O agulhamento a seco melhora a dor no trapézio superior? Uma revisão sistemática com metanálise
DOI:
https://doi.org/10.34117/bjdv9n9-113Keywords:
dry needling, ponto-gatilho, trapézioAbstract
Verificar a eficácia do dry needling (DN) na dor proveniente de pontos-gatilhos em trapézio superior. Trata-se de uma revisão sistemática com metanálise, onde as bases de dados Pubmed, BVS e PEDro foram consultadas, a busca foi feita com a combinação dos termos a seguir: dry needling, trigger point , upper trapezius muscle. Os ensaios foram incluídos apenas se estimassem os efeitos do DN de forma isolada comparado com outros tratamentos (eletroterapia, kinesio tape, terapia manual). O desfecho de interesse foi dor, e, para o risco de viés foi utilizado a escala PEDro. Os avaliadores analisaram os artigos para elegibilidade pelo software Rayann QCRI. A análise dos dados foi feita pelo RevMan 5.4. Seis estudos foram incluídos, três apresentaram alto risco de viés; três, baixo risco. Todos os estudos ao compararem DN a outros tratamentos não verificaram diferença estatisticamente significante a favor do DN. Os resultados dessa revisão sistemática sugerem que o dry needling reduz a dor proveniente de pontos-gatilhos no músculo trapézio superior a curto prazo, porém não é mais eficaz que outros tratamentos já utilizados. O DN pode, portanto, ser uma opção, cabendo ao profissional o poder de escolha para a qual tem mais expertise. Outros estudos com baixo risco de viés e amostras maiores devem ser publicados para obter maior poder estatístico nas análises.
References
Abbaszadeh-Amirdehi, M., Ansari, N. N., Naghdi, S., Olyaei, G., & Nourbakhsh, M. R. (2017). Therapeutic effects of dry needling in patients with upper trapezius myofascial trigger points. Acupuncture in Medicine, 35(2), 85–92. https://doi.org/10.1136/acupmed-2016-011082
Ahmed, H., Jarrar, M. A., Ahmed, R., Alqhtani, R., & Alshahrani, A. (2020). Effect of Post-Isometric Relaxation and Laser on Upper Trapezius Trigger Point Pain in Patients with Mechanical Neck Pain. Nigerian Journal of Clinical Practice, 23(12), 1660–1666. https://doi.org/10.4103/njcp.njcp_6_20
Cagnie, B., Castelein, B., Pollie, F., Steelant, L., Verhoeyen, H., & Cools, A. (2015). 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 and Rehabilitation, 94(7), 573–583. https://doi.org/10.1097/PHM.0000000000000266
Carvalho, A. V. de, Grossmann, E., Ferreira, F. R., Januzzi, E., & Fonseca, R. M. D. F. B. (2017). Te use of dry needling in the treatment of cervical and masticatory myofascial pain. Revista Dor, 18(3), 255–260. https://doi.org/10.5935/1806-0013.20170111
Doğan, N., Şengül, İ., Akçay-Yalbuzdağ, Ş., & Kaya, T. (2019). Kinesio taping versus dry needling in the treatment of myofascial pain of the upper trapezius muscle: A randomized, single blind (evaluator), prospective study. Journal of back and musculoskeletal rehabilitation, 32(5), 819–827. https://doi.org/10.3233/BMR-181162
Fernández-De-Las-Peñas, C., Plaza-Manzano, G., Sanchez-Infante, J., Gómez-Chiguano, G. F., Cleland, J. A., Arias-Buría, J. L., López-de-Uralde-Villanueva, I., & Navarro-Santana, M. J. (2021). Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis. Pain research & management, 2021, 8836427. https://doi.org/10.1155/2021/8836427
Gattie, E., Cleland, J. A., & Snodgrass, S. (2017). The effectiveness of trigger point dry needling for musculoskeletal conditions by physical therapists: A systematic review and meta-analysis. Journal of Orthopaedic and Sports Physical Therapy, 47(3), 133–149. https://doi.org/10.2519/jospt.2017.7096
Ibrahim, N. A., Abdel Raoof, N. A., Mosaad, D. M., & Abu El Kasem, S. T. (2021). Effect of magnesium sulfate iontophoresis on myofascial trigger points in the upper fibres of the trapezius. Journal of Taibah University Medical Sciences, 16(3), 369–378. https://doi.org/10.1016/j.jtumed.2020.12.015
Kamali, F., Mohamadi, M., Fakheri, L., & Mohammadnejad, F. (2019). Dry needling versus friction massage to treat tension type headache: A randomized clinical trial. Journal of bodywork and movement therapies, 23(1), 89–93. https://doi.org/10.1016/j.jbmt.2018.01.009
Lew, J., Kim, J., & Nair, P. (2021). Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis. The Journal of manual & manipulative therapy, 29(3), 136–146. https://doi.org/10.1080/10669817.2020.1822618
Luan, S., Zhu, Z. M., Ruan, J. L., Lin, C. N., Ke, S. J., Xin, W. J., Liu, C. C., Wu, S. L., & Ma, C. (2019). Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. American Journal of Physical Medicine and Rehabilitation, 98(8), 677–684. https://doi.org/10.1097/PHM.0000000000001173
Maher, R. M., Hayes, D. M., & Shinohara, M. (2013). Quantification of dry needling and posture effects on myofascial trigger points using ultrasound shear-wave elastography. Archives of Physical Medicine and Rehabilitation, 94(11), 2146–2150. https://doi.org/10.1016/j.apmr.2013.04.021
Maher, C. G., Sherrington, C., Herbert, R. D., Moseley, A. M., & Elkins, M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical therapy, 83(8), 713–721.
