Effects of dry needling in the sternocleidomastoid muscle on cervical motor control in patients with neck pain: a randomised clinical trial

Objective: To determine the changes produced by trigger point dry needling (TrP-DN) of sternocleidomastoid in patients with neck pain, and to observe how it might modify cervical motor control (CMC). Design: Single-centre, randomised, double-blinded clinical trial. Setting: Participants were recruited through advertising. The duration of the study was 6 months. Subjects: Thirty-four subjects with non-specific neck pain, aged over 18 years with an active myofascial trigger point in sternocleidomastoid, participated in the study. They were randomly assigned to treatment or control groups. Methods: TrP-DN inside or (1.5 cm) outside of the active myofascial trigger point of sternocleidomastoid. Main outcome measures: CMC, visual analogue scale and cervical range of motion were assessed before treatment, immediately post treatment, and 24 h, 1 week and 1 month after the intervention; the neck disability index was evaluated before treatment and 1 month later. Results: With a confidence interval of 99%, TrP-DN of sternocleidomastoid was associated with a decrease in pain after 1 week and CMC improved 1 month after the intervention (p < 0.001), when compared with baseline measurements, within the experimental group; there were no statistically significant differences between experimental and control groups. Conclusion: The effects of TrP-DN inside and outside of active myofascial trigger points did not differ in this study. Both interventions were associated with a similar temporal effect, specifically a reduction in neck pain at 1 week and an increase CMC at 1 month. However, these findings should be interpreted with caution due to the lack of a contemporaneous untreated control group.

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Neurophysiological Effects of Dry Needling in Patients with Neck Pain, A Randomized Clinical Trial

10.21203/rs.3.rs-709500/v1 ◽

2021 ◽

Author(s):

Luis Martín-Sacristán ◽

Cesar Calvo-Lobo ◽

Daniel Pecos-Martín ◽

Josue Fernández-Carnero ◽

Jose Luis Alonso-Pérez

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Pain Intensity ◽

Trigger Point ◽

Neck Disability Index ◽

Pressure Pain Threshold ◽

Dry Needling ◽

Post Intervention ◽

Upper Trapezius ◽

Tibialis Muscle

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

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Faculty Opinions recommendation of Short-term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: a randomized clinical trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718289318.793497844 ◽

2014 ◽

Author(s):

César Fernández de las Peñas

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Range Of Motion ◽

Randomized Clinical Trial ◽

Pain Sensitivity ◽

Trigger Point ◽

Dry Needling ◽

Short Term ◽

Pressure Pain ◽

Cervical Range Of Motion

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Short-Term Changes in Neck Pain, Widespread Pressure Pain Sensitivity, and Cervical Range of Motion After the Application of Trigger Point Dry Needling in Patients With Acute Mechanical Neck Pain: A Randomized Clinical Trial

Journal of Orthopaedic and Sports Physical Therapy ◽

10.2519/jospt.2014.5108 ◽

2014 ◽

Vol 44 (4) ◽

pp. 252-260 ◽

Cited By ~ 73

Author(s):

María J. Mejuto-Vázquez ◽

Jaime Salom-Moreno ◽

Ricardo Ortega-Santiago ◽

Sebastián Truyols-Domínguez ◽

César Fernández-de-las-Peñas

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Range Of Motion ◽

Randomized Clinical Trial ◽

Pain Sensitivity ◽

Trigger Point ◽

Dry Needling ◽

Short Term ◽

Pressure Pain ◽

Cervical Range Of Motion

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DRY NEEDLING SEBAGAI TERAPI NYERI MIOFASIAL SERVIKAL

Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia ◽

10.52386/neurona.v37i4.177 ◽

2020 ◽

Vol 37 (4) ◽

Author(s):

Hanik Badriyah Hidayat ◽

Annisa Oktavianti

Keyword(s):

Trigger Point ◽

Trigger Points ◽

Myofascial Trigger Point ◽

Dry Needling ◽

Myofascial Trigger Points

Nyeri miofasial servikal (NMS) merupakan sumber nyeri umum pada individu dengan nyeri leher kronik nonspesifik. Nyeri dapat bersifat lokal, regional dan dapat juga memiliki banyak titik pemicu nyeri (myofascial trigger points/MTrPs). NMS menyebabkan nyeri di daerah otot servikal maupun fasia di sekitarnya. Nyeri leher menurunkan kualitas hidup, menurunkan produktivitas dan menyebabkan disabilitas sehingga berpengaruh secara sosioekonomi terhadap penderita dan masyarakat.Pengobatan sindrom nyeri miofasial servikal masih belum memuaskan terkait kronisitasnya. Dry needling (DN) adalah salah satu pilihan terapi nonfarmakologi yang bisa diterapkan pada NMS. DN akan mengurangi sensitisasi perifer dan sentral dengan menghilangkan sumber nosisepsi perifer (area MTrPs), memodulasi aktifitas kornu dorsalis dan mengaktifkan jalur inhibisi nyeri sentral.Neurolog sering menangani kasus NMS dan perkembangan DN akhir-akhir ini semakin pesat sebagai manajemen nyeri. Namun, keefektifan terapi DN masih belum jelas. Oleh karena itu, pengetahuan tentang peran DN pada NMS ini penting untuk diketahui oleh para neurolog. Artikel kami akan membahas tentang peran DN pada sindrom nyeri miofasial servikal.Kata kunci: Dry needling, nyeri miofasial servikal, terapi, myofascial trigger point

