Clinical Effectiveness of Dry Needling Immediately After Application on Myofascial Trigger Point in Upper Trapezius Muscle

Ziaeifar, Maryam; Arab, Amir Massoud; Nourbakhsh, Mohammad Reza

doi:10.1016/j.jcm.2016.08.009

Cited by 31 publications

(28 citation statements)

References 29 publications

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“…The lack of significant improvement in the pressure pain threshold in the present study is consistent with previous studies in the dry needling group with LTR [28,29]. Although pain and disability in this group showed significant improvement after 24 hours, it is similar to other studies [28,30]. However, the results of the present study are not consistent with the results of some other researchers who did not obtain immediate effects after the dry needling method [20,31].…”

Section: Discussionsupporting

confidence: 80%

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What Is the Acute Effect of Dry Needling on the Active Trigger Points of Upper Trapezius Muscle? The Effect of Eliciting Local Twitch Response on Clinical Outcomes

Hakim

Takamjani

Sarrafzadeh

et al. 2017

PTJ

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Purpose: Dry needling has been introduced as an effective method to treat the upper trapezius myofascial pain. Muscle damage after receiving the local twitch response can increase the risk of tissue fibrosis in some cases. This study aimed to investigate how the clinical parameters change after dry needling without local twitch response.Methods: This is a quasi-experimental study, with pretest and posttest. A total of 26 patients suffering from neck pain with an active trigger point in their upper trapezius muscles were recurited via the convenience sampling methods. In all patients, the needle was moved 15 times in the trigger point of the trapezius muscle and then remained in place for 5 minutes. Participants were assigned in the dry needling with local twitch response (experimental group) when a local twitch response was evoked from muscle and without receiving local twitch response or deqi (control group) when a local twitch response was not seen. Then, they were treated with one session of dry needling. Before the intervention and 24 hours after the treatment, pain, pain pressure threshold, and neck disability index were evaluated. The obtained data were analyzed by multivariate ANCOVA using SPSS version 20.Results: After the treatment, no significant changes were seen in the experimental group compared to the control group (P>0.05) regarding the pain, the pain pressure threshold, and neck disability index. Conclusion:Dry needling along with receiving local twitch response does not have a superiority over the dry needling without receiving the local twitch response while the treatment aimed to receive the immediate effects.

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Section: Discussionsupporting

confidence: 80%

“…The researchers noted the creation of muscular soreness after the dry needling as the cause of this delayed recovery. In this study method, receiving LTR was a part of the dry needling which continued until there was no more LTR [30]. The results of the present study were similar in terms of the positive effect of the needling.…”

Section: Discussionsupporting

confidence: 68%

What Is the Acute Effect of Dry Needling on the Active Trigger Points of Upper Trapezius Muscle? The Effect of Eliciting Local Twitch Response on Clinical Outcomes

Hakim

Takamjani

Sarrafzadeh

et al. 2017

PTJ

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“…Three hundred and twenty-four ( n = 324) studies remained after removing duplicates. Two hundred and ninety-five ( n = 295) were excluded after the analysis of titles and/or abstracts, leaving 29 articles for final full-text review [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. One article [ 34 ] was excluded because the comparator was acupuncture intervention and the placebo used laser.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Navarro-Santana

