Dry Needling Alone or in Combination with Exercise Therapy versus Other Interventions for Reducing Pain and Disability in Subacromial Pain Syndrome: A Systematic Review and Meta-Analysis
This systematic review and meta-analysis examined the effects of dry needling alone or in combination with exercise therapy for reducing pain and disability in people with subacromial pain syndrome. Systematic searches of randomized clinical trials (RCTs) were performed in five different databases....
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| Veröffentlicht in: | International journal of environmental research and public health 2022-09, Vol.19 (17), p.10961 |
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| creator | Para-García, Gonzalo García-Muñoz, Ana María López-Gil, José Francisco Ruiz-Cárdenas, Juan Diego García-Guillén, Ana Isabel López-Román, Francisco Javier Pérez-Piñero, Silvia Abellán-Ruiz, María Salud Cánovas, Fernando Victoria-Montesinos, Desirée |
| description | This systematic review and meta-analysis examined the effects of dry needling alone or in combination with exercise therapy for reducing pain and disability in people with subacromial pain syndrome. Systematic searches of randomized clinical trials (RCTs) were performed in five different databases. A meta-analysis was carried out with the data obtained, and the risk of bias and quality of the studies was assessed using the Cochrane ROB 2.0 and GRADE tools. Finally, five RCTs (
= 315) were included in the meta-analysis and qualitative analysis. Our results determine that dry needling alone or combined with exercise therapy showed improvements in pain in the short-term (5RCTs: SMD: -0.27; [-0.49, -0.05]; low-quality) and mid-term (4RCTs: SMD: -0.27; [-0.51, -0.04]; low-quality) compared to a range of interventions. However, no differences were shown for disability at short-term (3 RCTs: SMD: -0.97; [-2.04, 0.11]; very-low quality) and mid-term (3 RCTs: SMD: -0.85; [-1.74, 0.04]; very-low quality). Dry needling alone or in combination with exercise therapy may result in a slight reduction in pain in the short-term and mid-term. However, the evidence about the effect of this therapy on disability in the short- or mid-term is very uncertain compared to the range of interventions analyzed in this systematic review (Registration: INPLASY202260112). |
| doi_str_mv | 10.3390/ijerph191710961 |
| format | Article |
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= 315) were included in the meta-analysis and qualitative analysis. Our results determine that dry needling alone or combined with exercise therapy showed improvements in pain in the short-term (5RCTs: SMD: -0.27; [-0.49, -0.05]; low-quality) and mid-term (4RCTs: SMD: -0.27; [-0.51, -0.04]; low-quality) compared to a range of interventions. However, no differences were shown for disability at short-term (3 RCTs: SMD: -0.97; [-2.04, 0.11]; very-low quality) and mid-term (3 RCTs: SMD: -0.85; [-1.74, 0.04]; very-low quality). Dry needling alone or in combination with exercise therapy may result in a slight reduction in pain in the short-term and mid-term. However, the evidence about the effect of this therapy on disability in the short- or mid-term is very uncertain compared to the range of interventions analyzed in this systematic review (Registration: INPLASY202260112).</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph191710961</identifier><identifier>PMID: 36078676</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Bias ; Biomechanics ; Clinical trials ; Collaboration ; Disabled Persons ; Dry Needling ; Exercise ; Exercise Therapy - methods ; Humans ; Manipulative therapy ; Meta-analysis ; Pain ; Pain Measurement ; Pathogenesis ; Patients ; Physical therapy ; Qualitative analysis ; Review ; Reviews ; Rotator cuff ; Shoulder ; Systematic review</subject><ispartof>International journal of environmental research and public health, 2022-09, Vol.19 (17), p.10961</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-259f43d1c25b4531cefaf50298c8192b1c63e8b0a1d3ce63c620ab6f58fc05fd3</citedby><cites>FETCH-LOGICAL-c421t-259f43d1c25b4531cefaf50298c8192b1c63e8b0a1d3ce63c620ab6f58fc05fd3</cites><orcidid>0000-0002-2841-5502 ; 0000-0002-2278-2184 ; 0000-0002-8882-4965 ; 0000-0003-2952-4783 ; 0000-0003-3968-9477 ; 0000-0002-2027-9075 ; 0000-0002-8837-1927 ; 0000-0002-1021-5385 ; 