التفاصيل البيبلوغرافية
| العنوان: |
Comparing dry needling or local acupuncture to various wet needling injection types for musculoskeletal pain and disability. A systematic review of randomized clinical trials |
| المؤلفون: |
David Griswold (14407247), Ken Learman (14407250), Edmund Ickert (14407253), Derek Clewley (5580068), Megan B. Donaldson (14407256), Mark Wilhelm (4809234), Joshua Cleland (9537171) |
| سنة النشر: |
2023 |
| مصطلحات موضوعية: |
Medicine, Cell Biology, Genetics, Neuroscience, Pharmacology, Immunology, Science Policy, Hematology, Musculoskeletal pain, disability, dry needling, acupuncture, injection |
| الوصف: |
Systematically evaluate the comparative effectiveness of dry needling (DN) or local acupuncture to various types of wet needling (WN) for musculoskeletal pain disorders (MPD). Seven databases (PubMed, PEDro, SPORTDiscus, CINAHL, Scopus, Embase, and Cochrane Central Register of Controlled Trials) were searched following PROSPERO registration. Randomized clinical trials were included if they compared DN or local acupuncture with WN for MPD. Primary outcomes were pain and/or disability. The Revised Cochrane Collaboration tool (RoB 2.0) assessed the risk of bias. Twenty-six studies were selected. Wet Needling types included cortisone (CSI) ( N = 5), platelet-rich plasma (PRP) ( N = 6), Botox (BoT) ( N = 3), and local anesthetic injection (LAI) ( N = 12). Evidence was rated as low to moderate quality. Results indicate DN produces similar effects to CSI in the short-medium term and superior outcomes in the long term. In addition, DN produces similar outcomes compared to PRP in the short and long term and similar outcomes as BoT in the short and medium term; however, LAI produces better pain outcomes in the short term. Evidence suggests the effectiveness of DN to WN injections is variable depending on the injection type, outcome time frame, and diagnosis. In addition, adverse event data were similar but inconsistently reported. PROSPERO Registration: 2019 CRD42019131826Implications for rehabilitation Dry needling produces similar effects for pain and disability in the short and medium term compared to cortisone, Botox, and platelet-rich plasma injections. Local anesthetic injection may be more effective at reducing short-term pain. Long-term effects on pain and disability are similar between dry needling and platelet-rich plasma injections, but dry needling may produce better long-term outcomes than cortisone injections. The available adverse event data is similar between dry and wet needling. The conclusions from this study may be beneficial for patients and clinicians for considering risk and cost benefit analyses. ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
unknown |
| العلاقة: |
https://figshare.com/articles/journal_contribution/Comparing_dry_needling_or_local_acupuncture_to_various_wet_needling_injection_types_for_musculoskeletal_pain_and_disability_A_systematic_review_of_randomized_clinical_trials/21881039Test |
| DOI: |
10.6084/m9.figshare.21881039.v1 |
| الإتاحة: |
https://doi.org/10.6084/m9.figshare.21881039.v1Test |
| حقوق: |
CC BY 4.0 |
| رقم الانضمام: |
edsbas.311D6C1F |
| قاعدة البيانات: |
BASE |
