Wet Needling of Myofascial Trigger Points in Abdominal Muscles for Treatment of Primary Dysmenorrhoea

Huang, Qiang-Min; Liu, Lin

doi:10.1136/acupmed-2013-010509

Cited by 24 publications

(28 citation statements)

References 14 publications

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“…Pain exacerbation caused by algometry on myofascial points considered as representing PD reaffirms that painful spots in torso muscles can frequently affect the function of surrounding internal organs, specially abdomen, thorax and pelvic floor muscles 11 . The reduction of pressure pain threshold and the presence of trigger points creates a vicious cycle, which includes harms to the activation of core muscles 14,25 , antalgic positions 13 and deficit in stabilization and balance 15 .…”

Section: Discussionsupporting

confidence: 52%

“…The connection between pain and postural control has already been described in acute 9 and chronic [10][11][12] musculoskeletal conditions, proving that changes in this system can cause disturbance on balance. Moreover, the adjustments in postural control can be affected by the adoption of antalgic postures 13 , the presence of myofascial trigger points 11 and paradoxical torso muscle contraction 12,14 , besides alterations in proprioception 8,15 .…”

Section: Introductionmentioning

confidence: 91%

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Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual

et al. 2018

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RESUMO A dismenorreia primária (DP) é uma dor pélvica ou abdominal inferior relacionada à menstruação, associada a pontos dolorosos miofasciais, cuja presença é capaz de alterar a percepção somatossensorial e a ativação muscular, o que pode interferir no controle postural. O objetivo deste estudo foi verificar a influência da DP no controle postural estático de mulheres em dois momentos do ciclo menstrual, com e sem dor. Foram avaliadas 19 universitárias (22,4±3,0 anos) com DP por meio da escala visual analógica, algometria e plataforma de força. Os dados foram submetidos à estatística descritiva e verificados quanto à normalidade (Shapiro-Wilk) e às variáveis comparadas, utilizando-se o teste t de Student e o teste de Wilcoxon. O grupo avaliado apresentou uma dor considerada moderada (4,1±2,3), e os valores de limiar de dor à pressão foram menores no momento com dor quando comparado ao sem dor, na região do abdômen direito (p=0,04) e lombossacral bilateral (p<0,05), indicando maior sensibilidade local. Quanto ao controle postural, houve maior amplitude de deslocamento anteroposterior do centro de pressão, tanto na condição “olhos abertos” quanto “olhos fechados”, bem como na velocidade média e área da elipse do centro de pressão, na condição “olhos fechados”, durante o momento com DP. Essas alterações indicam maior necessidade de ajustes posturais na DP, possivelmente em virtude de uma interferência da dor sobre a propriocepção. Concluiu-se que houve maior sensibilidade dolorosa na fase menstrual do ciclo e que a dor interferiu sobre o controle postural deste grupo, eventos que foram intensificados pela ausência de visão.

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Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 91%

Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual

et al. 2018

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“…There may also be additional mechanisms by which acupuncture-like treatments can relieve primary dysmenorrhoea; for example, by inactivation of myofascial trigger points on the abdomen using wet needling. 39 Overall, trial quality was low, which provides several caveats to causally linking the dosing used in these trials (either high-frequency, daily treatment or EA) directly to improved menstrual pain outcomes; there may be a reporting bias in the studies included in this review and some studies have used nonvalidated outcome measures such as effectiveness scores or CMSS scores, which incorporate multiple domains rather than just pain reduction.…”

mentioning

confidence: 99%

Treating Primary Dysmenorrhoea with Acupuncture: A Narrative Review of the Relationship between Acupuncture ‘dose— and Menstrual Pain Outcomes

Armour

Smith

2016

Acupunct Med

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Objective A number of randomised controlled trials have been performed to determine the effectiveness or efficacy of acupuncture in primary dysmenorrhoea. The objective of this review was to explore the relationship between the ‘dose’ of the acupuncture intervention and menstrual pain outcomes. Methods Eight databases were systematically searched for trials examining penetrating body acupuncture for primary dysmenorrhoea published in English up to September 2015. Dose components for each trial were extracted, assessed by the two authors and categorised by neurophysiological dose (number of needles, retention time and mode of stimulation), cumulative dose (total number and frequency of treatments), needle location and treatment timing. Results Eleven trials were included. Components of acupuncture dose were well reported across all trials. The relationship between needle location and menstrual pain demonstrated conflicting results. Treatment before the menses appeared to produce greater reductions in pain than treatment starting at the onset of menses. A single needle during menses may provide greater pain reduction compared to multiple needles. Conversely, multiple needles before menses were superior to a single needle. Electroacupuncture may provide more rapid pain reduction compared to manual acupuncture but may not have a significantly different effect on overall menstrual pain. Conclusions There appear to be relationships between treatment timing and mode of needle stimulation, and menstrual pain outcomes. Needle location, number of needles used and frequency of treatment show clear dose-response relationships with menstrual pain outcomes. Current research is insufficient to make definitive clinical recommendations regarding optimum dose parameters for treating primary dysmenorrhoea.

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“…Moreover, the selection of clinical treatment sites is primarily related to the location of the myofascial trigger point. The clinical study by Huang et al [7,8] shows that the pain and related symptoms of PDM can be effectively alleviated in patients with the trigger point of abdominal myofascial pain and who receive local dry and wet acupuncture treatment at the trigger point. Li et al [9] and Xing [10] confirmed that rESWT can effectively alleviate the symptoms of chronic dysmenorrhoea.…”

Section: (Continued From Previous Page)mentioning

confidence: 99%

Instant analgesic effect of radial extracorporeal shock wave therapy on primary dysmenorrhoea according to functional magnetic resonance imaging: study protocol for a randomised placebo-controlled trial

Liu

Wang

Yang

2020

Trials

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Background: Primary dysmenorrhoea (PDM) is defined as a series of pain-dominated symptoms during and after menstruation without organic lesions. Nonsteroidal anti-inflammatory drugs and oral contraceptives are usually recommended as first-line therapy for the clinical treatment of PDM, but their widespread long-term application is controversial. Radial extracorporeal shock wave therapy (rESWT) has been widely applied in musculoskeletal rehabilitation because of its secure and noninvasive characteristics and its confirmed effect in improving pain symptoms. This research seeks to explore the efficacy of rESWT for PDM and the changes in brain function of patients with PDM.

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Wet Needling of Myofascial Trigger Points in Abdominal Muscles for Treatment of Primary Dysmenorrhoea

Abstract: Primary dysmenorrhoea was significantly reduced 1 year after wet needling to MTrPs in the abdominal region and home stretching exercises, justifying further research with controlled trials.

Cited by 24 publications

References 14 publications

Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual

Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual

Treating Primary Dysmenorrhoea with Acupuncture: A Narrative Review of the Relationship between Acupuncture ‘dose— and Menstrual Pain Outcomes

Instant analgesic effect of radial extracorporeal shock wave therapy on primary dysmenorrhoea according to functional magnetic resonance imaging: study protocol for a randomised placebo-controlled trial

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