A systematic review of manual therapy techniques, dry cupping and dry needling in the reduction of myofascial pain and myofascial trigger points

Charles, Derek; Hudgins, Trey; MacNaughton, Josh; Newman, Eric D.; Tan, Joanne; Wigger, Michael

doi:10.1016/j.jbmt.2019.04.001

Cited by 47 publications

(42 citation statements)

References 63 publications

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“…However, in a meta-analysis of the data carried out by Rodrigues et al (2016), DN was found to be even less effective on pain relief than placebo (66). Besides, Charles et al (2019) in a systematic review compared the effects of manual therapy techniques, dry cupping, and dry needling on the reduction of myofascial pain and myofascial trigger points. They confirmed the results of the study carried out by Rodrigues (67).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effects of Dry Needling and Low-Level Laser on the Latent Trigger Points of Upper Trapezius

Seifolahi

Rezaeian

Mosallanezhad

et al. 2021

ircmj

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Background and Aims: Myofascial pain syndrome (MPS) is one of the most frequent causes of chronic musculoskeletal pain which is characterized by myofascial trigger points (MTrPs). Hence, it is of crucial importance to identify practical approaches for the treatment of these points. Upper trapezius muscle (UT) is highly susceptible to the development of MTrPs that are commonly resulted from overuse and micro-trauma. In this regard, the present study aimed to compare the effects of dry needling (DN) and low-level laser therapy (LLLT) regarding the reduction of pain and muscle thickness and improvement of the range of motion (ROM) and pressure pain threshold (PPT) in patients with latent MTrPs (LTrPs) in their UT muscles. Materials and Methods: In total, 60 patients with LTrPs in UT muscle participated in this randomized clinical trial. The subjects were randomly divided into two treatment groups of DN and LLLT. The PPT was evaluated by visual analog scale (VAS) and algometer while ROM and muscle thickness were assessed using goniometer and ultrasonography, respectively. It should be noted that the variables were evaluated before the first and after the sixth sessions. Finally, the collected data were analyzed using independent and paired t-tests. Results: Based on the results, the VAS and muscle thickness significantly reduced, while the PPT and cervical ROM increased in both groups after treatment (P<0.001). The independent t-test revealed a statistically significant improvement in the DN group in terms of PPT (9.9-14.17, P=0.009) and ROM (37.33-42.67, p=0.005), compared to the LLLT group. Nevertheless, no significant difference was found between the two groups regarding VAS and muscle thickness variables (P>0.05). Conclusion: The DN and LLLT effectively improved symptoms in the UT muscles of patients with LTrPs. However, the DN was more effective in the improvement of ROM and PPT variables.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Effects of Dry Needling and Low-Level Laser on the Latent Trigger Points of Upper Trapezius

Seifolahi

Rezaeian

Mosallanezhad

et al. 2021

ircmj

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“…Both groups will follow the same protocol that will consist of applying the CRMRF (INDIBA Activ CT8 → ) at 2% to induce an electrical and athermic effect, along with pain education and physiotherapeutic techniques [43,44] according to the location of the pain (Table 2) that will be applied at the same time as the CRMRF. Participants will be placed comfortably in a supine or prone position (depending on the area to be treated) with a pillow under their heads, without pants or underwear.…”

Section: Investigationsmentioning

confidence: 99%

Efficacy of capacitive resistive monopolar radiofrequency in the physiotherapeutic treatment of chronic pelvic pain syndrome: study protocol for a Randomized Controlled Trial