0000-0002-7412-7624</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518516/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518516/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36078676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Para-García, Gonzalo</creatorcontrib><creatorcontrib>García-Muñoz, Ana María</creatorcontrib><creatorcontrib>López-Gil, José Francisco</creatorcontrib><creatorcontrib>Ruiz-Cárdenas, Juan Diego</creatorcontrib><creatorcontrib>García-Guillén, Ana Isabel</creatorcontrib><creatorcontrib>López-Román, Francisco Javier</creatorcontrib><creatorcontrib>Pérez-Piñero, Silvia</creatorcontrib><creatorcontrib>Abellán-Ruiz, María Salud</creatorcontrib><creatorcontrib>Cánovas, Fernando</creatorcontrib><creatorcontrib>Victoria-Montesinos, Desirée</creatorcontrib><title>Dry Needling Alone or in Combination with Exercise Therapy versus Other Interventions for Reducing Pain and Disability in Subacromial Pain Syndrome: A Systematic Review and Meta-Analysis</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>This systematic review and meta-analysis examined the effects of dry needling alone or in combination with exercise therapy for reducing pain and disability in people with subacromial pain syndrome. Systematic searches of randomized clinical trials (RCTs) were performed in five different databases. A meta-analysis was carried out with the data obtained, and the risk of bias and quality of the studies was assessed using the Cochrane ROB 2.0 and GRADE tools. Finally, five RCTs (
= 315) were included in the meta-analysis and qualitative analysis. Our results determine that dry needling alone or combined with exercise therapy showed improvements in pain in the short-term (5RCTs: SMD: -0.27; [-0.49, -0.05]; low-quality) and mid-term (4RCTs: SMD: -0.27; [-0.51, -0.04]; low-quality) compared to a range of interventions. However, no differences were shown for disability at short-term (3 RCTs: SMD: -0.97; [-2.04, 0.11]; very-low quality) and mid-term (3 RCTs: SMD: -0.85; [-1.74, 0.04]; very-low quality). Dry needling alone or in combination with exercise therapy may result in a slight reduction in pain in the short-term and mid-term. 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= 315) were included in the meta-analysis and qualitative analysis. Our results determine that dry needling alone or combined with exercise therapy showed improvements in pain in the short-term (5RCTs: SMD: -0.27; [-0.49, -0.05]; low-quality) and mid-term (4RCTs: SMD: -0.27; [-0.51, -0.04]; low-quality) compared to a range of interventions. However, no differences were shown for disability at short-term (3 RCTs: SMD: -0.97; [-2.04, 0.11]; very-low quality) and mid-term (3 RCTs: SMD: -0.85; [-1.74, 0.04]; very-low quality). Dry needling alone or in combination with exercise therapy may result in a slight reduction in pain in the short-term and mid-term. However, the evidence about the effect of this therapy on disability in the short- or mid-term is very uncertain compared to the range of interventions analyzed in this systematic review (Registration: INPLASY202260112).</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36078676</pmid><doi>10.3390/ijerph191710961</doi><orcidid>https://orcid.org/0000-0002-2841-5502</orcidid><orcidid>https://orcid.org/0000-0002-2278-2184</orcidid><orcidid>https://orcid.org/0000-0002-8882-4965</orcidid><orcidid>https://orcid.org/0000-0003-2952-4783</orcidid><orcidid>https://orcid.org/0000-0003-3968-9477</orcidid><orcidid>https://orcid.org/0000-0002-2027-9075</orcidid><orcidid>https://orcid.org/0000-0002-8837-1927</orcidid><orcidid>https://orcid.org/0000-0002-1021-5385</orcidid><orcidid>https://orcid.org/0000-0002-7412-7624</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of environmental research and public health, 2022-09, Vol.19 (17), p.10961 |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Bias Biomechanics Clinical trials Collaboration Disabled Persons Dry Needling Exercise Exercise Therapy - methods Humans Manipulative therapy Meta-analysis Pain Pain Measurement Pathogenesis Patients Physical therapy Qualitative analysis Review Reviews Rotator cuff Shoulder Systematic review |
| title | Dry Needling Alone or in Combination with Exercise Therapy versus Other Interventions for Reducing Pain and Disability in Subacromial Pain Syndrome: A Systematic Review and Meta-Analysis |
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