Manafnezhad, J., Salahzadeh, Z., Salimi, M., Ghaderi, F., & Ghojazadeh, M. (2019). The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial. Journal of Back and Musculoskeletal Rehabilitation, 32(5), 811–818. https://doi.org/10.3233/BMR-181289
Martín-Sacristán, L., Calvo-Lobo, C., Pecos-Martín, D., Fernández-Carnero, J., & Alonso-Pérez, J. L. (2022). Dry needling in active or latent trigger point in patients with neck pain: a randomized clinical trial. Scientific Reports, 12(1), 1–13. https://doi.org/10.1038/s41598-022-07063-0
Navarro-Santana, M. J., Sanchez-Infante, J., Fernández-de-las-Peñas, C., Cleland, J. A., Martín-Casas, P., & Plaza-Manzano, G. (2020). Effectiveness of dry needling for myofascial trigger points associated with neck pain symptoms: An updated systematic review and meta-analysis. Journal of Clinical Medicine, 9(10), 1–37. https://doi.org/10.3390/jcm9103300
Pai, M., Toma, J. T., Kaziyama, H., Listik, C., Galhardoni, R., Yeng, L. T., Teixeira, M. J., & Ciampi de Andrade, D. (2021). Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial. Pain reports, 6(2), e939. https://doi.org/10.1097/PR9.0000000000000939
Pecos-Martín, D., Montañez-Aguilera, F. J., Gallego-Izquierdo, T., Urraca-Gesto, A., Gómez-Conesa, A., Romero-Franco, N., & Plaza-Manzano, G. (2015). Effectiveness of dry needling on the lower trapezius in patients with mechanical neck pain: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 96(5), 775–781. https://doi.org/10.1016/j.apmr.2014.12.016
Rahou‐el‐bachiri, Y., Navarro‐santana, M. J., Gómez‐chiguano, G. F., Cleland, J. A., López‐de‐uralde‐villanueva, I., Fernández‐de‐las‐peñas, C., Ortega‐santiago, R., & Plaza‐manzano, G. (2020). Effects of trigger point dry needling for the management of knee pain syndromes: A systematic review and meta‐analysis. Journal of Clinical Medicine, 9(7), 1–32. https://doi.org/10.3390/jcm9072044
Sánchez-Infante, J., Navarro-Santana, M. J., Bravo-Sánchez, A., Jiménez-Diaz, F., & Abián-Vicén, J. (2021). Is dry needling applied by physical therapists effective for pain in musculoskeletal conditions? a systematic review and meta-analysis. Physical Therapy, 101(3), 1–15. https://doi.org/10.1093/ptj/pzab070
Shiwa, S. R., Moseley, A. M., Maher, C. G., & Pena Costa, L. O. (2013). Language of publication has a small influence on the quality of reports of controlled trials of physiotherapy interventions. Journal of clinical epidemiology, 66(1), 78–84. https://doi.org/10.1016/j.jclinepi.2012.08.004
Stoychev, V., Finestone, A. S., & Kalichman, L. (2020). Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review. Current reviews in musculoskeletal medicine, 13(1), 133–140. https://doi.org/10.1007/s12178-020-09608-0
Stieven, F. F., Ferreira, G. E., de Araújo, F. X., Angellos, R. F., Silva, M. F., & da Rosa, L. (2021). Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Threshold in Individuals With Active Upper Trapezius Trigger Points: A Randomized Clinical Trial. Journal of manipulative and physiological therapeutics, 44(2), 95–102. https://doi.org/10.1016/j.jmpt.2020.07.003
Tabatabaiee, A., Ebrahimi-Takamjani, I., Ahmadi, A., Sarrafzadeh, J., & Emrani, A. (2019). Comparison of pressure release, phonophoresis and dry needling in treatment of latent myofascial trigger point of upper trapezius muscle. Journal of Back and Musculoskeletal Rehabilitation, 32(4), 587–594. https://doi.org/10.3233/BMR-181302
Ziaeifar, M., Arab, A. M., Mosallanezhad, Z., & Nourbakhsh, M. R. (2019). Dry needling versus trigger point compression of the upper trapezius: a randomized clinical trial with two-week and three-month follow-up. Journal of Manual and Manipulative Therapy, 27(3), 152–161. https://doi.org/10.1080/10669817.2018.1530421
