Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series
Background: Carpometacarpal (CMC) osteoarthritis (OA) of the thumb is a painful condition that affects over 15% of individuals above the age of 30 and up to 30% of post-menopausal women. Dry needling (DN) has been found to reduce pain and disability in a variety of neuromusculoskeletal conditions; h...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/17/5678 |
| _version_ | 1797582290602164224 |
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| author | Anna Staehli Wiser James Dunning Casey Charlebois Paul Bliton Firas Mourad |
| author_facet | Anna Staehli Wiser James Dunning Casey Charlebois Paul Bliton Firas Mourad |
| author_sort | Anna Staehli Wiser |
| collection | DOAJ |
| description | Background: Carpometacarpal (CMC) osteoarthritis (OA) of the thumb is a painful condition that affects over 15% of individuals above the age of 30 and up to 30% of post-menopausal women. Dry needling (DN) has been found to reduce pain and disability in a variety of neuromusculoskeletal conditions; however, DN in the management of CMC OA has not been well studied. Methods: Consecutive patients with clinical and radiographic evidence of CMC OA were treated with DN. The primary outcome measure was pain using the Numerical Pain Rating Scale (NPRS) at 12 weeks. Secondary outcome measures were the Upper Extremity Functional Index (UEFI-20) and the Global Rating of Change (GROC) scale. Outcome measures were collected at baseline, 4 weeks, 8 weeks, and 12 weeks. Results: Nine patients were treated for six sessions of periosteal DN over 3 weeks. Compared to baseline, statistically significant and clinically meaningful improvements were observed in thumb pain (NPRS mean difference: 2.6; <i>p</i> = 0.029) and function (UEFI-20 mean difference: 21.3; <i>p</i> = 0.012) at 12 weeks. Conclusion: Statistically significant and clinically meaningful within-group improvements in thumb pain and function were observed at 12 weeks following six sessions of periosteal DN treatment. DN may be a useful intervention in the management of patients with CMC OA of the thumb. |
| first_indexed | 2024-03-10T23:19:59Z |
| format | Article |
| id | doaj.art-eea2477fd79745b1b77c5e54779bf715 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:19:59Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-eea2477fd79745b1b77c5e54779bf7152023-11-19T08:23:53ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011217567810.3390/jcm12175678Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case SeriesAnna Staehli Wiser0James Dunning1Casey Charlebois2Paul Bliton3Firas Mourad4Redington Fairview General Hospital, Skowhegan, ME 04976, USAAmerican Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL 36104, USAAmerican Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL 36104, USAAmerican Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL 36104, USADepartment of Physiotherapy, LUNEX International University of Health, Exercise and Sports, 4671 Differdange, LuxembourgBackground: Carpometacarpal (CMC) osteoarthritis (OA) of the thumb is a painful condition that affects over 15% of individuals above the age of 30 and up to 30% of post-menopausal women. Dry needling (DN) has been found to reduce pain and disability in a variety of neuromusculoskeletal conditions; however, DN in the management of CMC OA has not been well studied. Methods: Consecutive patients with clinical and radiographic evidence of CMC OA were treated with DN. The primary outcome measure was pain using the Numerical Pain Rating Scale (NPRS) at 12 weeks. Secondary outcome measures were the Upper Extremity Functional Index (UEFI-20) and the Global Rating of Change (GROC) scale. Outcome measures were collected at baseline, 4 weeks, 8 weeks, and 12 weeks. Results: Nine patients were treated for six sessions of periosteal DN over 3 weeks. Compared to baseline, statistically significant and clinically meaningful improvements were observed in thumb pain (NPRS mean difference: 2.6; <i>p</i> = 0.029) and function (UEFI-20 mean difference: 21.3; <i>p</i> = 0.012) at 12 weeks. Conclusion: Statistically significant and clinically meaningful within-group improvements in thumb pain and function were observed at 12 weeks following six sessions of periosteal DN treatment. DN may be a useful intervention in the management of patients with CMC OA of the thumb.https://www.mdpi.com/2077-0383/12/17/5678dry needlingosteoarthritiscarpometacarpal jointthumb painperiostealCMC OA |
| spellingShingle | Anna Staehli Wiser James Dunning Casey Charlebois Paul Bliton Firas Mourad Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series Journal of Clinical Medicine dry needling osteoarthritis carpometacarpal joint thumb pain periosteal CMC OA |
| title | Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series |
| title_full | Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series |
| title_fullStr | Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series |
| title_full_unstemmed | Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series |
| title_short | Periosteal Dry Needling for Carpometacarpal Osteoarthritis: A Prospective Case Series |
| title_sort | periosteal dry needling for carpometacarpal osteoarthritis a prospective case series |
| topic | dry needling osteoarthritis carpometacarpal joint thumb pain periosteal CMC OA |
| url | https://www.mdpi.com/2077-0383/12/17/5678 |
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