title: Dry needling of trigger points with and without paraspinal needling in myofascial pain syndromes in elderly patients.
abstract: OBJECTIVE
  To compare the efficacies of dry needling of trigger points (TrPs) with and without paraspinal needling in myofascial pain syndrome of elderly patients.
  
  
  METHODS
  Single-blinded, randomized controlled trial.
  
  
  METHODS
  Forty (40) subjects, between the ages of 63 and 90 with myofascial pain syndrome of the upper trapezius muscle.
  
  
  METHODS
  Eighteen (18) subjects were treated with dry needling of all the TrPs only and another 22 with additional paraspinal needling on days 0, 7, and 14.
  
  
  RESULTS
  At 4-week follow-up the results were as follows: (1) TrP and paraspinal dry needling resulted in more continuous subjective pain reduction than TrP dry needling only; (2) TrP and paraspinal dry needling resulted in significant improvements on the geriatric depression scale but TrP dry needling only did not; (3) TrP and paraspinal dry needling resulted in improvements of all the cervical range of motions but TrP dry needling only did not in extensional cervical range of motion; and (4) no cases of gross hemorrhage were noted.
  
  
  CONCLUSIONS
  TrP and paraspinal dry needling is suggested to be a better method than TrP dry needling only for treating myofascial pain syndrome in elderly patients.
authors: Department of Family Medicine, Inha University College of Medicine, Incheon, South Korea. gahyuk@gmail.com
authors: Hyuk
authors: H
authors: Ga
authors: Ji-Ho
authors: JH
authors: Choi
authors: Chang-Hae
authors: CH
authors: Park
authors: Hyun-Jung
authors: HJ
authors: Yoon
mesh_terms: D015667:Acupuncture Analgesia / Q000379:methods*; D015669:Acupuncture Points; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009209:Myofascial Pain Syndromes / Q000628:therapy*; D019547:Neck Pain / Q000628:therapy; D010147:Pain Measurement / Q000379:methods; D016059:Range of Motion, Articular; D016037:Single-Blind Method; D016896:Treatment Outcome