Research Article

Comparison of Dry Needling versus Orthopedic Manual Therapy in Patients with Myofascial Chronic Neck Pain: A Single-Blind, Randomized Pilot Study

Table 5

Nonparametric tests of outcome data of cervical ROM (flexion and extension).

Variable GroupsMedian (interquartile range) Range of motion (ROM) in grades Friedman
ANOVA
Wilcoxon
(a) Base versus post 1
(b) Base versus post 2
(c) Base versus follow-up
BaselinePost
1
Post
2
Follow-
up

FlexionDN-S38.7 (35.6–40)40 (30.2–49.37)41.2 (37–46.9)45 (40–49.4)0.085 (a) 0.448
(b) 0.079
(c) 0.009
STT40.0 (30.6–49.4)46.2 (35–58.1)50 (32.2–56.9)40.5 (32.5–50)0.692 (a) 0.325
(b) 0.108
(c) 0.674
OMT40.0 (31.5–47.5)45.7 (35–55)50 (50–55)52.5 (47.5–60)0.017 (a) 0.031
(b) 0.007
(c) 0.008
K-W0.8040.6260.0700.036
Mann-Whitney test
 DN-S versus STT
 DN-S versus OMT
 STT versus OMT
0.557
0.883
0.597
0.467
0.369
0.816
0.338
0.009
0.517
0.622
0.014
0.046

ExtensionDN-S46.25 (33.7–51)50.7 (40–59.4)50 (40.2–59.7)50 (41.7–60)0.193 (a) 0.169
(b) 0.154
(c) 0.054
STT42.5 (27.5–60)41.2 (30.6–50)45 (40–58.7)50 (45.6–50.7)0.633 (a) 0.580
(b) 0.635
(c) 0.422
OMT48.75 (40–70)50 (40–75)62.5 (50–65)60 (57.5–63.7)0.846 (a) 0.526
(b) 0.477
(c) 0.074
K-W0.4910.3320.0800.005
Mann-Whitney test
 DN-S versus STT
 DN-S versus OMT
 STT versus OMT
0.794
0.257
0.381
0.210
0.816
0.195
0.839
0.044
0.062
0.726
0.022
0.001

DN-S = dry needling + stretching, STT = soft tissue techniques, and OMT = orthopedic manual therapy.
K-W = Kruskal-Wallis test.