RT info:eu-repo/semantics/article
T1 The effectiveness of dry needling in patients with hip or knee osteoarthritis: A systematic review and meta-analysis
A1 Jiménez del Barrio, Sandra
A1 Medrano de la Fuente, Ricardo
A1 Hernando Garijo, Ignacio
A1 Mingo Gómez, María Teresa
A1 Estébanez de Miguel, Elena
A1 Ceballos Laita, Luis
K1 Physical therapy
K1 Acupuncture
K1 Acupuntura
K1 Osteoarthritis
K1 Osteoartritis
K1 Systematic reviews (Medical research)
K1 Meta-analysis
K1 Hip joint
K1 Cadera - Enfermedades
K1 Knee - Diseases
K1 Rodilla - Enfermedades
K1 3213.11 Fisioterapia
K1 3201 Ciencias Clínicas
K1 3207 Patología
AB Background: Osteoarthritis is one of the most common degenerative joint diseases. The main symptoms of the osteoarthritis have been linked to the presence of myofascial trigger points in the soft tissues. Dry needing (DN) is the most investigated technique for the treatment of myofascial trigger points. Thus, the aim of this study was to evaluate the effectiveness of DN in pain and physical function in patients with osteoarthritis in the short-, medium- and long-term. Methods: PubMed, Cochrane Library, PEDro, Web of Science, and SCOPUS databases were searched in September 2022. Randomized controlled trials involving DN compared to non-pharmacological interventions, sham techniques or no additional treatment were selected. Quality of the studies was assessed with PEDro scale and risk of bias with Cochrane Collaboration tool. Meta-analyses were conducted using fixed or random effects models according to the Cochrane handbook for systematic reviews of interventions. Results: Seven studies were included in the meta-analysis involving 291 patients with osteoarthritis. The methodological quality of the included studies ranged from fair to high. DN showed significant improvements in pain intensity (SMD = −0.76; 95% CI: −1.24, −0.29; I2: 74%) and physical function (SMD = −0.98; 95% CI: −1.54, −0.42; I2: 75%) in the short-term. No differences were found in the medium- or long-term. The risk of bias, heterogeneity, and imprecision of the results downgraded the level of evidence to very low. Conclusions: Very low-quality evidence suggests a positive effect of DN for reducing pain intensity and improving physical function in the short term in patients with osteoarthritis. Further investigation is needed to determine a medium- and long-term effects.
PB MDPI
SN 2075-1729
YR 2022
FD 2022
LK https://uvadoc.uva.es/handle/10324/61566
UL https://uvadoc.uva.es/handle/10324/61566
LA eng
NO Life, 2022, Vol. 12, Nº. 10, 1575
NO Producción Científica
DS UVaDOC
RD 20-may-2024