Short-term effect of myofascial trigger point dry-needling in patients with Adhesive Capsulitis

Kalia, Varun; Mani, Suresh; Kumar, Senthil P

doi:10.1016/j.jbmt.2020.10.014

Cited by 6 publications

(10 citation statements)

References 23 publications

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“…The frequency of recurrence and possible migration of pain to different anatomical locations in the long term have not been well studied. Many studies of dry needling aim to examine the local effect of needling on a certain type of pain syndrome in a certain anatomical location, while the long-term consequences are still unclear (37,(39)(40)(41)(118)(119)(120)(121)(122)(123).…”

Section: The Problem With Dry Needling In Light Of Bio-tensegritymentioning

confidence: 99%

Suggesting a mechanism for acupuncture as a global percutaneous needle fasciotomy that respects tensegrity principles for treating fibromyalgia

Plaut

2023

Front. Med.

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Acupuncture is a minimally invasive therapeutic method that uses small caliber needles while inserting them through the skin into various areas of the body. Some empirical studies find evidence to support the use of acupuncture as a treatment for certain medical conditions, however, this peculiar practice is widely considered as the domain of alternative and non-evidence-based medicine. Several mechanisms have been suggested in an attempt to explain the therapeutic action of acupuncture, but the way in which acupuncture alleviates chronic non-cancer pain or psychosomatic and psychiatric disorders is not fully understood. A recent study suggested a theoretical model (coined “Fascial Armoring”) with a cellular pathway to help explain the pathogenesis of myofascial pain/fibromyalgia syndrome and functional psychosomatic syndromes. It proposes that these syndromes are a spectrum of a single medical entity that involves myofibroblasts with contractile activity in fascia and aberrant extracellular matrix (ECM) remodeling, which may lead to widespread mechanical tension and compression. This can help explain diverse psycho-somatic manifestations of fibromyalgia-like syndromes. Fascia is a continuous interconnected tissue network that extends throughout the body and has qualities of bio-tensegrity. Previous studies show that a mechanical action by needling induces soft tissue changes and lowers the shear modulus and stiffness in myofascial tissue. This hypothesis and theory paper offers a new mechanism for acupuncture therapy as a global percutaneous needle fasciotomy that respects tensegrity principles (tensegrity-based needling), in light of the theoretical model of “Fascial Armoring.” The translation of this model to other medical conditions carries potential to advance therapies. These days opioid overuse and over-prescription are ubiquitous, as well as chronic pain and suffering.

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Section: The Problem With Dry Needling In Light Of Bio-tensegritymentioning

confidence: 99%

Suggesting a mechanism for acupuncture as a global percutaneous needle fasciotomy that respects tensegrity principles for treating fibromyalgia

Plaut

2023

Front. Med.

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“…Frozen shoulder is a common musculoskeletal problem, affecting 2 to 5 percent of the population (1,2). This condition is accompanied by a gradual and spontaneous increase in pain and a decrease in active and passive range of motion (ROM) (3) mainly because of the formation of fibrosis tissue and shortening of the joint capsule and ligaments surrounding the glenohumeral (GH) joint (4,5). Considering that the GH joint is involved in many daily activities, any complication, such as a frozen shoulder or tendonitis, which reduces the ROM and causes pain in this area, leads to severe restrictions (6).…”

Section: Introductionmentioning

confidence: 99%

Effects of Subscapularis Muscle Dry Needling on clinical symptom improvement in People with Frozen Shoulder: A Randomized Controlled Trial Protocol

Momenzadeh,

Adigozali,

Ahadi

et al. 2024

Muscle Ligaments and Tendons J

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Background. Frozen shoulder is one of the major complaints among mid-aged and elderly populations and its initial symptoms are common with the initial symptoms of myofascial trigger points (MTrPs) of the subscapularis. Developing MTrPs of the subscapularis is prevalent and may aggravate frozen shoulder manifestations. Dry needling (DN), as a new approach, can deactivate these points. Therefore, the goal of this study is to investigate the impact of the subscapularis muscle DN on clinical symptom improvement in people with a frozen shoulder. Methods. This single-blinded (assessor) randomized controlled trial will randomly assign 40 participants into two groups: 1) conventional physical therapy (control) and 2) DN of the MTrP in the subscapularis muscle with conventional physical therapy (intervention). The outcome measures will be the range of motion of the glenohumeral joint, pain intensity, pain pressure threshold, and intensity of upper limb functional disability.Results. This study is the first study to determine if subscapularis DN has positive effects and will help to determine its effects on clinical symptoms improvement for people with a frozen shoulder. If deactivation of MTrPs in the subscapularis muscle via DN would have positive effects, it could be introduced as an adjunct treatment for these people. Conclusions. This study protocol is arranged to assess the impact of adding the DN technique to conventional physiotherapy in patients with a frozen shoulder. Study registration. This study is registered with registration code IRCT20200215046499N3 on the Iranian registry of the clinical trial (https://www. irct.ir/).

