scholarly journals Dry needling versus trigger point compression of the upper trapezius: a randomized clinical trial with two-week and three-month follow-up

2018 ◽  
Vol 27 (3) ◽  
pp. 152-161 ◽  
Author(s):  
Maryam Ziaeifar ◽  
Amir Massoud Arab ◽  
Zahra Mosallanezhad ◽  
Mohammad Reza Nourbakhsh
2021 ◽  
Author(s):  
Luis Martín-Sacristán ◽  
Cesar Calvo-Lobo ◽  
Daniel Pecos-Martín ◽  
Josue Fernández-Carnero ◽  
Jose Luis Alonso-Pérez

Abstract The purpose was to determine the efficacy of deep dry needling (DDN) applied on an active myofascial trigger point (MTrP) versus a latent-MTrP versus a non-MTrP location, on pain reduction and cervical disability, in patients with chronic neck pain. A randomized, double-blind clinical trial design was used. A sample of 65 patients was divided into non-MTrP-DDN, active-MTrP-DDN and latent-MTrP-DDN groups. The visual analog scale (VAS), reproduction of the patient’s pain, number of local twitch responses, pressure pain threshold (PPT) and Neck Disability Index (NDI) were assessed before, during and after the intervention and up to 1 month post-intervention. The active-MTrP-DDN-group reduced pain intensity more than non-MTrP-DDN-group after a week and a month (p<0.01). Active-MTrP-DDN-group showed the greatest improvement in tibialis muscle PPT. An association was found with a higher percentage of subjects in whom their neck pain was reproduced when the active-MTrP (77.3%) and the latent-MTrP (81.8%) were treated. The application of DDN on an active-MTrP in the upper trapezius muscle shows greater improvements in pain intensity after one week and one month post-intervention, as well as lesser improvement in PPT in the tibialis muscle, compared to DDN applied in latent-MTrPs or outside of MTrPs in patients with neck pain


2015 ◽  
Vol 38 (3) ◽  
pp. 179-187 ◽  
Author(s):  
José L. Arias-Buría ◽  
Raquel Valero-Alcaide ◽  
Joshua Aland Cleland ◽  
Jaime Salom-Moreno ◽  
Ricardo Ortega-Santiago ◽  
...  

Author(s):  
Eleuterio A. Sánchez Romero ◽  
Tifanny Lim ◽  
Jorge Hugo Villafañe ◽  
Gurvan Boutin ◽  
Victor Riquelme Aguado ◽  
...  

Background: It remains unclear as to whether verbal suggestions and expectancies can influence the perception of post-needling soreness. The aim of this study was to analyze the effects of verbal suggestions on post-needling soreness after dry needling of the trapezius muscle. Methods: This study is a randomized controlled trial including healthy subjects randomly assigned to one of three groups receiving different verbal suggestions about the effects of dry needling and the occurrence of post needling soreness (positive, negative, or neutral). Then, dry needling on a latent trigger point of the upper trapezius muscle was performed and the following outcomes were measured immediately after, 24, 48, and 72 h, and one week after the intervention: post-needling soreness intensity, pressure pain threshold (PPT), temporal summation (TS) and conditioned pain modulation (CPM). Results: Seventy-three consecutive participants were screened and 42 participants (12 men and 30 women, aged: 24 ± 8 years old) were eligible and finished the study protocol. The results showed that verbal suggestion did not influence the perception of post-needling soreness, since there were no differences between groups (p < 0.05) on the intensity of post-needling soreness or tenderness over a one-week follow-up. Moreover, verbal suggestion did not associate with changes in sensorimotor variables of TS and CPM. Conclusions: The induction of different types of expectations through verbal suggestion does not influence the perception of acute pain perceived during the performance of a deep dry needling technique and post-needling pain or soreness after deep dry needling on a latent upper trapezius myofascial trigger point (MTrP).


2014 ◽  
Vol 44 (11) ◽  
pp. 852-861 ◽  
Author(s):  
Rocio Llamas-Ramos ◽  
Daniel Pecos-Martín ◽  
Tomás Gallego-Izquierdo ◽  
Inés Llamas-Ramos ◽  
Gustavo Plaza-Manzano ◽  
...  

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