Sánchez-Infante

Fernández‐de‐las‐Peñas

et al. 2020

JCM

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Our aim was to evaluate the effect of dry needling alone as compared to sham needling, no intervention, or other physical interventions applied over trigger points (TrPs) related with neck pain symptoms. Randomized controlled trials including one group receiving dry needling for TrPs associated with neck pain were identified in electronic databases. Outcomes included pain intensity, pain-related disability, pressure pain thresholds, and cervical range of motion. The Cochrane risk of bias tool and the Physiotherapy Evidence Database (PEDro) score were used to assessed risk of bias (RoB) and methodological quality of the trials. The quality of evidence was assessed by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Between-groups mean differences (MD) and standardized mean differences (SMD) were calculated (3) Twenty-eight trials were finally included. Dry needling reduced pain immediately after (MD −1.53, 95% CI −2.29 to −0.76) and at short-term (MD −2.31, 95% CI −3.64 to −0.99) when compared with sham/placebo/waiting list/other form of dry needling and, also, at short-term (MD −0.51, 95% CI −0.95 to −0.06) compared with manual therapy. No differences in comparison with other physical therapy interventions were observed. An effect on pain-related disability at the short-term was found when comparing dry needing with sham/placebo/waiting list/other form of dry needling (SMD −0.87, 95% CI −1.60 to −0.14) but not with manual therapy or other interventions. Dry needling was effective for improving pressure pain thresholds immediately after the intervention (MD 55.48 kPa, 95% CI 27.03 to 83.93). No effect on cervical range of motion of dry needling against either comparative group was found. No between-treatment effect was observed in any outcome at mid-term. Low to moderate evidence suggests that dry needling can be effective for improving pain intensity and pain-related disability in individuals with neck pain symptoms associated with TrPs at the short-term. No significant effects on pressure pain sensitivity or cervical range of motion were observed. Registration number: OSF Registry—https://doi.org/10.17605/OSF.IO/P2UWD.

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“…For data analysis, the mean value (kilograms per square centimeter) of 3 repeated measurements taken 30 seconds apart was used. [ 14 ]…”

Section: Methodsmentioning

confidence: 99%

“…[ 11 ] Direct interventions for MTrPs of the UT muscle include active release techniques, muscle energy techniques, [ 12 ] positional release therapy, [ 13 ] and ischemic compression. [ 14 ] As shown, to reduce UT muscle pain, it is not only necessary to apply direct intervention to the UT muscle, but also to the SCM muscle and surrounding tissues innervated by the same nerve. However, studies on this topic are still lacking.…”

Section: Introductionmentioning

confidence: 99%

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Kim

Lee

2018

Medicine

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Few studies have been performed regarding the reduction of pain in the upper trapezius (UT) muscle by applying interventions to the sternocleidomastoid (SCM) muscle, which is innervated by the same nerves.The purpose of this study was to investigate the effects of soft tissue release intervention on the SCM and suboccipital muscles with regard to muscle hardness and pressure pain threshold (PPT) of the SCM and UT muscles in smartphone users with latent myofascial trigger points (MTrPs) in the UT muscle.Seventeen smartphone users (5 men and 12 women) with latent MTrPs in the UT muscle participated in the study. This study used a single blinding, cross-over design, wherein sternocleidomastoid soft tissue release (SSTR) and suboccipital release (SR) were applied on the subjects in random order one week apart. Muscle hardness and the PPT of the SCM and UT muscles were assessed before and after the intervention.After SSTR was applied, the SCM and UT muscles showed a significant decrease in muscle hardness and a significant increase in PPT. After SR was applied, the UT muscle showed a significant decrease in muscle hardness and a significant increase in PPT. When comparing the amount of change between the SSTR and SR interventions, significant differences were found for SCM muscle hardness and PPT of the UT muscle in the SSTR intervention, compared with the SR intervention.Therefore, we suggest that, to reduce pain in the UT muscle, it may be useful to apply intervention directly to the UT muscle, as well as to the SCM muscle, which is innervated by the same nerve.

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Clinical Effectiveness of Dry Needling Immediately After Application on Myofascial Trigger Point in Upper Trapezius Muscle

Cited by 31 publications

References 29 publications

What Is the Acute Effect of Dry Needling on the Active Trigger Points of Upper Trapezius Muscle? The Effect of Eliciting Local Twitch Response on Clinical Outcomes

What Is the Acute Effect of Dry Needling on the Active Trigger Points of Upper Trapezius Muscle? The Effect of Eliciting Local Twitch Response on Clinical Outcomes

Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

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