17
EFECTIVIDAD DE LA TÉCNICA DE PUNCIÓN SECA EN EL TRATAMIENTO DEL SÍNDROME DE DOLOR MIOFASCIAL LUMBAR
Authors: Castaño Espejo, A.C
Number of views: 180
Introduction: Myofascial pain syndrome (MPS) at the lumbar location is one of the most incident pathologies, with an estimated 85% of citizens of developed countries will experience this pain at some time in their life. MPS is a non-inflammatory disorder and manifests clinically as a chronic severe pain. There is no effective therapy against myofascial pain. Nowadays, non-invasive techniques are being used, among which the dry needling stands out for its encouraging results, but its scientific evidence is scarce. The objective of the present work was to determine the therapeutic effectiveness of dry needling to relieve pain in patients with lumbar MPS.
Methodology: a systematic review has been designed, whose strategy for looking studies was based on electronic databases (Pubmed and PEDro), the use of keywords, the establishment of limits and criteria for the selection of studies, and evaluation of the quality studies (PEDro scale).
Results: six studies were included, with an average methodological quality of 7.6. Dry needling decreased pain intensity, pressure pain threshold, sensitivity and disability of patients with myofascial low back pain. The needles of greater caliber (0.9 mm) were more effective, and if this technique is complemented with education in neuroscience it will be more effective to decrease kinesophobia. Furthermore, it was observed that the efficacy of dry needling was similar to that obtained with pharmacotherapy.
Conclusions: dry needling is an effective non-invasive technique to reduce pain in patients with lumbar MPS.