Peran Dry Needling dalam Menurunkan Nyeri dan Meningkatkan Mobilitas pada Osteoarthritis Lutut: Scoping Review
DOI:
https://doi.org/10.59680/ventilator.v4i1.2410Keywords:
Dry Needling, Knee Osteoarthritis, Mobility, Pain, PhysiotherapyAbstract
Knee osteoarthritis is a leading cause of chronic pain and mobility limitations in adults and the elderly. Physiotherapy approaches continue to evolve, one of which is dry needling, which aims to reduce pain through trigger point modulation and improve mobility. However, scientific evidence regarding the effectiveness of this intervention is still scattered and has not been comprehensively mapped. This study aims to map the scientific evidence regarding the role of dry needling in reducing pain and improving mobility in patients with knee osteoarthritis. This study used a scoping review design with reference to the PRISMA-ScR guidelines. A literature search was conducted in several electronic databases such as PubMed, Scopus, ScienceDirect and Google Scholar. Inclusion criteria included studies examining the use of dry needling in patients with knee osteoarthritis, both randomized and non-randomized clinical trials. Extracted data included study characteristics, type of intervention, pain outcomes, and mobility. The search results indicate that dry needling has the potential to reduce pain intensity and improve mobility in patients with knee osteoarthritis. The therapeutic effect is thought to be related to pain modulation through neurophysiological mechanisms, increased local blood flow, and reduced myofascial trigger point activity. However, variations in intervention protocols and methodological limitations in some studies are of concern. Conclusion: Dry needling is a promising intervention in the management of knee osteoarthritis, particularly in reducing pain and improving mobility. However, further studies with more robust designs and consistent intervention standards are needed to strengthen the scientific evidence.
References
Agost-Gonzalez A, Escobio-Prieto I, Barrios-Quinta CJ, Cardero-Duran MDLA, Espejo-Antunez L, Albornoz-Cabello M (2024). Analysis of dry needling combined with an exercise program in the treatment of knee osteoarthritis: A randomized clinical trial. Journal of Clinical Medicine, 13(23), 7157.
Amani M, Shafizadegan Z, T N (2022). Effects of dry needling on pain in patients with knee osteoarthritis: A preliminary study. Advanced Biomedical Research.
Angelo MJ, Gaspe MG, Ray RJ, Vincent PJ (2025). Dry needling intervention in treating musculoskeletal disorders: A scoping review. Modern Journal of Health and Applied Sciences, 2(2), 1-22.
Anwar T, Perveen W, Hashmi R, Ali MA, Akhtar M, Anwar S (2022). Comparison of dry needling with conventional physiotherapy in patients with knee osteoarthritis for pain and functional improvements. Pakistan Journal of Physiology, 48-52.
Ceballos-Laita L, Jimenez-del-Barrio S, Marin-Zurdo J, Moreno-Calvo A, Marin-Bone J, Albarova-Corral MI, Estebanez-de-Miguel E (2022). Comparison of dry needling and self-stretching in muscle extensibility, pain, stiffness, and physical function in hip osteoarthritis: A randomized controlled trial. Complementary Therapies in Clinical Practice, 49.
Ceballos-Laita L, Jimenez-del-Barrio S, Marin-Zurdo J, Moreno-Calvo A, Marin-Bone J, Albarova-Corral MI, Estebanez-de-Miguel E (2021). Effectiveness of dry needling therapy on pain, hip muscle strength, and physical function in patients with hip osteoarthritis: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 102(5), 959-966.
Das S, Kulkarni P, Thomas A (2024). Effectiveness of percutaneous electrical nerve stimulation versus trigger point dry needling in tibiofemoral osteoarthritis: A protocol for a randomized controlled trial. Frontiers in Health Informatics, 13(3).
Espi-Lopez GV, Serra-Ano P, Vicent-Ferrando J, Sanchez-Moreno-Giner M, Arias-Buria JL, Cleland J, Fernandez-de-las-Penas C (2017). Effectiveness of inclusion of dry needling in a multimodal therapy program for patellofemoral pain: A randomized parallel-group trial. Journal of Orthopaedic and Sports Physical Therapy, 47(6), 392-401.
Farazdaghi M, Abdollahian N, Rahimi M, Motealleh A (2021). Dry needling trigger points around knee and hip joints improves function in patients with mild to moderate knee osteoarthritis. Journal of Bodywork and Movement Therapies, 27, 597-604.
Gattie E, Cleland JA, Snodgrass S (2017). The effectiveness of trigger point dry needling for musculoskeletal conditions by physical therapists: A systematic review and meta-analysis. Journal of Orthopaedic and Sports Physical Therapy, 47(3), 133-149.
Geist K, Bradley C, Hofman A, Koester R, Roche F, Shields A, Johanson M (2017). Clinical effects of dry needling among asymptomatic individuals with hamstring tightness: A randomized controlled trial. Journal of Sport Rehabilitation, 26(6), 507-517.
Jimenez-del-Barrio S, Medrano-de-la-Fuente R, Hernando-Garijo I, Mingo-Gomez MT, Estebanez-de-Miguel E, Ceballos-Laita L (2022). The effectiveness of dry needling in patients with hip or knee osteoarthritis: A systematic review and meta-analysis. Life, 12(10), 1575.
