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Titre : | Electrical Dry Needling Plus Corticosteroid Injection for Osteoarthritis of the Knee: A Randomized Controlled Trial (2022) |
Auteurs : | Xuewei Wang ; Qing Sun ; Mi Wang ; Yanru Chen ; Qinge Wang ; Lixue Liu ; Yan Yuan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 5, 2022) |
Article en page(s) : | p. 858-866 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.12.026 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Essai contrôlé randomisé ; Gonarthrose ; Points de déclenchement ; Réadaptation |
Résumé : |
Objective
To investigate the effects of electrical dry needling (DN) plus corticosteroid injection (CSI) on pain, physical function, and global change in patients with osteoarthritis of the knee (KOA). Design A prospective, single-blinded, randomized controlled trial. Setting Pain treatment clinic. Participants Sixty patients with KOA were randomly assigned to the electrical dry needling plus corticosteroid injection (electrical-DN+CSI) group or CSI group. Interventions The CSI group received glucocorticoid injection only once during the trial, and the electrical-DN+CSI group received glucocorticoid injection combined with 4 sessions of electrical-DN. Main Outcomes Measures The primary outcome was the numerical rating scale at 3 months. The secondary outcomes were the Western Ontario and McMaster Universities Osteoarthritis Index, the time to complete the Timed Up and Go test, and the score of the global rating of change scale at 3 months. A generalized linear mixed-effects model was used to analyze the repeated measurement data. Results Baseline characteristics and measurements were similar in the 2 groups. The group by time interaction effect was significant for all variables (P<.05 the electrical-dn group obtained a more significant reduction in pain intensity and improvement dysfunction than csi at months median global rating of change score for was better that> Conclusion Electrical-DN therapy at myofascial trigger points combined with CSI is more effective at alleviating pain, improving dysfunction, and creating global change than CSI alone for patients with KOA. Electrical-DN may be an essential part of treatment for KOA rehabilitation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322001587#! |