Management of Shoulder Injuries Using Dry Needling in Elite Volleyball Players

Osborne, Nichola J; Gatt, Ian

doi:10.1136/aim.2009.001560

Cited by 52 publications

(54 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…muscle tissue) and non-TrP structures (i.e. neural and connective tissues) in combination, or non-TrP structures alone, is effective for the reduction of pain and disability in knee osteoarthritis,50–50–51,81–83,85–90,166–168 hip osteoarthritis,53,91–94 piriformis syndrome,60 carpal tunnel syndrome,36,37,40,41,44,45,47 migraine,95–101 tension type headache,97,98,102 temporomandibular disorder,59,67,103–107 shoulder pain,108–110 neck pain,23,24,29,35,61,63–65,80,111–114 low back pain,4,5,19,20,66,69,115–125 and plantar fasciitis 48,49,54,56,126,127…”

Section: Trp Needling Is Only One Kind Of Dry Needlingmentioning

confidence: 99%

“…While many of these studies directly use the term ‘dry needling’,5,18,21,26,33,56,64,67,104,110 in their methodology, other studies use alternative terminology such as ‘deep dry needling’,67 ‘superficial dry needling’,55,128 ‘TrP acupuncture’,20,80 ‘paraspinal needling’,64 ‘intramuscular and nerve root needling’,65 ‘needle electrical intramuscular stimulation’,129 ‘needle release’,113 ‘acupuncture needling’,63,113 ‘needling therapy’,17 ‘acupuncture’36–38,40,41,47,49–55,61,69,72,81–88,90,92,94–100,105–108,112,115–117,119–123,130–135 and ‘electroacupuncture’ 37,46,93,126,127,136–139. Some studies have even chosen to use both ‘acupuncture and dry needling’19,23,24,62,77 in their titles.…”

Section: Trp Needling Is Only One Kind Of Dry Needlingmentioning

confidence: 99%

See 1 more Smart Citation

Dry needling: a literature review with implications for clinical practice guidelines

Dunning¹,

Butts

Mourad³

et al. 2014

Physical Therapy Reviews

241

210

View full text Add to dashboard Cite

Background:Wet needling uses hollow-bore needles to deliver corticosteroids, anesthetics, sclerosants, botulinum toxins, or other agents. In contrast, dry needling requires the insertion of thin monofilament needles, as used in the practice of acupuncture, without the use of injectate into muscles, ligaments, tendons, subcutaneous fascia, and scar tissue. Dry needles may also be inserted in the vicinity of peripheral nerves and/or neurovascular bundles in order to manage a variety of neuromusculoskeletal pain syndromes. Nevertheless, some position statements by several US State Boards of Physical Therapy have narrowly defined dry needling as an ‘intramuscular’ procedure involving the isolated treatment of ‘myofascial trigger points’ (MTrPs).Objectives:To operationalize an appropriate definition for dry needling based on the existing literature and to further investigate the optimal frequency, duration, and intensity of dry needling for both spinal and extremity neuromusculoskeletal conditions.Major findings:According to recent findings in the literature, the needle tip touches, taps, or pricks tiny nerve endings or neural tissue (i.e. ‘sensitive loci’ or ‘nociceptors’) when it is inserted into a MTrP. To date, there is a paucity of high-quality evidence to underpin the use of direct dry needling into MTrPs for the purpose of short and long-term pain and disability reduction in patients with musculoskeletal pain syndromes. Furthermore, there is a lack of robust evidence validating the clinical diagnostic criteria for trigger point identification or diagnosis. High-quality studies have also demonstrated that manual examination for the identification and localization of a trigger point is neither valid nor reliable between-examiners.Conclusions:Several studies have demonstrated immediate or short-term improvements in pain and/or disability by targeting trigger points (TrPs) using in-and-out techniques such as ‘pistoning’ or ‘sparrow pecking’; however, to date, no high-quality, long-term trials supporting in-and-out needling techniques at exclusively muscular TrPs exist, and the practice should therefore be questioned. The insertion of dry needles into asymptomatic body areas proximal and/or distal to the primary source of pain is supported by the myofascial pain syndrome literature. Physical therapists should not ignore the findings of the Western or biomedical ‘acupuncture’ literature that have used the very same ‘dry needles’ to treat patients with a variety of neuromusculoskeletal conditions in numerous, large scale randomized controlled trials. Although the optimal frequency, duration, and intensity of dry needling has yet to be determined for many neuromusculoskeletal conditions, the vast majority of dry needling randomized controlled trials have manually stimulated the needles and left them in situ for between 10 and 30 minute durations. Position statements and clinical practice guidelines for dry needling should be based on the best available literature, not a single paradigm or school of thought; therefore, ...

show abstract

Section: Trp Needling Is Only One Kind Of Dry Needlingmentioning

confidence: 99%

Section: Trp Needling Is Only One Kind Of Dry Needlingmentioning

confidence: 99%

Dry needling: a literature review with implications for clinical practice guidelines

Dunning¹,

Butts

Mourad³

et al. 2014

Physical Therapy Reviews

241

210

View full text Add to dashboard Cite

show abstract

“…Fibroblasts not only produce proteins that make up the extracellular matrix, but also transform into myofibroblasts to repair injury via production of collagen and α smooth muscle actin protein. 36 Findings from research studies on the mechanisms of action underlying the effects of needling not only explain why needling per se is effective for musculoskeletal pain treatment, [29][30][31][32][33][34][35] but also account for the growing use of DN in the musculoskeletal field including sports medicine. Needling may thus improve muscle performance, although large, high quality research studies are needed to determine the optimal parameters of needling, including location and direction of needle insertion, duration of needle retention, the requirement for a local twitch response or de qi sensation, the frequency of treatments, and its potential role as a preventive measure.…”

