Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review
Abstract Background Headache is the most common neurological symptoms worldwide, as over 90% of people have noted at least one headache during their lifetime. Tension-type headaches, cervicogenic headaches, and migraines are common types of headache which can have a significant impact on social, phy...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-09-01
|
| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12998-019-0266-7 |
| _version_ | 1811336950515236864 |
|---|---|
| author | Mohammadreza Pourahmadi Mohammad Ali Mohseni-Bandpei Abbasali Keshtkar Bart W. Koes César Fernández-de-Las-Peñas Jan Dommerholt Mehrdad Bahramian |
| author_facet | Mohammadreza Pourahmadi Mohammad Ali Mohseni-Bandpei Abbasali Keshtkar Bart W. Koes César Fernández-de-Las-Peñas Jan Dommerholt Mehrdad Bahramian |
| author_sort | Mohammadreza Pourahmadi |
| collection | DOAJ |
| description | Abstract Background Headache is the most common neurological symptoms worldwide, as over 90% of people have noted at least one headache during their lifetime. Tension-type headaches, cervicogenic headaches, and migraines are common types of headache which can have a significant impact on social, physical, and occupational functioning. Therapeutic management of headaches mainly includes physical therapy and pharmacological interventions. Dry needling is a relatively new therapeutic approach that uses a thin filiform needle without injectate to penetrate the skin and stimulate underlying tissues for the management of neuromusculoskeletal pain and movement impairments. The main objective of this systematic review and meta-analysis is to evaluate the effectiveness of dry needling in comparison to other interventions on pain and disability in patients with tension-type headache, cervicogenic headache, and migraine. Methods/design We will focus on clinical trials with concurrent control group(s) and comparative observational studies assessing the effect of dry needling in patients with tension-type headache, cervicogenic headache, and migraine. Electronic databases from relevant fields of research (PubMed/ Medline, Scopus, Embase®, PEDro, Web of Science, Ovid, AMED, CENTRAL, and Google Scholar) will be searched from inception to June 2019 using defined search terms. No restrictions for language of publication or geographic location will be applied. Moreover, grey literature, citation tracking, and reference lists scanning of the selected studies will be searched manually. Primary outcomes of this study are pain intensity and disability, and secondary outcomes are cervical spine ROM, frequency of headaches, health-related quality of life, and TrPs tenderness. Studies will be selected by three independent reviewers based on prespecified eligibility criteria. Three reviewers will independently extract data in each eligible study using a pre-piloted Microsoft Excel data extraction form. The assessment of risk of bias will be implemented using the Cochrane Back and Neck Review Group 13-item criteria and NOS. Direct meta-analysis will be performed using a fixed or random effects model to estimate effect size such as standardized mean difference (Morris’s d ppc ) and 95% confidence intervals. Statistical heterogeneity will also be evaluated using the I 2 statistic and the χ2 test. All meta-analyses will be performed using Stata V.11 and V.14 softwares. The overall quality of the evidence for the primary outcomes will be assessed using GRADE. Discussion All analyses in this study will be based on the previous published papers. Therefore, ethical approval and patient consent are not required. The findings of this study will provide important information on the value of dry needling for the management of tension-type headache, cervicogenic headache, and migraine. Trial registration PROSPERO registration number: CRD42019124125. |
| first_indexed | 2024-04-13T17:47:00Z |
| format | Article |
| id | doaj.art-842bc11105e84371b610ded78331de90 |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-04-13T17:47:00Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-842bc11105e84371b610ded78331de902022-12-22T02:36:55ZengBMCChiropractic & Manual Therapies2045-709X2019-09-0127111110.1186/s12998-019-0266-7Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic reviewMohammadreza Pourahmadi0Mohammad Ali Mohseni-Bandpei1Abbasali Keshtkar2Bart W. Koes3César Fernández-de-Las-Peñas4Jan Dommerholt5Mehrdad Bahramian6Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation SciencesPediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation SciencesDepartment of Health Sciences Education Development, School of Public Health, Tehran University of Medical SciencesDepartment of General Practice, Erasmus MC, University Medical CenterDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan CarlosBethesda Physiocare, Inc.Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical SciencesAbstract Background Headache is the most common neurological symptoms worldwide, as over 90% of people have noted at least one headache during their lifetime. Tension-type headaches, cervicogenic headaches, and migraines are common types of headache which can have a significant impact on social, physical, and occupational functioning. Therapeutic management of headaches mainly includes physical therapy and pharmacological interventions. Dry needling is a relatively new therapeutic approach that uses a thin filiform needle without injectate to penetrate the skin and stimulate underlying tissues for the management of neuromusculoskeletal pain and movement impairments. The main objective of this systematic review and meta-analysis is to evaluate the effectiveness of dry needling in comparison to other interventions on pain and disability in patients with tension-type headache, cervicogenic headache, and migraine. Methods/design We will focus on clinical trials with concurrent control group(s) and comparative observational studies assessing the effect of dry needling in patients with tension-type headache, cervicogenic headache, and migraine. Electronic databases from relevant fields of research (PubMed/ Medline, Scopus, Embase®, PEDro, Web of Science, Ovid, AMED, CENTRAL, and Google Scholar) will be searched from inception to June 2019 using defined search terms. No restrictions for language of publication or geographic location will be applied. Moreover, grey literature, citation tracking, and reference lists scanning of the selected studies will be searched manually. Primary outcomes of this study are pain intensity and disability, and secondary outcomes are cervical spine ROM, frequency of headaches, health-related quality of life, and TrPs tenderness. Studies will be selected by three independent reviewers based on prespecified eligibility criteria. Three reviewers will independently extract data in each eligible study using a pre-piloted Microsoft Excel data extraction form. The assessment of risk of bias will be implemented using the Cochrane Back and Neck Review Group 13-item criteria and NOS. Direct meta-analysis will be performed using a fixed or random effects model to estimate effect size such as standardized mean difference (Morris’s d ppc ) and 95% confidence intervals. Statistical heterogeneity will also be evaluated using the I 2 statistic and the χ2 test. All meta-analyses will be performed using Stata V.11 and V.14 softwares. The overall quality of the evidence for the primary outcomes will be assessed using GRADE. Discussion All analyses in this study will be based on the previous published papers. Therefore, ethical approval and patient consent are not required. The findings of this study will provide important information on the value of dry needling for the management of tension-type headache, cervicogenic headache, and migraine. Trial registration PROSPERO registration number: CRD42019124125.http://link.springer.com/article/10.1186/s12998-019-0266-7Dry needlingCervicogenic headacheTension-type headacheMigraineSystematic reviewMeta-analysis |
| spellingShingle | Mohammadreza Pourahmadi Mohammad Ali Mohseni-Bandpei Abbasali Keshtkar Bart W. Koes César Fernández-de-Las-Peñas Jan Dommerholt Mehrdad Bahramian Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review Chiropractic & Manual Therapies Dry needling Cervicogenic headache Tension-type headache Migraine Systematic review Meta-analysis |
| title | Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review |
| title_full | Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review |
| title_fullStr | Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review |
| title_full_unstemmed | Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review |
| title_short | Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review |
| title_sort | effectiveness of dry needling for improving pain and disability in adults with tension type cervicogenic or migraine headaches protocol for a systematic review |
| topic | Dry needling Cervicogenic headache Tension-type headache Migraine Systematic review Meta-analysis |
| url | http://link.springer.com/article/10.1186/s12998-019-0266-7 |
| work_keys_str_mv | AT mohammadrezapourahmadi effectivenessofdryneedlingforimprovingpainanddisabilityinadultswithtensiontypecervicogenicormigraineheadachesprotocolforasystematicreview AT mohammadalimohsenibandpei effectivenessofdryneedlingforimprovingpainanddisabilityinadultswithtensiontypecervicogenicormigraineheadachesprotocolforasystematicreview AT abbasalikeshtkar effectivenessofdryneedlingforimprovingpainanddisabilityinadultswithtensiontypecervicogenicormigraineheadachesprotocolforasystematicreview AT bartwkoes effectivenessofdryneedlingforimprovingpainanddisabilityinadultswithtensiontypecervicogenicormigraineheadachesprotocolforasystematicreview AT cesarfernandezdelaspenas effectivenessofdryneedlingforimprovingpainanddisabilityinadultswithtensiontypecervicogenicormigraineheadachesprotocolforasystematicreview AT jandommerholt effectivenessofdryneedlingforimprovingpainanddisabilityinadultswithtensiontypecervicogenicormigraineheadachesprotocolforasystematicreview AT mehrdadbahramian effectivenessofdryneedlingforimprovingpainanddisabilityinadultswithtensiontypecervicogenicormigraineheadachesprotocolforasystematicreview |