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Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial

dc.contributor.authorDunning, J
dc.contributor.authorButts, R
dc.contributor.authorFernández-de-las-Peñas, C
dc.contributor.authorWalsh, S
dc.contributor.authorGoult, C
dc.contributor.authorGillett, B
dc.contributor.authorArias-Buría, José L
dc.contributor.authorGarcia, J
dc.contributor.authorYoung, Ian A
dc.date.accessioned2023-12-26T17:26:00Z
dc.date.available2023-12-26T17:26:00Z
dc.date.issued2021
dc.identifier.citationDunning J, Butts R, Fernández-de-las-Peñas C, Walsh S, Goult C, Gillett B, Arias-Buría José L, Garcia J, Young Ian A. Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial. J Orthop Sports Phys Ther 2021;51(2):72-81es
dc.identifier.issn0190-6011
dc.identifier.urihttps://hdl.handle.net/10115/27898
dc.description.abstractObjectives: To compare the effects of spinal thrust manipulation and electrical dry needling (TMEDN group) to those of nonthrust peripheral joint/soft tissue mobilization, exercise, and interferential current (NTMEX group) on pain and disability in patients with subacromial pain syndrome (SAPS). Design: Randomized, single-blinded, multicenter parallel-group trial. Methods: Patients with SAPS were randomized into the TMEDN group (n = 73) or the NTMEX group (n = 72). Primary outcomes included the Shoulder Pain and Disability Index and the numeric pain-rating scale. Secondary outcomes included the global rating of change scale (GROC) and medication intake. The treatment period was 6 weeks, with follow-ups at 2 weeks, 4 weeks, and 3 months. Results: At 3 months, the TMEDN group experienced greater reductions in shoulder pain and disability (P<.001) compared to the NTMEX group. Effect sizes were large in favor of the TMEDN group. At 3 months, a greater proportion of patients within the TMEDN group achieved a successful outcome (GROC score of 5 or greater) and stopped taking medication (P<.001). Conclusion: Cervicothoracic and upper-rib thrust manipulation combined with electrical dry needling resulted in greater reductions in pain, disability, and medication intake than nonthrust peripheral joint/soft tissue mobilization, exercise, and interferential current in patients with SAPS. The effects were maintained at 3 months.es
dc.language.isoenges
dc.publisherAlexandria, VAes
dc.subjectdry needlinges
dc.subjectexercisees
dc.subjectimpingementes
dc.subjectmanipulationes
dc.subjectmobilizationes
dc.subjectshoulderes
dc.titleSpinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Triales
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.doi10.2519/jospt.2021.9785es
dc.rights.accessRightsinfo:eu-repo/semantics/embargoedAccesses


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