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ORIGINAL PAPER
Effectiveness of dry needling combined with eccentric strength training in lateral epicondylalgia with trigger points
1
Department of Physiotherapy, College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates
2
Nitte Institute of Physiotherapy, Justice KS Hegde Charitable Hospital, Nitte-Deemed to be University, Mangalore, Karnataka, India
3
Justice KS Hegde Charitable Hospital, Nitte-Deemed to be University, Mangalore, Karnataka, India
Submission date: 2023-04-14
Acceptance date: 2023-11-14
Publication date: 2024-12-06
Corresponding author
Sukumar Shanmugam
Department of Physiotherapy, College of Health Sciences – Gulf Medical University, Al-Jurf, P.B.No. 4184, Ajman-United Arab Emirates
Department of Physiotherapy, College of Health Sciences – Gulf Medical University, Al-Jurf, P.B.No. 4184, Ajman-United Arab Emirates
Physiother Quart. 2024;32(4):81-88
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Lateral epicondylalgia (LE) is commonly presented with myofascial trigger points (MTrPs) among adults. Dry needling (DN) is used less frequently as a first-line treatment in LE with trigger points, and the short and long-term effectiveness of DN in these populations were not studied. Hence, this study compared the effectiveness of DN with conventional physiotherapy in the population of LE with myofascial trigger points.
Methods:
For four weeks, the experimental group (n = 19) received DN with weekly one session, and the control group (n = 19) received therapeutic ultrasound combined with deep friction massage for 2 sessions per week at the active sites of active MTrPs. Both groups performed two eccentric exercises sessions from the 5th to the 6th week. Handgrip, pain and disability scores of patient rated tennis elbow evaluation (PRTEE) at baseline, 4th week, 6th week, and follow-up of 12th week were analysed.
Results:
Handgrip strength, pain, and disability scores were significantly improved for the experimental group at 4th week (SMD of 1.21 kg in handgrip, 12.26 in PRTEE scores) and 6th week (SMD of 1.58 kg in handgrip, 10.15 in PRTEE scores) compared to the control group. However, no significant group differences (p > 0.05) after 12th week either grip strength (SMD = 0.84) or PRTEE scores (SMD = 3.74) were obtained.
Conclusions:
Dry needling with exercise produced greater short-term improvements in grip strength and disability compared to the control group. However, no significant difference in outcomes was found between groups over a 12-week follow-up period.
Lateral epicondylalgia (LE) is commonly presented with myofascial trigger points (MTrPs) among adults. Dry needling (DN) is used less frequently as a first-line treatment in LE with trigger points, and the short and long-term effectiveness of DN in these populations were not studied. Hence, this study compared the effectiveness of DN with conventional physiotherapy in the population of LE with myofascial trigger points.
Methods:
For four weeks, the experimental group (n = 19) received DN with weekly one session, and the control group (n = 19) received therapeutic ultrasound combined with deep friction massage for 2 sessions per week at the active sites of active MTrPs. Both groups performed two eccentric exercises sessions from the 5th to the 6th week. Handgrip, pain and disability scores of patient rated tennis elbow evaluation (PRTEE) at baseline, 4th week, 6th week, and follow-up of 12th week were analysed.
Results:
Handgrip strength, pain, and disability scores were significantly improved for the experimental group at 4th week (SMD of 1.21 kg in handgrip, 12.26 in PRTEE scores) and 6th week (SMD of 1.58 kg in handgrip, 10.15 in PRTEE scores) compared to the control group. However, no significant group differences (p > 0.05) after 12th week either grip strength (SMD = 0.84) or PRTEE scores (SMD = 3.74) were obtained.
Conclusions:
Dry needling with exercise produced greater short-term improvements in grip strength and disability compared to the control group. However, no significant difference in outcomes was found between groups over a 12-week follow-up period.
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