Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Effect of Mirror Therapy on Post-Needling Pain Following Deep Dry Needling of Myofascial Trigger Point in Lateral Elbow Pain: A Controlled Pilot Trial.

Sebastián Eustaquio Martín Pérez
* ORCID logo ,
Jhoselyn Delgado Rodríguez
,
Alejandro Kalitovics
,
Pablo De Miguel Rodríguez
,
Daniela Sabrina Bortolussi
,
Iremar Rodríguez Villanueva
,
Álvaro García Molina
,
Iván Ruiz Rodríguez
,
Isidro Miguel Martín Pérez
,
Maria Dolores Sosa Reina
ORCID logo ,
Jorge Hugo Villafañe
ORCID logo ,
Jose Luis Alonso Pérez
ORCID logo
Version 1 : Received: 2 February 2024 / Approved: 5 February 2024 / Online: 5 February 2024 (13:36:01 CET)

A peer-reviewed article of this Preprint also exists.

Martín Pérez, S.E.; Rodríguez, J.D.; Kalitovics, A.; de Miguel Rodríguez, P.; Bortolussi Cegarra, D.S.; Rodríguez Villanueva, I.; García Molina, Á.; Ruiz Rodríguez, I.; Montaño Ocaña, J.; Martín Pérez, I.M.; Sosa Reina, M.D.; Villafañe, J.H.; Alonso Pérez, J.L. Effect of Mirror Therapy on Post-Needling Pain Following Deep Dry Needling of Myofascial Trigger Point in Lateral Elbow Pain: Prospective Controlled Pilot Trial. J. Clin. Med. 2024, 13, 1490. Martín Pérez, S.E.; Rodríguez, J.D.; Kalitovics, A.; de Miguel Rodríguez, P.; Bortolussi Cegarra, D.S.; Rodríguez Villanueva, I.; García Molina, Á.; Ruiz Rodríguez, I.; Montaño Ocaña, J.; Martín Pérez, I.M.; Sosa Reina, M.D.; Villafañe, J.H.; Alonso Pérez, J.L. Effect of Mirror Therapy on Post-Needling Pain Following Deep Dry Needling of Myofascial Trigger Point in Lateral Elbow Pain: Prospective Controlled Pilot Trial. J. Clin. Med. 2024, 13, 1490.

Abstract

This study aimed to investigate the effect of adding Mirror Visual Feedback Therapy (MFT) after Dry Needling (DDN) on sensitivity and motor performance in patients diagnosed with Post-Needling pain from Myofascial Trigger Points (MTrPs) in lateral elbow pain patients. A randomized, controlled, two-arm pilot trial following Consolidated Standards of Reporting Trials (CONSORT) was conducted at the European University of Madrid between February 1, 2023, and June 2, 2023. A total of 49 patients (F=23, M=26) were randomly assigned to the Experimental Group Deep Dry Needling, Ischemic Compression, Cold Spray, Stretching, and Mirror Therapy (n=25), and the others receiving the same interventions without Mirror Therapy (n=24). Pre- and post-treatment assessments encompassed Post-needling pain (VAS), pressure pain threshold (PPT), two-point discrimination threshold (TPDT), and maximum hand grip strength (MHGS). Post-needling pain intensity in the EG showed statistically significant reductions (MD = 0.400, SEM = 0.271, W = 137.00, p = 0.047) following the addition of MT to the DDN protocol. Similarly, PPT exhibited significant improvements (MD = 0.148 Kg/cm2, SEM = 0.271, W = 262.00, p < 0.001). However, TPDT and MHGS did not show significant differences between initial and post-treatment measurements. The addition of MFT to DDN for MTrPS in lateral elbow pain reduced Post-needling pain and influenced on sensory perception in lateral elbow pain patients with Myofascial Trigger Points. Despite observed clinical effects not reaching statistical significance, these findings offer valuable insights for future research considerations.

Keywords

Mirror Therapy; Dry Needling; Post-Needling Pain; Myofascial Trigger Point

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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