Inhibitory Effect of Dry Needling on the Spontaneous Electrical Activity Recorded from Myofascial Trigger Spots of Rabbit Skeletal Muscle

Chen, Jo Tong; Chung, Kao‐Chi; Hou, Chuen Ru; Kuan, Ta Shen; Chen, Shu Min; Hong, Chang Zern

doi:10.1097/00002060-200110000-00004

Cited by 147 publications

(68 citation statements)

References 24 publications

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“…Dry needling an MTrP is most effective when local twitch responses are elicited, 14 probably because of rapid depolarization of the involved muscle fibers, which manifests as local twitches. 19 After the muscle has finished twitching, the spontaneous electrical activity subsides and the pain and dysfunction decrease dramatically. A very similar method was developed in 7th century by Chinese physician Sun Ssu-Mo, who inserted needles at points of pain, which he called Ah-Shi points.…”

Section: Dry Needling Methodsmentioning

confidence: 99%

Dry Needling in the Management of Musculoskeletal Pain

Kalichman

Vulfsons²

2010

The Journal of the American Board of Family Medicine

188

130

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Myofascial pain is a common syndrome seen by family practitioners worldwide. It can affect up to 10% of the adult population and can account for acute and chronic pain complaints. In this clinical narrative review we have attempted to introduce dry needling, a relatively new method for the management of musculoskeletal pain, to the general medical community. Different methods of dry needling, its effectiveness, and physiologic and adverse effects are discussed. Dry needling is a treatment modality that is minimally invasive, cheap, easy to learn with appropriate training, and carries a low risk. Its effectiveness has been confirmed in numerous studies and 2 comprehensive systematic reviews. The deep method of dry needling has been shown to be more effective than the superficial one for the treatment of pain associated with myofascial trigger points. However, over areas with potential risk of significant adverse events, such as lungs and large blood vessels, we suggest using the superficial technique, which has also been shown to be effective, albeit to a lesser extent.Additional studies are needed to evaluate the effectiveness of dry needling. There also is a great need for further investigation into the development of pain at myofascial trigger points. (J Am Board Fam Med 2010;23:640 -646.)

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Section: Dry Needling Methodsmentioning

confidence: 99%

Dry Needling in the Management of Musculoskeletal Pain

Kalichman

Vulfsons²

2010

The Journal of the American Board of Family Medicine

188

130

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“…10,11 We already mentioned that dry needling can restore range of motion and muscle activation patterns, 5,8,9 and reduce local, referred, and widespread pain. [4][5][6][7]36 Dry needling of trigger points can reduce the endplate noise associated with those trigger points 74 and with remote trigger points. 6 Dry needling of trigger points or acupuncture points in the forearm reduced the endplate noise in the upper trapezius muscle.…”

Section: Dry Needling and Trigger Pointsmentioning

confidence: 99%

“…68 Endplate dysfunction has been confirmed by multiple animal model and human studies. 55,[71][72][73][74][75][76][77][78][79] Kuan and colleagues found a correlation between the irritability of trigger points and the prevalence of endplate noise, 39 and confirmed that blocking the release of acetylcholine with administration of botulinum toxin reduced the prevalence of endplate noise. 80 Several other studies have also shown that the administration of botulinum toxin can reduce the activity of trigger points.…”

mentioning

confidence: 99%

Dry needling — peripheral and central considerations

Dommerholt¹

2011

Journal of Manual & Manipulative Therapy

216

140

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Dry needling is a common treatment technique in orthopedic manual physical therapy. Although various dry needling approaches exist, the more common and best supported approach targets myofascial trigger points. This article aims to place trigger point dry needling within the context of pain sciences. From a pain science perspective, trigger points are constant sources of peripheral nociceptive input leading to peripheral and central sensitization. Dry needling cannot only reverse some aspects of central sensitization, it reduces local and referred pain, improves range of motion and muscle activation pattern, and alters the chemical environment of trigger points. Trigger point dry needling should be based on a thorough understanding of the scientific background of trigger points, the differences and similarities between active and latent trigger points, motor adaptation, and central sensitize application. Several outcome studies are included, as well as comments on dry needling and acupuncture.

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“…5 Essential for obtaining therapeutic benefit with TrP-DN, LTRs are reflex spinal cord contractions of the muscle fibers in a taut band. [6][7][8] Eliciting LTRs can reduce concentrations of nociceptive chemicals, such as substance P and calcitonin gene-related peptide, found in the immediate vicinity of active TrPs. 9,10 Trigger point dry needling is commonly used in clinical practice by physiotherapists in conjunction with other physical therapy modalities.…”

Section: Introductionmentioning

confidence: 99%