The ‘dry-needle technique’: intramuscular stimulation in tension-type headache

Karakurum, B; Karaalin, O; Coskun, Ö; Dora, B; Üçler, S; Inan, LE

doi:10.1046/j.1468-2982.2001.00238.x

Cited by 24 publications

(62 citation statements)

References 6 publications

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“…Effects found in this study that have been previously reported include: differences between acupuncture and control for migraine 7,12,45 that increased between posttreatment and 1-year follow-up, 11 unconvincing effects for tension-type headache, [46][47][48][49] improvements in severity and frequency, 24 and increased benefit in patients with greater headache severity.…”

Section: Comparison With Other Studiessupporting

confidence: 65%

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

Vickers

Rees²,

Zollman³

et al. 2004

Health Technol Assess

114

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Section: Comparison With Other Studiessupporting

confidence: 65%

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

Vickers

Rees²,

Zollman³

et al. 2004

Health Technol Assess

114

View full text Add to dashboard Cite

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“…Another RCT suggested that deep needling of MFTrPs might be more effective than traditional acupuncture or superficial trigger point needling in the treatment of chronic LBP in the elderly 140 . However, only two studies have looked at the effect of TrPDN on various headache forms 93,127 . One RCT that compared dry needling of MFTrPs in the neck and metoprolol in migraine prophylaxis for the treatment of MH found a significant reduction in headache frequency (P<0.01) for both groups and no between-group difference in frequency or duration 136 .…”

Section: Discussionmentioning

confidence: 99%

“…One RCT that compared dry needling of MFTrPs in the neck and metoprolol in migraine prophylaxis for the treatment of MH found a significant reduction in headache frequency (P<0.01) for both groups and no between-group difference in frequency or duration 136 . The second RCT study-albeit one with a small sample size-looked at the effect of dry needling on TTH and found a significant improvement in headache indices, tenderness score, and neck mobility limitation 93 . With regard to the research basis on the efficacy of OMPT, massage therapy has been deemed effective in the treatment of LBP due to MFTrPs 144 .…”

Section: Discussionmentioning

confidence: 99%

“…Manual therapy techniques to address spine dysfunction and soft tissue/myofascial restrictions, combined with exercise therapy to address postural imbalances and poor cervical muscle activation/endurance, have been noted to be effective treatment approaches both individually and collectively in the treatment of headaches 38,[77][78][79][90][91][92][93] . Studies have shown that trigger point dry needling relieved symptoms related to myofascial pain 51 and that it improved headache indices, tenderness, and neck mobility in TTH patients 93 . In some studies, spinal manipulation has been shown to be efficacious in the treatment of chronic TTH, MH, and CGH 92 .…”

Section: Prognosismentioning

confidence: 99%

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Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

Issa¹,

Huijbregts²

2006

Journal of Manual & Manipulative Therapy

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Chronic headaches are a significant health problem for patients and often a clinical enigma for the medical professionals who treat such patients. The purpose of this case report is to describe the physical therapy diagnosis and management of a patient with chronic daily headache. The patient was a 48-year-old woman with a medical diagnosis of combined common migraine headache and chronic tension-type headache. An exacerbation of these long-standing headache complaints had resulted in a chronic daily headache for the preceding eight months. Symptoms included bilateral headache, neck pain, left facial pain, and tinnitus. Outcome measures used included the Henry Ford Hospital Headache Disability Inventory (HDI) and the Neck Disability Index (NDI). Examination revealed myofascial, articular, postural, and neuromuscular impairments of the head and neck region. Treatment incorporated myofascial trigger point dry needling, orthopaedic manual physical therapy, exercise therapy, and patient education. On the final visit, the patient reported no headaches during the preceding month. There was a 31% improvement in the HDI emotional score, a 42% improvement in the functional score, and a 36% improvement in the total score for the HDI, the latter exceeding the minimal detectable change for the total score on this measure. The NDI at discharge showed an 18% improvement with a maximal improvement during the course of treatment of 26%. Both improvements exceeded the minimal clinically important difference for the NDI. This case report indicates that physical therapy diagnosis and management as described may be indicated for the conservative care of patients with chronic headaches.

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“…2 The effects of acupuncture on various types of headache have been studied widely. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] In a Cochrane review, Melchart et al compared the effectiveness of acupuncture with 'sham' (placebo) acupuncture and other interventions used to treat idiopathic (primary) headaches including tensiontype headache. 3 They concluded that the evidence supports the role of acupuncture for the treatment of idiopathic headaches but is not conclusive.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Laser Acupuncture on Chronic Tension Headache – a Randomised Controlled Trial

Ebneshahidi¹,

Heshmatipour²,

Moghaddami

et al. 2005

Acupunct Med

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Objective Headache affects the quality of life for many people throughout the world. Tension headache is among the commonest forms. Acupuncture is the most widely practised non-medicinal treatment for headaches. The purpose of this study was to explore the effects of laser acupuncture in this type of headache. Methods Fifty patients with chronic tension-type headache were randomly allocated to treatment or placebo groups. Patients in the treatment group received low energy laser acupuncture to LU7, LI4, GB14, and GB20 bilaterally. Points were irradiated for 43 seconds, and the intensity was 1.3J (~13J/cm2). Ten sessions were given, three per week. The placebo group was treated in a similar way except that the output power of the equipment was set to zero. The outcome variables were headache intensity (VAS), duration of attacks, and number of days with a headache per month, by daily diary, assessed monthly to three months after treatment. Results There were significant differences between groups (P<0.001) in changes from baseline in months one, two and three, in median score for headache intensity (treatment group -5, -3 and -2, placebo group -1, 0 and 0), median duration of attacks (treatment group -6, -4 and -4, placebo group -1, 0 and 0 hours), and median number of days with headache per month (treatment group -15, -10 and -8, placebo group -2, 0 and 0). Conclusion This study suggests that laser acupuncture may be an effective treatment for chronic tension-type headache, but the results should be confirmed in larger and more rigorous trials.

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The ‘dry-needle technique’: intramuscular stimulation in tension-type headache

Cited by 24 publications

References 6 publications

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

The Effects of Laser Acupuncture on Chronic Tension Headache – a Randomised Controlled Trial

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