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February 3, 2025
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Efficacy of dry needling with the fascial winding technique in reducing the percentage of surgery in carpal tunnel syndrome: A randomized clinical trial

Publicated to:Journal Of Bodywork And Movement Therapies. 42 408-416 - 2025-06-01 42(), DOI: 10.1016/j.jbmt.2025.01.015

Authors: Gascon-Garcia, Jordi; Lopez-Marne, Sylvia; Dominguez-Rubio, Raul; Aragon, Alberto Martinez de; Girabent-Farres, Montserrat; Bagur-Calafat, Caritat

Affiliations

Bellvitge IDIBELL Univ Hosp, Neurol Serv, Barcelona, Spain - Author
Bellvitge IDIBELL Univ Hosp, Orthoped & Traumatol Surg Serv, Barcelona, Spain - Author
Univ Int Catalunya, Phys Therapy Dept, Sant Cugat Del Valles, Barcelona, Spain - Author
Univ Pompeu Fabra, Hlth Sch, TecnoCampus, Mataro, Barcelona, Spain - Author

Abstract

Introduction: Numerous techniques for the treatment of carpal tunnel syndrome (CTS) have been described. The present study aims to determine the proportion of wrists with CTS in which the application of DN avoids surgery. Methods: An assessor-blind randomized clinical trial clinical trial was performed. Eighty-six wrists with diagnosis of mild or moderate CTS and indication for surgery were recruited from a hospital traumatology service. The intervention group was treated with DN, with a frequency of one session/week over six weeks, while the control group did not follow any specific treatment, remaining on the waiting list for the surgery. The main variable was the recommendation for surgery. Other secondary variables included changes in electromyography and ultrasound; intensity of pain; Boston Carpal Tunnel Syndrome Questionnaire (BCTQ); hand dynamometries; and possible adverse effects. Results: The wrists treated by DN had a reduced risk of needing surgery at 12 weeks by 62% compared to the control group (RR = 0.38, 95% CI[0.2-0.72]), with this value being significant (p-value = 0.003). This group also obtained a significant improvement in the intensity of pain (p-value = 0.006), and in the BCTQ-severity of syntoms scale and BCTQ-functional situation scale (p-value = 0.039 and p-value = 0.019 respectively). Statistical significance was not reached in the dynamometries performed, nor in the results of the electromyography and ultrasound studies. Adverse effects were infrequent or unimportant. Conclusions: Application of DN to wrists with mild or moderate CTS reduces the need for surgery, and improves the clinical symptoms and functionality of the hand.

Keywords

AcupunctureBlood-flowCarpal tunnel syndromConnective-tissueDry needlingManipulative treatmentManual therapyMedian nerveMyofascial trigger pointsNerve gliding exercisesPaiPhysical therapyTrapezius muscle

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Bodywork And Movement Therapies due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category .

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-16:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 8.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 21 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).