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Dry needling in addition to standard physical therapy treatment for sub-acromial pain syndrome: a randomized controlled trial protocol.

Publication ,  Journal Article
Hando, BR; Rhon, DI; Cleland, JA; Snodgrass, SJ
Published in: Braz J Phys Ther
2019

BACKGROUND: Trigger point dry needling interventions are utilized by physical therapists to manage shoulder pain. Observational studies have shown positive short-term outcomes in patients with subacromial pain syndrome receiving trigger point dry needling. However, little research has been done to evaluate the long-term effectiveness of trigger point dry needling specifically as it compares to other commonly utilized interventions such as exercise and manual therapy. The purpose of this study is to assess the additive short and long-term effectiveness of trigger point dry needling to a standard physical therapy approach of manual therapy and exercise for patients with subacromial pain syndrome. METHODS: This multicenter randomized trial with 3 arms was designed following the standard protocol items for randomized interventional trials. Results will be reported consistent with the consolidated standards of reporting trials guidelines. 130 participants will be randomized to receive standard PT interventions alone (manual therapy and exercise), standard PT and trigger point dry needling or standard PT and sham trigger point dry needling. The primary outcome measures will be the Shoulder Pain and Disability Index and Patient Reported Outcomes Measurement Information Systems (PROMIS-57) scores collected at baseline, 6-weeks, 6-months and one year. Healthcare utilization will be collected for 12 months following enrollment and groups analyzed for differences. DISCUSSION: It is not known if trigger point dry needling provides long-term benefit for individuals with subacromial pain syndrome. This study will help determine if this intervention provides additive benefits over those observed with the commonly applied interventions of exercise and manual therapy. TRIAL REGISTRATION: Identifier: NCT03442894 (https://clinicaltrials.gov/ct2/show/NCT03442894) on 22 February 2018.

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Published In

Braz J Phys Ther

DOI

EISSN

1809-9246

Publication Date

2019

Volume

23

Issue

4

Start / End Page

355 / 363

Location

Brazil

Related Subject Headings

  • Trigger Points
  • Shoulder Pain
  • Physical Therapy Modalities
  • Pain Measurement
  • Outcome Assessment, Health Care
  • Humans
  • Exercise Therapy
  • Exercise
  • Acupuncture Therapy
  • 4201 Allied health and rehabilitation science
 

Citation

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Hando, B. R., Rhon, D. I., Cleland, J. A., & Snodgrass, S. J. (2019). Dry needling in addition to standard physical therapy treatment for sub-acromial pain syndrome: a randomized controlled trial protocol. Braz J Phys Ther, 23(4), 355–363. https://doi.org/10.1016/j.bjpt.2018.10.010
Hando, Ben R., Daniel I. Rhon, Joshua A. Cleland, and Suzanne J. Snodgrass. “Dry needling in addition to standard physical therapy treatment for sub-acromial pain syndrome: a randomized controlled trial protocol.Braz J Phys Ther 23, no. 4 (2019): 355–63. https://doi.org/10.1016/j.bjpt.2018.10.010.
Hando, Ben R., et al. “Dry needling in addition to standard physical therapy treatment for sub-acromial pain syndrome: a randomized controlled trial protocol.Braz J Phys Ther, vol. 23, no. 4, 2019, pp. 355–63. Pubmed, doi:10.1016/j.bjpt.2018.10.010.

Published In

Braz J Phys Ther

DOI

EISSN

1809-9246

Publication Date

2019

Volume

23

Issue

4

Start / End Page

355 / 363

Location

Brazil

Related Subject Headings

  • Trigger Points
  • Shoulder Pain
  • Physical Therapy Modalities
  • Pain Measurement
  • Outcome Assessment, Health Care
  • Humans
  • Exercise Therapy
  • Exercise
  • Acupuncture Therapy
  • 4201 Allied health and rehabilitation science