | The Journal of orthopaedic and sports physical therapy
(J Orthop Sports Phys Ther)
Vol. 51
Issue 1
Pg. 37-45
(01 2021)
ISSN: 1938-1344 [Electronic] United States |
PMID | 33383999
(Publication Type: Journal Article, Randomized Controlled Trial)
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Topics |
- Adult
- Combined Modality Therapy
- Disability Evaluation
- Double-Blind Method
- Dry Needling
(methods)
- Exercise Therapy
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Musculoskeletal Manipulations
- Neck Pain
(therapy)
- Pain Measurement
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