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Effectiveness of Deep Dry Needling vs Ischemic Compression in the Latent Myofascial Trigger Points of the Shortened Triceps Surae from Triathletes on Ankle Dorsiflexion, Dynamic, and Static Plantar Pressure Distribution: A Clinical Trial

Pain Medicine ◽

10.1093/pm/pnz222 ◽

2019 ◽

Vol 21 (2) ◽

pp. e172-e181 ◽

Cited By ~ 3

Author(s):

María Benito-de-Pedro ◽

Ricardo Becerro-de-Bengoa-Vallejo ◽

Marta Elena Losa-Iglesias ◽

David Rodríguez-Sanz ◽

Daniel López-López ◽

...

Keyword(s):

Clinical Trial ◽

Plantar Pressure ◽

Ankle Dorsiflexion ◽

Triceps Surae ◽

Control Group ◽

Single Session ◽

Dry Needling ◽

Myofascial Trigger Points ◽

Plantar Pressures ◽

Before And After

Abstract Objective To determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability. Design A randomized simple blind clinical trial (NCT03273985). Setting An outpatient clinic. Subjects Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius. Methods Triathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment. Results There were no statistically significant differences (P > 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment. Conclusions DDN vs ICT carried out in latent MTrPs of the shortened gastrocnemius of triathletes did not present differences in terms of dorsiflexion ROM of the tibiofibular-talar joint or in static and dynamic plantar pressure changes before and immediately after treatment.

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Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

PM&R ◽

10.1016/j.pmrj.2018.05.015 ◽

2018 ◽

Vol 10 (12) ◽

pp. 1311-1320 ◽

Cited By ~ 7

Author(s):

Aitor Martín-Pintado-Zugasti ◽

Josué Fernández-Carnero ◽

Jose Vicente León-Hernández ◽

Cesar Calvo-Lobo ◽

Hector Beltran-Alacreu ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Trigger Point ◽

Controlled Trial ◽

Myofascial Trigger Point ◽

Dry Needling ◽

Randomized Controlled

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Immediate Effect of Dry Needling at Myofascial Trigger Point on Hand Spasticity in Chronic Post-stroke Patients: A Multicenter Randomized Controlled Trial

Frontiers in Neurology ◽

10.3389/fneur.2021.745618 ◽

2021 ◽

Vol 12 ◽

Author(s):

Zengqiao Zhang ◽

Wu Wang ◽

Yongjia Song ◽

Tianjun Zhai ◽

Yan Zhu ◽

...

Keyword(s):

Trigger Point ◽

Cumulative Effect ◽

Effective Rate ◽

Controlled Study ◽

Control Group ◽

Myofascial Trigger Point ◽

Dry Needling ◽

Stroke Patients ◽

Post Stroke ◽

Randomized Controlled

Background: Hand spasticity after stroke influences the rehabilitation of hand function. Immediate and effective relief of spasticity potentially creates conditions for later rehabilitation training, which has far-reaching significance in the smooth transition of patients to the recovery period.Objective: To evaluate the immediate effect of dry needling (DN) at myofascial trigger point on hand spasticity in stroke patients.Methods: This was a prospective, evaluator blind, multicenter, randomized controlled study. A total of 210 participants were randomly divided into DN group (DN, N = 70), sham dry needling group (SDN, N = 70), and control group (N = 70). Participants in the DN group were treated with DN at myofascial trigger point five times (30 min each time) every week for 4 weeks. Subjects in the SDN group were manipulated the same way as in the DN group, except that the acupuncture site was located in the area adjacent to the myofascial trigger point, which constituted a SDN. Routine rehabilitation treatment was performed for participants in the two groups and in the control group. The primary evaluation index was the immediate effect of hand spasticity relief. Secondary evaluation indicators included the cumulative effect of hand spasticity relief from baseline to week 4, and the changes in flexion angles of the wrist, thumb, and fingers 2–5 in the rest position before, immediately after, and 4 weeks after intervention.Results: The immediate effective rate of spasticity relief (thumb, fingers 2–5, and wrist) of patients with different degrees of spasticity in the DN group was higher than that in the control and SDN groups (thumb, χ2 = 55.833, P < 0.001; fingers 2–5, χ2 = 68.096, P < 0.001; wrist, χ2 = 49.180, P < 0.001) (P < 0.05). The effective rate of spasticity relief from baseline to 4 weeks in the DN group exceeded that in the control group and SDN groups (thumb, χ2 = 8.806, P = 0.012; fingers 2–5, χ2 = 8.087, P = 0.018; and wrist, χ2 = 8.653, P = 0.013) (P < 0.05). No difference in immediate and cumulative effect was found between the control group and SDN group. The change of joints flexion angles in resting position before and after each treatment in the DN group was higher than that in the control and SDN groups (P < 0.05), but it was not significantly different between the control group and SDN group. At 4 weeks, although the change in the DN group was higher than that in the control group and SDN group, this difference was not statistically significant (P > 0.05).Conclusion: Dry needling can relieve varying degrees of hand spasticity instantly in post-stroke.Trial Registration:www.chictr.org.cn, ChiCTR1900022379.

