Evaluation of the effectiveness of dry needling in the treatment of chronic lumbosacral pain

Krstev, Toshe and Vasileva, Dance and Nikolovska, Lence and Stratorska, Tamara (2024) Evaluation of the effectiveness of dry needling in the treatment of chronic lumbosacral pain. In: Tenth national congress of the BSNCH, 22-23 Nov 2024, Sofia, Bulgaria.

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Abstract

The aim of this study was to evaluate the effectiveness
of SI dry needling as an additional therapeutic tool to
improve pain, functionality and quality of life in patients
with lumbosacral pain radiating along the course of the
sciatic nerve.
Materials and methods: A total of 35 patients with
chronic lumbosacral pain radiating along the length of
the sciatic nerve and impaired sensorimotor function
were included in the study. Patients were divided into
two groups. Patients from both groups underwent a
course of treatment of 10 procedures over two weeks,
which included massage of the lumbosacral region and
lower limbs according to the classical methodology
of therapeutic massage and a complex of exercises
to strengthen the lumbar part, pelvis and legs. The
experimental program for Group E was supplemented
with treatment of the “trigger bands” of the lower limb
according to the model of fascial distortion according
to Typaldos, placement of dry needles along the length
of the sciatic nerve and in the maximum painful points
in the muscles – trigger points. To monitor the success
of the treatment as well as to assess the effectiveness
of the applied therapies, before and after the treatment,
we measured the pain level (VAS), range of motion
(goniometry) and muscle strength (dynamometry).
Results: the applied therapeutic methods
showed a positive impact on the condition of patients
from both groups, with slightly better results in the
experimental group. Statistical significance was noted
in the measurement of VAC, flexion range of motion
and the dynamometric test.
Conclusion: Dry needling has a positive effect on
reducing pain and normalizing range of motion and
increasing muscle strength and control. Specific to
this study is the application of dry needling in addition
to trigger points along the length of the sciatic nerve.
Although the effects on function are consistent with
earlier studies, the approach of acting on the nerve
itself may cause more changes at the histological
and biochemical level, which should be investigated in
further studies that may include observation of other
parameters.

Item Type:	Conference or Workshop Item (Poster)
Impact Factor Value:	0.1
Subjects:	Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Tose Krstev
Date Deposited:	02 Jan 2025 08:52
Last Modified:	02 Jan 2025 08:52
URI:	https://eprints.ugd.edu.mk/id/eprint/35295

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