Sukumar Shanmugam1, Lawrence Mathias2. 1. Assistant Professor, Department of Neuro-Physiotherapy, Nitte Institute of Physiotherapy, Nitte University, Mangalore, Karnataka, India. 2. Professor and Head, Department of Orthopaedics, K S Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India.
Abstract
INTRODUCTION: Acute facet joint lock induced wry neck (AFJL-WN) is common among adult population and it is primarily managed by medications and physiotherapy. However, the immediate recovery from pain and movements restriction caused by AFJL-WN is not documented in favour of existing interventions. AIM: To evaluate the immediate effects of paraspinal dry needling (PSDN) on acute neck pain and movement deficit in patients with AFJL-WN. MATERIALS AND METHODS: A total of 21 patients with AFJL-WN were treated with single session of PSDN for 12-15 minutes. The Visual Analog Scale (0-100mm) and Hand Held Goniometer were used to assess the immediate, 24 hours and 1 week follow-up neck pain and cervical spine's range of motion respectively. The mean and standard deviation was used to make inferences. RESULTS: Immediately after PSDN the pain score was reduced and cervical spine range of motion have improved. The 24 hours and 1 week follow-up pain and range of motion scores have shown the sustained improvement without deteriorations. CONCLUSION: PSDN is effective method to achieve pain free neck movements in patients with AFJL-WN.
INTRODUCTION: Acute facet joint lock induced wry neck (AFJL-WN) is common among adult population and it is primarily managed by medications and physiotherapy. However, the immediate recovery from pain and movements restriction caused by AFJL-WN is not documented in favour of existing interventions. AIM: To evaluate the immediate effects of paraspinal dry needling (PSDN) on acute neck pain and movement deficit in patients with AFJL-WN. MATERIALS AND METHODS: A total of 21 patients with AFJL-WN were treated with single session of PSDN for 12-15 minutes. The Visual Analog Scale (0-100mm) and Hand Held Goniometer were used to assess the immediate, 24 hours and 1 week follow-up neck pain and cervical spine's range of motion respectively. The mean and standard deviation was used to make inferences. RESULTS: Immediately after PSDN the pain score was reduced and cervical spine range of motion have improved. The 24 hours and 1 week follow-up pain and range of motion scores have shown the sustained improvement without deteriorations. CONCLUSION: PSDN is effective method to achieve pain free neck movements in patients with AFJL-WN.
Authors: David Boyce; Hannah Wempe; Courtney Campbell; Spencer Fuehne; Edo Zylstra; Grant Smith; Christopher Wingard; Richard Jones Journal: Int J Sports Phys Ther Date: 2020-02