AI Article Synopsis

  • This research aimed to assess the impact of adding dry needling (DN) to conventional rehabilitation on pain, range of motion (ROM), and functionality for patients with hemiplegic shoulder pain (HSP).
  • A total of 38 patients were divided into two groups; one received standard rehabilitation while the other received the same treatment plus DN therapy over a series of sessions.
  • While both groups showed improvement post-treatment, only minor differences were found in ROM, and no clinically significant advancements were observed at the three-month follow-up, suggesting that DN may not add substantial benefits to traditional methods.

Article Abstract

Objective: This research was conducted to evaluate the effect of adding dry needling (DN) treatment to conventional rehabilitation for pain, range of motion (ROM), and functionality in patients with hemiplegic shoulder pain (HSP).

Materials And Methods: Patients with HSP ( = 38) were divided into 2 groups. A multimodal rehabilitation protocol, including physical therapy and exercise treatments, was given to both groups (5 sessions per week for 15 sessions). In addition to this rehabilitation, 3 sessions of DN therapy were given to one of the 2 groups. Measurements were a visual analogue scale; ROM; and 2 other scales (Quick Disability of the Arm, Shoulder, Hand; and the Fugl-Meyer Assessment Upper Extremity). Evaluations were made before, after, and at the third month after treatment.

Results: While a statistically significant improvement was seen in both groups in all parameters after their treatments, a statistical superiority was found in the conventional treatment+DN group ( < 0.05). However, the differences were not greater than the minimal clinically important difference values (MCID). At the 3rd month follow-up, there was no difference in pain and functionality parameters between the groups, while flexion and abduction measurements were higher in the conventional treatment+DN group ( < 0.05).

Conclusions: Adding DN treatment to conventional rehabilitation did not show any difference except in some joint ROM measurements in the subacute time. Although the changes found were statistically significant, they were not clinically significant as they did not reach MCID values.This study was registered prospectively at ClinicalTrials.gov (ref. no: NCT04790071).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10606952PMC
http://dx.doi.org/10.1089/acu.2023.0060DOI Listing

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