Eficacia de la punción seca en la discapacidad, umbral de dolor a la presión y movilidad del Síndrome de Dolor Miofascial de hombro en pacientes con Lesión Medular: Estudio piloto, ensayo clínico controlado aleatorizado
Bibliographic record
Abstract
Shoulder pain in patients with spinal cord injury is one of the most prevalent pathologies, especially due to the use of assistive devices, since the joint is initially prepared for other functions. It is a hypermobile joint with little stability, so it is often injured. The aim of this study is to prove if dry needling used in these patients is effective in the disability (DASH) of the sample. In this randomized, single-blind, controlled trial, it was used the fast-in and fast-out Hong technique on an active trigger point in infraspinatus muscle within the experimental group and compared with a control group that received a treatment of placebo needle. The variables used in this study are: DASHe (Disabilities of the Arm, Shoulder and Hand version Spanish version), McGill pain questionnaire, SPADIe (Shoulder Pain and Disability Index Spanish version) that were evaluated before and one week after the intervention, and pain pressure threshold (PPT) and range of motion (ROM) of the shoulder of internal rotation and horizontal adduction that were evaluated before, immediately after and a week after the intervention. Statistical analysis was carried out using the SPSS 22.0 program, from which, after the homogeneity of the sample, there were no significant differences in any of the variables, except for the pressure pain threshold after one week between the study groups. Dry needling used in myofascial shoulder pain syndrome in patients with spinal cord injury seems effective in increasing the PPT after one week of treatment. A study with sample expansion is needed to determine the effectiveness of the intervention.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.028 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".