Kaye AD, Mipro O, Tynes BE, Abbott B, Roberts C, Vucenovic J, Shekoohi S (2025). Periosteal electrical dry needling efficacy in knee osteoarthritis: A systematic review. Current Pain and Headache Reports, 29(1).
Kini R, Rangwala Z (2022). Dry needling for chronic lumbar radiculopathy with knee osteoarthritis in elderly. Physical and Occupational Therapy in Geriatrics, 40(2), 217-224.
Luis CL, Jimenez-del-Barrio S, Marin-Zurdo J, Moreno-Calvo A, Marin-Bone J, Albarova-Corral MI, Estebanez-de-Miguel E (2018). Effects of dry needling in hip muscles in patients with hip osteoarthritis: A randomized controlled trial. Musculoskeletal Science and Practice.
Ma YT, Dong YL, Wang B, Xie WP, Huang QM, Zheng YJ (2023). Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: A randomized controlled trial. BMC Musculoskeletal Disorders, 24(1), 36.
Morshedlou M, Daghiani M, Negahban H, Hosseini HA, Bahramian M, Ebrahimzadeh Bideskan S, Ebrahimzadeh MH (2026). Effectiveness of adding muscle trigger point dry needling to physiotherapy protocol on pain, active range of motion, and functional ability in patients with knee osteoarthritis: A single-blind randomized parallel-group clinical trial. Physiotherapy Theory and Practice, 42(4), 513-527.
Pang JC, Fu AS, Lam SK, Peng B, Fu AC (2022). Ultrasound-guided dry needling versus traditional dry needling for patients with knee osteoarthritis: A double-blind randomized controlled trial. PLOS ONE, 17(9).
Phanse VA (n.d.). Optimizing knee osteoarthritis treatment: Strengthening VMO and gluteal muscle with dry needling. International Journal of Science and Research.
Rajfur JB, Rajfur KJ, Glab G, Fras-Labanc B, Taradaj J (2026). Effect of dry needling therapy on hip range of motion as a component of functional performance in patients with chronic low back pain: A randomized clinical trial. Reumatologia.
Sanchez-Romero EA, Pecos-Martin D, Calvo-Lobo C, Ochoa-Saez V, Burgos-Caballero V, Fernandez-Carnero J (2018). Effects of dry needling in an exercise program for older adults with knee osteoarthritis: A pilot clinical trial. Medicine (Baltimore), 97(26).
Sanchez Romero EA, Fernandez-Carnero J, Calvo-Lobo C, Ochoa Saez V, Burgos Caballero V, Pecos-Martin D (2020). Is a combination of exercise and dry needling effective for knee osteoarthritis? Pain Medicine, 21(2), 349-363.
Saornil JV, Sanchez Mila Z, Campon Chekroun AM, Baraja Vegas L, Vicente Mampel J, Frutos Llanes R, Barragan Casas JM, Romero SD (2022). Comparative study of the efficacy of hyaluronic acid, dry needling and combined treatment in patellar osteoarthritis: Single-blind randomized clinical trial. International Journal of Environmental Research and Public Health, 19(17).
Shelton G (2022). Dry needling for treatment of osteoarthritis: A systematic review. Carroll College.
Singh A, Bhagat U, Sharma M (2024). Effectiveness of dry needling on pain and disability in athletes with iliotibial band tightness: A clinical trial. Journal of Bodywork and Movement Therapies, 40, 449-454.
Ughreja RA, Prem V (2021). Effectiveness of dry needling techniques in patients with knee osteoarthritis: A systematic review and meta-analysis. Journal of Bodywork and Movement Therapies, 27, 328-338.
Valke P, Naurte S (2025). Effect of pulsed electromagnetic field on pain, stiffness, physical functioning in patients with knee osteoarthritis: A narrative review. Journal of Physiotherapy Directories, 1(1), 43-62.
Wang X, Sun Q, Wang M, Chen Y, Wang Q, Liu L, Yang Y (2022). Electrical dry needling plus corticosteroid injection for osteoarthritis of the knee: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 103(5), 858-866.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Catherine Hermawan Salim, Astrid Komala Dewi, Paramita Boni Lestari
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Penulis yang mempublikasikan manuskrip mereka di Jurnal Ventilator, setuju dengan ketentuan berikut:
- Penulis mempertahankan hak cipta (author copyright holder) dan memberikan hak publikasi pertama kepada jurnal dengan karya yang dilisensikan di bawah Creative Commons Attribution-ShareAlike 4.0 International License, yang memungkinkan orang lain untuk membagikan karya tersebut dengan pengakuan atas kepenulisan dan publikasi awalnya di jurnal ini.
- Penulis dapat melakukan perjanjian kontraktual terpisah tambahan untuk distribusi non-eksklusif dari versi yang diterbitkan oleh jurnal (misalnya, mengunggahnya ke repositori institusional atau mempublikasikannya dalam buku), dengan pengakuan atas publikasi awalnya di jurnal ini.
- Penulis diperbolehkan dan dianjurkan untuk mengunggah karya mereka secara daring (misalnya, di repositori institusional atau di situs web mereka) sebelum dan selama proses pengajuan, karena ini dapat menghasilkan pertukaran yang produktif, serta sitasi yang lebih cepat dan lebih besar dari karya yang dipublikasikan.
