Objective. To compare ultrasound-guided miniscalpel-needle (UG-MSN) release versus ultrasound-guided dry needling (UG-DN) for chronic neck pain. Methods. A total of 169 patients with chronic neck pain were randomized to receive either UG-MSN release or UG-DN. Before treatment and at 3 and 6 months posttreatment, pain was measured using a 10-point visual analogue scale (VAS). Neck function was examined using the neck disability index. Health-related quality of life was examined using the physical component score (PCS) and mental component score (MCS) of the SF-36 health status scale. Results. Patients in the UG-MSN release had greater improvement on the VAS (by 2 points at 3 months and 0.9 points at 6 months) versus in the UG-DN arm; (both P < 0.0001). Patients receiving UG-MSN release also showed significantly lower scores on the adjusted neck disability index, as well as significantly lower PCS. No severe complications were observed. Conclusion. UG-MSN release was superior to UG-DN in reducing pain intensity and neck disability in patients with chronic neck pain and was not associated with severe complications. The procedural aspects in the two arms were identical; however, we did not verify the blinding success. As such, the results need to be interpreted with caution.
基金:
National Key Basic Research Program (973 Program) of ChinaNational Basic Research Program of China [2007CB512504]
第一作者机构:[1]Shanghai Jiao Tong Univ, Sch Med, Renji Hosp, Dept Pain Management, Shanghai 200127, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Zheng Yongjun,Shi Dongping,Wu Xiaotong,et al.Ultrasound-Guided Miniscalpel-Needle Release versus Dry Needling for Chronic Neck Pain: A Randomized Controlled Trial[J].EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.2014,2014:doi:10.1155/2014/235817.
APA:
Zheng, Yongjun,Shi, Dongping,Wu, Xiaotong,Gu, Minghong,Ai, Zisheng...&Wang, Xiangrui.(2014).Ultrasound-Guided Miniscalpel-Needle Release versus Dry Needling for Chronic Neck Pain: A Randomized Controlled Trial.EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE,2014,
MLA:
Zheng, Yongjun,et al."Ultrasound-Guided Miniscalpel-Needle Release versus Dry Needling for Chronic Neck Pain: A Randomized Controlled Trial".EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2014.(2014)