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

American Journal of Physical Medicine & Rehabilitation
Barbara CagnieAnn Cools

Abstract

The aim of this review was to describe the effects of ischemic compression and dry needling on trigger points in the upper trapezius muscle in patients with neck pain and compare these two interventions with other therapeutic interventions aiming to inactivate trigger points. Both PubMed and Web of Science were searched for randomized controlled trials using different key word combinations related to myofascial neck pain and therapeutic interventions. Four main outcome parameters were evaluated on short and medium term: pain, range of motion, functionality, and quality-of-life, including depression. Fifteen randomized controlled trials were included in this systematic review. There is moderate evidence for ischemic compression and strong evidence for dry needling to have a positive effect on pain intensity. This pain decrease is greater compared with active range of motion exercises (ischemic compression) and no or placebo intervention (ischemic compression and dry needling) but similar to other therapeutic approaches. There is moderate evidence that both ischemic compression and dry needling increase side-bending range of motion, with similar effects compared with lidocaine injection. There is weak evidence regarding its effec...Continue Reading

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Citations

May 10, 2017·Physiotherapy Theory and Practice·Sudarshan Anandkumar, Murugavel Manivasagam
Dec 27, 2016·Journal of Manipulative and Physiological Therapeutics·Kayleigh E De MeulemeesterBarbara Cagnie
Jul 2, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Peter R BlanpiedEric K Robertson
Mar 2, 2017·American Journal of Physical Medicine & Rehabilitation·Albert F MoraskaJason P Krutsch
Jul 6, 2017·American Journal of Physical Medicine & Rehabilitation·Manuel Rodríguez-HuguetRafael Lomas-Vega
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