Dry needling for headaches presenting active trigger points

Fernández‐de‐las‐Peñas, César; Cuadrado, María‐Luz

doi:10.1586/14737175.2016.1152889

Cited by 10 publications

(7 citation statements)

References 17 publications

(19 reference statements)

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“…Studies in which children or adolescents were treated with dry needling technique will be excluded from this systematic review.InterventionDry needling is a therapeutic procedure used in subjects with myofascial pain or motor dysfunction that comprises inserting thin filiform needle directly into the skin, subcutaneous tissues, fascia, and muscle, with the intent to deactivate TrPs without the use of an anesthetic [59]. In this technique, the needle usually moves in vertical direction at approximately 1 Hz with or without rotations [38]. Sometimes the needles may be left in place for approximately 20 min with or without manual stimulation [60].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Therapeutic management of headaches mainly comprises physical therapy and pharmacological approaches [36–38]. In the last decade, there has been an increasing interest in the use of dry needling for the treatment of headache as well as for neck and shoulder pain syndromes [38]. Dry needling is a skilled intervention frequently performed by physical therapists, physicians, chiropractors, and acupuncturists for the relief of myofascial pain disorders [39, 40].…”

Section: Introductionmentioning

confidence: 99%

“…Hong [44] suggested that local twitch responses should be elicited during dry needling for a successful technique; however, recent studies have questioned this notion [45, 46]. The time of application will rely upon the irritability of the TrP [38]. Although dry needling might not change all central sensitization aspects, it is probable that local and referred pain will be reduced, muscle blood flow, oxygenation, patterns of muscle activation, and range of motion will be improved, and the biochemical environment of TrPs will be changed [47–49].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review

et al. 2019

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Background Headache is the most common neurological symptoms worldwide, as over 90% of people have noted at least one headache during their lifetime. Tension-type headaches, cervicogenic headaches, and migraines are common types of headache which can have a significant impact on social, physical, and occupational functioning. Therapeutic management of headaches mainly includes physical therapy and pharmacological interventions. Dry needling is a relatively new therapeutic approach that uses a thin filiform needle without injectate to penetrate the skin and stimulate underlying tissues for the management of neuromusculoskeletal pain and movement impairments. The main objective of this systematic review and meta-analysis is to evaluate the effectiveness of dry needling in comparison to other interventions on pain and disability in patients with tension-type headache, cervicogenic headache, and migraine. Methods/design We will focus on clinical trials with concurrent control group(s) and comparative observational studies assessing the effect of dry needling in patients with tension-type headache, cervicogenic headache, and migraine. Electronic databases from relevant fields of research (PubMed/ Medline, Scopus, Embase®, PEDro, Web of Science, Ovid, AMED, CENTRAL, and Google Scholar) will be searched from inception to June 2019 using defined search terms. No restrictions for language of publication or geographic location will be applied. Moreover, grey literature, citation tracking, and reference lists scanning of the selected studies will be searched manually. Primary outcomes of this study are pain intensity and disability, and secondary outcomes are cervical spine ROM, frequency of headaches, health-related quality of life, and TrPs tenderness. Studies will be selected by three independent reviewers based on prespecified eligibility criteria. Three reviewers will independently extract data in each eligible study using a pre-piloted Microsoft Excel data extraction form. The assessment of risk of bias will be implemented using the Cochrane Back and Neck Review Group 13-item criteria and NOS. Direct meta-analysis will be performed using a fixed or random effects model to estimate effect size such as standardized mean difference (Morris’s dppc) and 95% confidence intervals. Statistical heterogeneity will also be evaluated using the I2 statistic and the χ2 test. All meta-analyses will be performed using Stata V.11 and V.14 softwares. The overall quality of the evidence for the primary outcomes will be assessed using GRADE. Discussion All analyses in this study will be based on the previous published papers. Therefore, ethical approval and patient consent are not required. The findings of this study will provide important information on the value of dry needling for the management of tension-type headache, cervicogenic headache, and migraine. Trial registration PROSPERO registration number: CRD42019124125.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review

et al. 2019

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“…Formación del personal sanitario en: técnicas que han mostrado efectividad para el tratamiento de las cefaleas, como las terapias Mulligan 17 o Maitland 18 , para dar movilidad articular; tratamiento de puntos gatillo miofasciales mediante la punción seca 19 ; patologías relacionadas con la articulación témporo-mandibular, que puede ser un foco de dolor cráneo-facial 20 . 2.…”

Section: Materials Y Métodosunclassified

Evaluation and improvement of healthcare quality in patients with headache attending physical therapy

Muñiz

Laguarta-Val

de-las-Peñas

2018

An Sist Sanit Navar

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Fundamento. Evaluar el efecto de un ciclo de mejora en la atención a pacientes con cefalea en dos centros de Fisioterapia sobre la calidad asistencial y su asociación con la satisfacción percibida y su mejora clínica.Métodos. Para medir la calidad asistencial se observó el cumplimiento de quince criterios de calidad en las historias clínicas de todos los pacientes con diagnós-tico de cefalea tensional, cervicogénica o migraña en dos centros de Fisioterapia entre 2010 y 2014. En 2015, tras introducir en uno de los centros (C1) medidas correctivas, se reevaluó la calidad asistencial en ambos centros, usando el otro como control (C2).resultados. En la primera evaluación, en ambos centros se observó un número muy elevado de incumplimientos en todos los criterios. Tras el ciclo de mejora, en el C1 hubo un aumento significativo en el cumplimiento de los criterios de calidad, como la entrega de un calendario de cefalea, que pasó del 0% a un 100% de cumplimiento, o el uso de la escala HIT-6, que pasó del 30 a un 100%, Asimismo, hubo una mejor valoración en la calidad percibida por el paciente en el C1 respecto al C2, incluyendo una mejora en el estado de salud.conclusiones. El uso de la metodología de mejora de la calidad, con iniciativa interna, obtuvo mejoras significativas tanto en la calidad de la atención prestada como en la percepción que tienen los usuarios de los servicios de fisioterapia, así como en la salud de los pacientes.Palabras clave. Calidad asistencial. Cefalea tensional. Migraña. Cefalea cervicogénica. Fisioterapia. aBstractBackground. To evaluate the effects on healthcare quality following implementation of a program to improve care for individuals with headache in two physical therapy clinics and its association with outcomes and self-perceived improvement. Methods.We assessed healthcare quality by creating a questionnaire on fulfilment of fifteen quality criteria included in the clinical history of individuals suffering from tension-type, cervicogenic or migraine headaches seeking physical therapy between 2010 and 2014. In 2015, after applying a program to improve care in one center (C1), we reassessed the same fulfilment questionnaire in both centers, using the other center (C2) as control.results. In the first evaluation there was a huge number of cases of non-compliance of all the criteria in both centers. After implementation of the care improvement program in C1 a significant improvement was observed in some items, as use of a headache diary, which rose from 0 to 100%, or use of the HIT-6 disability questionnaire, which rose from 30 to 100%. In addition, there was a significant improvement in self-perceived health status after implementation of the care program in C1.conclusions. The implementation of a care improvement program was effective in improving healthcare quality for individuals with headache attending physical therapy services.

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Complementary and Alternative Approaches to Chronic Daily Headache: Part II—Manipulation-Based Therapies and Other CAM Therapies

2018

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Dry needling for headaches presenting active trigger points

Cited by 10 publications

References 17 publications

Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review

Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review

Evaluation and improvement of healthcare quality in patients with headache attending physical therapy

Complementary and Alternative Approaches to Chronic Daily Headache: Part II—Manipulation-Based Therapies and Other CAM Therapies

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