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“…Today, extensive research has shown the efficacy of physiotherapy in the decrease in pain, in the improvement in the range of motion, and in the functional status of patients affected by adhesive capsulitis [ 13 ]. The physiotherapy treatment includes different active and passive interventions: stretching exercises, extracorporeal shock wave therapy, laser therapy, ultrasound, cryotherapy, joint mobilization, muscle energy techniques, proprioceptive neuromuscular facilitation, continuous passive motion, strengthening of muscles, dynamic scapular recognition exercises, and manual muscle release techniques [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. Generally, it is recommended to use a combination of these physiotherapy interventions despite a single intervention [ 13 , 21 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…The physiotherapy treatment includes different active and passive interventions: stretching exercises, extracorporeal shock wave therapy, laser therapy, ultrasound, cryotherapy, joint mobilization, muscle energy techniques, proprioceptive neuromuscular facilitation, continuous passive motion, strengthening of muscles, dynamic scapular recognition exercises, and manual muscle release techniques [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. Generally, it is recommended to use a combination of these physiotherapy interventions despite a single intervention [ 13 , 21 , 23 ]. Nevertheless, the most effective interventions in adhesive capsulitis remain uncertain.…”

Section: Introductionmentioning

confidence: 99%

“…It is, therefore, important to individualize the best tools to investigate and quantify the change in RoM and pain after the application of any interventions. Often, shoulder pain is measured by any kind of pain scale, but despite the good reliability coefficients and good internal reliability, these scales are strongly influenced by the single subject, guaranteeing only moderate accuracy and allowing the measurement of only self-reported pain [ 21 , 25 ]. Identifying the different tools to provide a measure of pain is often complicated due to their different dimensions: physical, sensory, behavioral, sociocultural, cognitive, affective, and spiritual [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Inertial Sensors and Pressure Pain Threshold to Evaluate People with Primary Adhesive Capsulitis: Comparison with Healthy Controls and Effects of a Physiotherapy Protocol

Deodato,

Martini,

Buoite Stella

et al. 2023

JFMK

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Inertial sensors (IMUs) have been recently widely used in exercise and rehabilitation science as they can provide reliable quantitative measures of range of motion (RoM). Moreover, the pressure pain threshold (PPT) evaluation provides an objective measure of pain sensation in different body areas. The aim of this study was to evaluate the efficacy of physiotherapy treatment in people with adhesive capsulitis in terms of RoM and pain improvement measured by IMUs and the PPT. A combined prospective cohort/cross-sectional study was conducted. Nineteen individuals with adhesive capsulitis (10/19 females, 54 ± 8 years) and nineteen healthy controls (10/19 females, 51 ± 6 years) were evaluated for active glenohumeral joint RoM and PPT on shoulder body areas. Then, individuals with adhesive capsulitis were invited to 20 sessions of a physiotherapy protocol, and the assessments were repeated within 1 week from the last session. The range of motion in the flexion (p = 0.001) and abduction (p < 0.001) of the shoulder increased significantly after the physiotherapy protocol. Similarly, the PPT was found to increase significantly in all the assessed shoulder body areas, leading to no significant differences compared to the healthy controls. IMU and PPT assessments could be used to evaluate the efficacy of physical therapy in people with adhesive capsulitis.

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Short-term effect of myofascial trigger point dry-needling in patients with Adhesive Capsulitis

Cited by 6 publications

References 23 publications

Suggesting a mechanism for acupuncture as a global percutaneous needle fasciotomy that respects tensegrity principles for treating fibromyalgia

Suggesting a mechanism for acupuncture as a global percutaneous needle fasciotomy that respects tensegrity principles for treating fibromyalgia

Effects of Subscapularis Muscle Dry Needling on clinical symptom improvement in People with Frozen Shoulder: A Randomized Controlled Trial Protocol

Inertial Sensors and Pressure Pain Threshold to Evaluate People with Primary Adhesive Capsulitis: Comparison with Healthy Controls and Effects of a Physiotherapy Protocol

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