January 2017
Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: A systematic review
20.01.17-19:45 // Catégories : Dry Needling/Points Trigger
There is good evidence in the literature supporting physiotherapy in the management of some forms of headache. Dry needling of myofascial trigger points is becoming an increasingly common approach despite a paucity of research evidence supporting its use. The purpose of this review was to determine the evidence supporting the use of dry needling in addition to conventional physiotherapy in the management of tension-type and cervicogenic headache. Ten databases were searched for evidence of the effect of dry needling on the severity and frequency of tensionand cervicogenic headache based ICHD classifications.Three relevant studies were identified and all three showed statistically significant improvements following dryneedling, but no significant differences between groups. Only one study reported on headache frequency or intensity,reporting a 45mm improvement in VAS score following the addition of dry needling to conventional physiotherapy. Two studies showed significant improvements with dry needling over 4–5 weeks of treatment. No adverse events were reported. The literature suggests that while there is insufficient evidence to strongly advocate for the use of dryneedling, it may be a useful addition to conventional physiotherapy in headache management. Further research with astronger methodological design is required.
...Afficher la suiteDry needling in patients with chronic heel pain due to plantar fasciitis: A single-blinded randomized clinical trial
17.01.17-19:32 // Catégories : Dry Needling/Points Trigger
This study examined the effects of dry needling on chronic heel pain due to plantar fasciitis. During this single-blinded clinical trial, 20 eligible patients were randomized into two groups: A case group treated with dry needling and a control group. Patients’ plantar pain severity, (using modified visualanalog scale [VAS] scoring system), range of motion of ankle joint in dorsiflexion [ROMDF] and plantar extension [ROMPE] and foot function index (using standard questionnaires of SEM5 and MDC7) were assessed atbaseline, four weeks after intervention and four weeks after withdrawing treatment. Independent sample t-test,Mann-Whitney U test, paired t-test, Wilcoxon signed rank tests, and chi square test were used for data analysis. The mean VAS scores in the case group was significantly lower than the control group after fourweeks of intervention (p<0.001). Comparison of the ROMDF and ROMPE did not reveal any significant changesafter four weeks of intervention in the case and control groups (p=0.7 and p=0.65, respectively). The mean ofMDC7 and SEM5 scores in the case group were significantly lowerthan the control group following four weeksof intervention (p<0.001). Despite the insignificant effect on ROMDF and ROMPE, trigger point dry needling, by improvingthe severity of heel pain, can be used as a good alternative option before proceeding to more invasive therapies of plantar fasciitis.
...Afficher la suiteChanges in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study
13.01.17-20:02 // Catégories : Points Trigger
Complementary and alternative medicine approaches to treatment for tension-type headache are increasingly popular among patients, but evidence supporting its efficacy is limited. The objective of this study was to assess short term changes on primary and secondary headache pain measures in patients with tension-type headache (TTH) receiving a structured massage therapy program with a focus on myofascial trigger pointtherapy. Participants were enrolled in an open label trial using a baseline control with four 3-week phases: baseline, massage (two 3-week phases) and follow-up. Twice weekly, 45-minute massage sessions commenced following the baseline phase. A daily headache diary was maintained throughout the study in which participants recorded headache incidence, intensity, and duration. The Headache Disability Index was administered upon study entry and at 3-week intervals there after 18 subjects were enrolled with 16 completing all headache diary, evaluation, and massage assignments. Study participants reported a median of 7.5 years with TTH. Headache frequency decreased from 4.7±0.7 episodes per week during baseline to 3.7±0.9 during treatment period 2 (P<0.001); reduction was also noted during the follow-up phase (3.2±1.0). Secondary measures of headache also decreased across the study phases with headache intensity decreasing by 30% (P<0.01) and headache duration from 4.0±1.3 to 2.8±0.5 hours (P<0.05). A corresponding improvement in Headache Disability Index was found with massage (P<0.001).
This pilot study provides preliminary evidence for reduction in headache pain and disability with massage therapy that targets myofascial trigger points, suggesting the need for more rigorously controlled studies.
...Afficher la suiteEffectiveness of Manual Therapy and Therapeutic Exercise for Temporo-mandibular Disorders: Systematic Review and Meta-Analysis
10.01.17-18:44 // Catégories : TMO
