The Role of Psychological Factors in the Perception of Postneedling Soreness and the Influence of Postneedling Intervention

Martín-Pintado-Zugasti, Aitor; López-López, Almudena; Gutiérrez, José Luis González; Pecos‐Martín, Daniel; Rodríguez-Fernández, Ángel Luis; Alguacil-Diego, Isabel M.; Gallego‐Izquierdo, Tomás; Fernández‐Carnero, Josué

doi:10.1016/j.pmrj.2016.07.529

Cited by 18 publications

(31 citation statements)

References 49 publications

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“…This is the first study investigating the effects of lowload exercise as a postneedling intervention in active TrPs. Previous studies investigating post-dry needling interventions were conducted on asymptomatic subjects exhibiting latent muscle TrPs [20,21]. Similar to previous studies, postneedling soreness was present in 100% of the individuals who received TrP-DN in our study.…”

Section: Discussionsupporting

confidence: 85%

“…In contrast with previous studies, postneedlinginduced pain did not completely disappear 72 hours after the needling procedure, although pain levels were relatively small. This can be related to the fact that previous studies investigated latent TrPs in asymptomatic people [20,21], whereas in our study we included symptomatic subjects with active muscle TrPs. Combing clinical experience and available scientific data, it seems that postneedling soreness tends to disappear 72 hours after the application of TrP-DN, without any postneedling intervention.…”

Section: Discussionmentioning

confidence: 99%

“…There are few studies that have investigated therapeutic strategies to decrease postneedling-induced pain. Two recent studies demonstrated that the application of ethyl chloride spray and stretching [20] and ischemic compression [21] after TrP-DN exhibited shortterm effects (between 6 and 24 hours) for reducing postneedling soreness on latent TrPs in the upper trapezius. Although promising, these studies included asymptomatic subjects with latent TrPs, which does not represent clinical practice, and also applied passive modalities for reducing postneedling soreness.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Salom‐Moreno

Jiménez-Gómez

Gómez-Ahufinger

et al. 2017

PM&R

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Background The application of dry needling usually is associated with postneedling‐induced pain. A postneedling intervention to reduce this adverse event is needed. Objective To determine the effectiveness of low‐load exercise on reducing postneedling‐induced pain after dry needling of active trigger points (TrPs) in the infraspinatus muscle in subacromial pain syndrome. Design A 72‐hour follow‐up, single‐blind randomized controlled trial. Setting Urban hospitals. Participants Individuals with subacromial pain syndrome (n = 90, 52% female, mean age: 35 ± 13 years) with active TrPs in the infraspinatus muscle. Interventions All individuals received dry needling into the infraspinatus active TrP. Then, they were divided randomly into an experimental group, which received a single bout of low‐load exercise of shoulder muscles; a placebo group, which received inactive ultrasound for 10 minutes; and a control group, which did not receive any intervention. Outcome Measures Numerical Pain Rating Scale (0‐10 point) was administered postneedling, immediately postintervention (2 minutes), and 24, 48, and 72 hours after needling. Shoulder pain (Numerical Pain Rating Scale, 0‐10) and disability (Disabilities of the Arm, Shoulder and Hand; Shoulder Pain and Disability Index) were assessed before and 72 hour after needling. Results The 5 × 3 analysis of covariance showed that the exercise group demonstrated a larger decrease in postneedling‐induced pain immediately after (P = .001), 24 hours (P = .001), and 48 hours after (P = .006) than placebo or control groups. No differences were found at 72 hours (P = .03). Similar improvements in shoulder pain (P < .001) and related disability (Disabilities of the Arm, Shoulder and Hand: P < .001; Shoulder Pain and Disability Index: P < .001) were observed 72 hours after needling, irrespective of the treatment group. Conclusions Low‐load exercise was effective for reducing postneedling‐induced pain on active TrPs in the infraspinatus muscle 24 and 48 hours after needling. The application of a postneedling intervention did not influence short‐term pain and disability changes. Level of Evidence I

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Salom‐Moreno

Jiménez-Gómez

Gómez-Ahufinger

et al. 2017

PM&R

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“…Psychological factors, such as anxiety or catastrophizing, seemed to be associated with the perception of postneedling soreness in previous research in healthy participants [19,22]. However, to our knowledge, no previous research has investigated the influence of psychological factors on the perception of postneedling soreness in pain patients.…”

Section: Methodsmentioning

confidence: 81%

Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

Martín-Pintado-Zugasti

Fernández‐Carnero

León-Hernández

et al. 2018

PM&R

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“…No obstante, otros factores psicológicos como el catastrofismo pueden influir en la percepción del dolor (349 …”

Section: Escala Analógica Visualunclassified

Eficacia analgésica del tratamiento invasivo miofascial (punción seca) en fibromialgia

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The Role of Psychological Factors in the Perception of Postneedling Soreness and the Influence of Postneedling Intervention

Abstract: II.

Cited by 18 publications

References 49 publications

Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

Eficacia analgésica del tratamiento invasivo miofascial (punción seca) en fibromialgia

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