Immediate effects of dry needling and acupuncture at distant points in XXXX : results of a randomized, double-blind, sham-controlled crossover trial.

@entity1 @entity4048 @entity11535 @entity158
To evaluate immediate effects of two different modes of acupuncture on motion-related @entity158 and cervical spine mobility in @entity4048 @entity1 compared to a sham procedure. Thirty-six @entity1 with @entity4048 and limited cervical spine mobility participated in a prospective, randomized, double-blind, sham-controlled crossover trial. Every @entity1 was treated once with needle acupuncture at distant points, dry needling (DN) of local myofascial trigger points and sham laser acupuncture (Sham). Outcome measures were motion-related @entity158 intensity (visual analogue scale, 0-100 mm) and @entity11535 ( @entity11535 ). In addition, @entity1 scored changes of general complaints using an 11-point verbal rating scale. @entity1 were assessed immediately before and after each treatment by an independent (blinded) investigator. Multivariate analysis was used to assess the effects of true acupuncture and needle site independently. For motion-related @entity158 , use of acupuncture at non-local points reduced @entity158 scores by about a third (11.2 mm; 95% CI 5.7, 16.7; P = 0.00006) compared to DN and sham. DN led to an estimated @entity158 .0 mm (95% CI -4.5, 6.5; P = 0.7). Use of DN slightly improved @entity11535 by 1.7 degrees (95% CI 0.2, 3.2; P = 0.032) with use of non-local points improving @entity11535 by an additional 1.9 degrees (95% CI 0.3, 3.4; P = 0.016). For @entity1 assessment of change, non-local acupuncture was significantly superior both to Sham (1.7 points; 95% CI 1.0, 2.5; P = 0.0001) and DN (1.5 points; 95% CI 0.4, 2.6; P = 0.008) but there was no difference between DN and Sham (0.1 point; 95% CI -1.0, 1.2; P = 0.8). Acupuncture is superior to Sham in improving motion-related @entity158 and @entity11535 following a single session of treatment in @entity4048 @entity1 . Acupuncture at distant points improves @entity11535 more than DN; DN was ineffective for motion-related @entity158 .