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Effect of dry needling on submaximal strength and pain in patients with active myofascial trigger points in the rectus femoris: A case series

Revista Fisioterapia Invasiva ◽

10.1055/s-0040-1701290 ◽

2020 ◽

Vol 03 (01) ◽

pp. 035-037

Author(s):

María Pilar López Royo ◽

Carolina Jiménez Sánchez

Keyword(s):

Trigger Point ◽

Case Series ◽

Rectus Femoris ◽

Trigger Points ◽

Myofascial Trigger Point ◽

Dry Needling ◽

Analog Scale ◽

Myofascial Trigger Points ◽

Before And After ◽

Nodular Appearance

AbstractA myofascial trigger point (MTrP) is a hyperirritable area of a skeletal muscle, of nodular appearance on palpation and located in a taut band. One of the techniques for the treatment of MTrP is dry needling (DN). The aim of the present work was to determine whether treatment with DN is effective in terms of pain relief and improvement of muscle weakness. For this purpose, differences in the Visual Analog Scale (VAS) and the Brzycki Test were observed before and after treatment of an active MTrP of the rectus femoris. In total, 5 patients received the treatment, of which 80% showed an improvement in pain and an increase in submaximal strength. Although it is not possible to establish a causal relationship, the results appear consistent with our hypothesis that DN is able to generally improve the symptoms of pain and weakness that appeared in patients.

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Efficacy of dry needling as an adjunct to manual therapy for patients with chronic mechanical neck pain: a randomised clinical trial

Acupuncture in Medicine ◽

10.1136/acupmed-2018-011682 ◽

2020 ◽

Vol 38 (4) ◽

pp. 244-254

Author(s):

Gracia M. Gallego-Sendarrubias ◽

David Rodríguez-Sanz ◽

Cesar Calvo-Lobo ◽

Jose Luis Martín

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Pain Intensity ◽

Range Of Motion ◽

Manual Therapy ◽

Intervention Group ◽

Control Group ◽

Dry Needling ◽

Cervical Range Of Motion ◽

Neck Disability

Objective: Chronic mechanical neck pain is associated with musculoskeletal tissue alterations. Active trigger points in the trapezius and levator scapulae muscles are common in patients with chronic mechanical neck pain. In this study, we compared the effect of dry needling (DN) combined with manual therapy (MT) to sham dry needling (SDN) combined with MT on pain, pain pressure threshold, cervical range of motion and neck disability in patients with chronic mechanical neck pain. Methods: A randomised, single-blind clinical trial was carried out involving 101 participants with chronic mechanical neck pain, divided into an intervention group (DN+MT, n=47) and a control group (SDN+MT, n=54). Participants received two treatment sessions. The intervention group received MT in conjunction with DN of the most mechano-sensitive myofascial trigger point (MTrP). The control group received MT plus SDN. Outcomes measures were: pain intensity (numeric pain rating scale, NPRS), pressure pain threshold (PPT), cervical range of motion (ROM) and neck disability (neck disability index, NDI). Results: This study found that between-group differences in pain intensity were statistically significant (P<0.01). Pain decreased after the first intervention in the DN+MT group (3.47±0.25 points on the NPRS) and even more so after the second intervention (4.76±0.24 points on the NPRS). After 4 weeks, pain intensity differed from baseline by 4.89±0.27 points on the NPRS. Statistically significant differences (P<0.001) in PPT were also found between the intervention group and the control group. After the first intervention, a significant increase in PPT within the DN+MT group (3.09±0.8 kg/cm2) was observed. Cervical ROM also showed highly statistically significant differences. After 4 weeks, a statistically significant reduction (P<0.001) in NDI was observed between the two groups. Conclusion: Our results show that DN+MT is efficacious and significantly better than SDN+MT at reducing pain intensity, PPT, neck disability and cervical ROM in patients with chronic mechanical neck pain. Level of evidence: 1b.

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