Section: Needling Effects In the Musculoskeletal System: Therapeutic mentioning

confidence: 99%

Dry Needling versus Acupuncture: The Ongoing Debate

Zhou

Brogan

2015

Acupunct Med

View full text Add to dashboard Cite

Although Western medical acupuncture (WMA) is commonly practised in the UK, a particular approach called dry needling (DN) is becoming increasingly popular in other countries. The legitimacy of the use of DN by conventional non-physician healthcare professionals is questioned by acupuncturists. This article describes the ongoing debate over the practice of DN between physical therapists and acupuncturists, with a particular emphasis on the USA. DN and acupuncture share many similarities but may differ in certain aspects. Currently, little information is available from the literature regarding the relationship between the two needling techniques. Through reviewing their origins, theory, and practice, we found that DN and acupuncture overlap in terms of needling technique with solid filiform needles as well as some fundamental theories. Both WMA and DN are based on modern biomedical understandings of the human body, although DN arguably represents only one subcategory of WMA. The increasing volume of research into needling therapy explains its growing popularity in the musculoskeletal field including sports medicine. To resolve the debate over DN practice, we call for the establishment of a regulatory body to accredit DN courses and a formal, comprehensive educational component and training for healthcare professionals who are not physicians or acupuncturists. Because of the close relationship between DN and acupuncture, collaboration rather than dispute between acupuncturists and other healthcare professionals should be encouraged with respect to education, research, and practice for the benefit of patients with musculoskeletal conditions who require needling therapy.

show abstract

“…2 Dry needling has been demonstrated to be an effective intervention for patients with chronic shoulder pain and ROM deficits. 18 A case series by Osborne and Gatt 33 showed improved shoulder ROM and function in elite-level volleyball players after dry needling of the scapulohumeral muscles. In a case series by Ingber, 19 3 patients with shoulder pain were treated with dry needling of the shoulder-region muscles.…”

Section: T T Discussion: This Case Report Describesmentioning

confidence: 99%

Trigger Point Dry Needling as an Adjunct Treatment for a Patient With Adhesive Capsulitis of the Shoulder

Clewley¹,

Flynn²,

Koppenhaver³

2014

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

A dhesive capsulitis is a common shoulder condition of unknown etiology that is often treated by physical therapists. 26,47 The incidence rate of adhesive capsulitis is higher in women than in men and higher among middleaged individuals. 47 The risk factors associated with adhesive capsulitis are type 1 or 2 diabetes mellitus, thyroid disease, an age of between 40 and 65 years, trauma, prolonged immobilization, autoimmune disease, and myocardial infarction. 23 In individuals with diabetes, the incidence rate is upward of 20%, compared to 2% to 5% in individuals without diabetes. 15,37The economic burden and the impact of adhesive capsulitis on health care expenditures are significant. 9,43 The condition has been described as self-limiting, typically resolving in 1 to 3 years, with long-term range of motion (ROM) deficits lasting up to 10 years. 27 However, the prognosis associated with adhesive capsulitis improves with a lesser number of comorbidities. 48There are a number of invasive and conservative options for managing adhesive capsulitis. 7,8,13,23,44 Invasive interventions include intra-articular steroid injection, surgery, and manipulation under anesthesia. Manipulation under anesthesia is commonly used but carries the risk of humeral fracture, dislocation, rotator cuff injuries, labral tears, and brachial plexus injury.13 Acetaminophen and nonsteroidal anti-inflammatory medications are common first-line nonsurgical treatments for adhesive capsulitis, but there is little evidence for their effectiveness. 44 Oral corticosteroids might provide short-term benefit in pain relief and improved ROM in patients with adhesive capsulitis.7 However, they have not been proven to reduce the duration of adhesive capsulitis. 8Early physical therapy intervention that includes joint mobilization directed at the shoulder joint complex has been T T STUDY DESIGN: Case report. T T BACKGROUND:Prognosis for adhesive capsulitis has been described as self-limiting and can persist for 1 to 3 years. Conservative treatment that includes physical therapy is commonly advised. T T CASE DESCRIPTION:The patient was a 54-year-old woman with primary symptoms of shoulder pain and loss of motion consistent with adhesive capsulitis. Manual physical therapy intervention initially consisted of joint mobilizations of the shoulder region and thrust manipulation of the cervicothoracic region. Although manual techniques seemed to result in some early functional improvement, continued progression was limited by pain. Subsequent examination identified trigger points in the upper trapezius, levator scapula, deltoid, and infraspinatus muscles, which were treated with dry needling to decrease pain and allow for higher grades of manual intervention. T T OUTCOMES:The patient was treated for a total of 13 visits over a 6-week period. After trigger point dry needling was introduced on the third visit, improvements in pain-free shoulder range of motion and functional outcome measures, assessed with the Shoulder Pain and Disability Index and the shortened form...

show abstract

Management of Shoulder Injuries Using Dry Needling in Elite Volleyball Players

Cited by 52 publications

References 25 publications

Dry needling: a literature review with implications for clinical practice guidelines

Dry needling: a literature review with implications for clinical practice guidelines

Dry Needling versus Acupuncture: The Ongoing Debate

Trigger Point Dry Needling as an Adjunct Treatment for a Patient With Adhesive Capsulitis of the Shoulder

Contact Info

Product

Resources

About