title: The effect of the combination of dry needling and MET on latent trigger point upper trapezius in females.
abstract: OBJECTIVE
  The purpose of this clinical trial experiment was to compare the effects of the combination of dry needling (DN) and the muscle energy technique (MET) on the upper trapezius latent myofascial trigger point.
  
  
  METHODS
  Sixty female patients, aged 18-30 with latent myofascial trigger points in the upper trapezius muscle were randomly divided into three groups: group 1 (n = 20) received DN and MET, group 2 (n = 20) received only MET, and group 3 (n = 20) received only DN. The visual analogue scale (VAS), pressure pain threshold (PPT), and range of active contra lateral flexion (CLF) were measured before each treatment. The patients were treated for three sessions in a one-week period with at least a two-day break between each session, and in session four, an assessment of primary outcomes was conducted without any treatment.
  
  
  RESULTS
  All three treatment groups showed decreases in pain (p = 0.001) and increases in PPT levels (p = 0.001) as well as increases in CLF (p = 0.001). But the group receiving trigger point DN together with MET showed more significant improvement than the other two groups in VAS, PPT and ROM. No significant differences were found between the MET-only group and the DN-only group.
  
  
  CONCLUSIONS
  Our results indicate that all three treatments used in this study were effective for treating MTP. According to this study, DN and MET is suggested as a new method for the treatment of MTP.
authors: Department of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Ameneh
authors: A
authors: Yeganeh Lari
authors: Physiotherapy Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: farshadokhovatian1965@gmail.com.
authors: Farshad
authors: F
authors: Okhovatian
authors: Department of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Sedigheh sadat
authors: Ss
authors: Naimi
authors: Proteomics Research Center, Department of Basic Sciences, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Alireza Akbarzadeh
authors: AA
authors: Baghban
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D026301:Manipulation, Osteopathic / Q000379:methods*; D009209:Myofascial Pain Syndromes / Q000175:diagnosis* / Q000534:rehabilitation*; D016059:Range of Motion, Articular / Q000502:physiology*; D064171:Superficial Back Muscles / Q000503:physiopathology*; D061028:Trigger Points / Q000503:physiopathology*; D055815:Young Adult
keywords: Dry needling; MET; Myofascial pain syndromes; Trigger point