Carralero-Martínez¹,

Pérez

Pané-Alemany³

et al. 2021

Preprint

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Background Chronic Pelvic Pain Syndrome (CPPS) is a multifactorial disorder that affects 5.7–26.6% of women and 2.2–9.7% of men, characterized by a hypersensitivity of the central and peripheral nervous system affecting bladder and genital function. People with CPPS have much higher rates of psychological disorders (anxiety, depression, and catastrophizing) that increase the severity of chronic pain and worsen quality of life. Myofascial therapy, manual therapy, and treatment of trigger points are proven therapeutic options for this syndrome. The aim of this study is to evaluate the efficacy of capacitive resistive monopolar radiofrequency (CRMRF) at 448 KHz as an adjunct treatment to the other physiotherapeutic techniques for reducing pain and improving the quality of life of patients with CPPS. Methods This triple-blind (1:1) randomized controlled trial will include 80 women and men with CPPS. Participants will be randomized into CRMRF activated group or CRMRF deactivated group, together with physiotherapeutic techniques and pain education. The groups will receive treatment for 10 consecutive weeks. Pain intensity (with the VAS), quality of life (with the SF-12), kinesiophobia (with the TSK-11) and catastrophism (with the PCS) will be evaluated at the beginning, at the sixth and the tenth session. Discussion The results of this study will make it possible to prove that CRMRF benefits the treatment of patients with CPPS together with physiotherapeutic techniques and pain education. These results could offer another conservative treatment option for these patients. Trial registration: ClinicalTrials.gov Identifier: NCT03797911. Registered 8 January 2019, https://clinicaltrials.gov/ct2/show/NCT03797911

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“…Cupping therapy is widely used to manage musculoskeletal diseases in China and Egypt (Aboushanab and Alsanad, 2018), including neck pain (Kim et al, 2018), lower back pain (Huang et al, 2013), myofascial pain syndrome (Charles et al, 2019), osteoarthritis (Li et al, 2017), and pain in athletes (Bridgett et al, 2018). Recently, elite athletes, such as Michael Phelps and Russel Westbrook, revealed these circular marks on their shoulders through the media (Chirali, 2014).…”

Section: Introductionmentioning

confidence: 99%

Effect of Pressures and Durations of Cupping Therapy on Skin Blood Flow Responses

Wang

Zhang

Elliott

et al. 2020

Front. Bioeng. Biotechnol.

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Cupping therapy has been widely used in treating musculoskeletal impairments. However, there is no specific guideline on selecting the intensity of cupping therapy, including the pressure and duration. The objective of this study was to investigate the effect of different pressures and durations of cupping therapy on skin blood flow responses. A 2 × 2 factorial design, including two negative pressures at −225 and −300 mmHg and two durations at 5 and 10 min, was tested in 12 healthy participants. The four protocols of cupping therapy were tested in four different days. Skin blood flow was measured using laser Doppler flowmetry on the left triceps (the SJ12 acupoint). Skin blood flow after cupping therapy was expressed as a ratio of skin blood flow before cupping therapy. The results showed that −300 mmHg caused a significant increase in peak skin blood flow (16.7 ± 2.6 times) compared to −225 mmHg (11.1 ± 2.2 times, p < 0.05) under 5-min duration. The largest difference in skin blood flow is between −300 mmHg for 5 min (16.7 ± 2.6 times) and −225 mmHg for 10 min (8.1 ± 2.3 times, p < 0.01). Our findings demonstrated that a higher value (300 mmHg) of negative pressure is more effective on increasing skin blood flow compared to a lower value (225 mmHg). Also, a shorter duration (5 min) causes a larger peak and total skin blood flow compared to a longer duration (10 min). This study provides the first evidence showing the effect of pressures and durations of cupping therapy on skin blood flow responses.

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A systematic review of manual therapy techniques, dry cupping and dry needling in the reduction of myofascial pain and myofascial trigger points

Cited by 47 publications

References 63 publications

Comparison of the Effects of Dry Needling and Low-Level Laser on the Latent Trigger Points of Upper Trapezius

Comparison of the Effects of Dry Needling and Low-Level Laser on the Latent Trigger Points of Upper Trapezius

Efficacy of capacitive resistive monopolar radiofrequency in the physiotherapeutic treatment of chronic pelvic pain syndrome: study protocol for a Randomized Controlled Trial

Effect of Pressures and Durations of Cupping Therapy on Skin Blood Flow Responses

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