Therapeutic Effects of Dry Needling in Patients with Upper Trapezius Myofascial Trigger Points

Abbaszadeh-Amirdehi, Maryam; Ansari, Noureddin Nakhostin; Naghdi, Soofia; Olyaei, Gholamreza; Nourbakhsh, Mohammad Reza

doi:10.1136/acupmed-2016-011082

Cited by 33 publications

(28 citation statements)

References 41 publications

(27 reference statements)

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“…The first mechanical effect was supported by the hypothesis that TrP-DN is able to reduce endplate noise characteristicof the TrP area 71. Some studies have confirmed that TrP-DN decreases the amplitude and frequency of end plate noise and end plate spike, ie, typical sponteneous electrical activity features of TrPs, decreases the acetylcholine levels72,73 and the neuromuscular junction response 74. A decrease in end plate noise and end plate spike after the application of TrP-DN would support an effect on the motor end plate.…”

Section: Mechanisms Underlying Trigger Point Needling Therapymentioning

confidence: 95%

<p>Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm</p>

Fernández‐de‐las‐Peñas

Nijs

2019

JPR

123

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Myofascial pain syndrome is a pain condition characterized by the presence of trigger points. Current evidence, mostly experimental studies, clearly supports a role of trigger points on peripheral and central sensitization since they are able to contribute to sensitization of peripheral nociceptors, spinal dorsal horn neurons, and the brainstem. Several interventions are proposed for treating trigger points, dry needling being one of the most commonly used by clinicians. There is no consensus on the clinical application of trigger point dry needling: some authors propose that local twitch responses should be elicited during the needling intervention to be effective, whereas others do not. The application of trigger point dry needling is able to reduce the excitability of the central nervous system by reducing peripheral nociception associated to the trigger point, by reducing dorsal horn neuron activity, and by modulating pain-related brainstem areas. However, the effects are mainly observed in the short-term, and effect sizes are moderateto small. Therefore, the current review proposes that the application of trigger point dry needling should be integrated into current pain neuroscience paradigm by combining its application with pain neuroscience education, graded exercise and manual therapy. Additionally, patient’s expectations, beliefs, previous experiences and patient–clinician interaction should be considered when integrating trigger point dry needling into a comprehensive treatment approach.

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Section: Mechanisms Underlying Trigger Point Needling Therapymentioning

confidence: 95%

<p>Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm</p>

Fernández‐de‐las‐Peñas

Nijs

2019

JPR

123

View full text Add to dashboard Cite

show abstract

“…Por otra parte, Furlan y cols. (29) proponen que la PS estimula las interneuronas inhibitorias, evitando la transmisión normal del dolor a la corteza sensorial, inclusive asociándose a la teoría del Gate Control (18). Por último, Shah y cols., en estudios experimentales in vivo, mencionan que la PS puede puede corregir el entorno químico alterado que se encuentra en el PGM, logrando normalizar el estado del músculo (30,31).…”

Section: Resultsunclassified

Punción seca y cambios en la actividad muscular en sujetos con puntos de gatillos miofasciales: serie de casos

Araya-Quintanilla¹,

Rubio-Oyarzun²,

Gutiérrez-Espinoza³

et al. 2018

Rev. Soc. Esp. Dolor.

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“…The aim of this randomized controlled trial was to evaluate the therapeutic effect of superficial acupuncture for treating myofascial pain syndrome in the upper trapezius muscle. Direct needling in the trigger point, as in Ah shi point acupuncture in Eastern medicine or dry needling in Western medicine, has been proven as an effective therapy for myofascial pain [9, 17–20]. In many cases, superficial acupuncture has been used as a sham control [21, 22].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Effect of Superficial Acupuncture in Treating Myofascial Pain of the Upper Trapezius Muscle: A Randomized Controlled Trial

Wang

Huang

Chiou

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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The aim of this study was to compare the treatment efficacies of superficial acupuncture and traditional acupuncture on trigger points of the upper trapezius muscle. Forty people were recruited and randomly allocated to the traditional and superficial acupuncture groups. Each subject received two treatments per week in a four-week period. Outcomes were measured by visual analogue scale (VAS), the Northwick Park neck pain questionnaire scores (NPQ), and pressure pain threshold (PPT) assessments of trigger points. Data collected before the interventions were considered as baseline. Assessments were performed after the first treatment and at the end of the second and fourth weeks of treatment. Patients reported significant (p<0.05) and immediate improvements in VAS and PPT for both superficial acupuncture and traditional acupuncture after the first treatment and after two and four weeks. Significant improvements (p<0.05) in NPQ were attained after two weeks of treatments in both groups. Because superficial acupuncture is associated with less pain while producing immediate pain relief, we recommend it for treating myofascial pain syndrome in the upper trapezius muscle.

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Therapeutic Effects of Dry Needling in Patients with Upper Trapezius Myofascial Trigger Points

Cited by 33 publications

References 41 publications

<p>Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm</p>

<p>Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm</p>

Punción seca y cambios en la actividad muscular en sujetos con puntos de gatillos miofasciales: serie de casos

Therapeutic Effect of Superficial Acupuncture in Treating Myofascial Pain of the Upper Trapezius Muscle: A Randomized Controlled Trial

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