Effects of dry needling in lower extremity myofascial trigger points: systematic review

Khan, Iqra; Ahmad, Ashfaq; Ahmed, Ashfaq; Sadiq, Samreen; Asim, Hafiz Muhammad

doi:10.47391/jpma.01398

Cited by 8 publications

(12 citation statements)

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“…However, three studies showed no improvement in pain, and four showed no improvement in ROM. 8 We observed a clinically significant lower pain intensity in the DN group, consistent with their findings.…”

Section: Discussionsupporting

confidence: 91%

“…This evidence, however, is of low quality according to the quality assessment scores. A systematic review by Khan et al 8 examining the effects of DN on patients with lower extremity myofascial trigger points due to several conditions revealed that six out of ten included studies were in favor of DN. In six studies that demonstrated a positive effect of DN therapy on pain outcomes, the mean value of VAS was higher than the minimum clinically important difference (MCID).…”

Section: Discussionmentioning

confidence: 99%

“…DN has been examined in recent years by systematic reviews and meta-analyses for musculoskeletal pain syndromes 11,12 in regions like the knee, 13,14 lower extremity, 8 plantar region, 15 low back, 16 elbow, 17 shoulder 18,19 and neck. 20 A meta-analysis by Ughreja et al 13 of nine RCTs in patients with knee OA showed, following DN with periosteal stimulation and intramuscular electrical stimulation, a significant MD in immediate pain level and function.…”

Section: Discussionmentioning

confidence: 99%

“…6 This technique typically stimulates trigger points by the insertion of fine monofilament needles into muscle to reduce pain. 7 –9 Trigger points commonly emerge in conditions like OA. 10 The mechanism of DN is not completely understood; however, its efficacy and effectiveness have been studied in the management of various musculoskeletal pain syndromes 9,11,12 in regions like the knee, 13,14 lower extremity, 8 plantar region, 15 low back, 16 elbow, 17 shoulder 18,19 and neck.…”

Section: Introductionmentioning

confidence: 99%

“…7 –9 Trigger points commonly emerge in conditions like OA. 10 The mechanism of DN is not completely understood; however, its efficacy and effectiveness have been studied in the management of various musculoskeletal pain syndromes 9,11,12 in regions like the knee, 13,14 lower extremity, 8 plantar region, 15 low back, 16 elbow, 17 shoulder 18,19 and neck. 20 To our knowledge, only one systematic review has examined the effect of DN on hip disease.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of trigger point dry needling on pain and function of the hip joint: a systematic review of randomized clinical trials

Forogh,

Ghaseminejad Raeini,

Jebeli Fard

et al. 2023

Acupunct Med

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Objective: The objective of this study was to assess the evidence for the impact of dry needling (DN) on hip pain and function. Methods: Medline/PubMed, Embase, Scopus, Web of Science and Cochrane CENTRAL databases were searched systematically through June 2022 for randomized clinical trials (RCTs) investigating the impact of DN on hip pain and function. Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess risk of bias. Descriptive analysis was conducted to explain the outcomes and adverse events of DN in hip joint diseases. Meta-analysis was not feasible due to significant heterogeneity. Results: A total of seven eligible studies (including 273 patients) were included out of 2152 screened records. Five studies were in participants with hip osteoarthritis (OA; n = 3), greater trochanteric pain syndrome (GTPS; n = 1) or piriformis syndrome ( n = 1); the other two studies were conducted in healthy athletes ( n = 2). Two articles assessed changes in participants’ short-term visual analog scale (VAS) scores (<1 week), one of which showed that DN significantly reduced pain ( P < 0.05). One-week VAS scores were analyzed in three studies, all of which demonstrated reduced scores following DN ( P < 0.05). Hip range of motion (ROM) and muscle force were also improved following DN. No serious side effects were reported. Conclusion: DN may be safe and effective at relieving hip pain and improving hip function. DN performs significantly better than several different types of control intervention (including sham DN, no treatment, corticosteroid injections and laser). Strong evidence (high degree of certainty around the results) is lacking, and future studies should ideally use longer follow-up periods and larger sample sizes. Review registration number: CRD42022297845 (PROSPERO).

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of trigger point dry needling on pain and function of the hip joint: a systematic review of randomized clinical trials

Forogh,

Ghaseminejad Raeini,

Jebeli Fard

et al. 2023

Acupunct Med

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Acute Effects of Dry Needling on Lower Limb Muscle Strength in CrossFit Athletes with Latent Trigger Points: A Randomized Triple-Blinded Pilot Clinical Trial

Rojas-Jaramillo,

Quintero-Lotero,

Garcia-Torres

et al. 2023

Teor. metod. fiz. vihov.

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Study purpose. The purpose of this study was to evaluate the acute effect of deep dry needling (DP) on lower-limb muscle strength-related variables in CrossTraining recreational athletes with latent trigger point (TrP). Materials and methods. A total of 19 healthy CrossFit®-trained males (27.8 [4.7] years; 79.8 [10.4] kg; 1.76 [0.07] cm) with myofascial TrP in quadriceps, gluteus or gastrocnemius muscles completed this repeated-measures triple-blind pilot clinical trial. Participants were randomly allocated into either experimental (EG, n = 10) or Sham (SG, n = 9) groups. After allocation, the assessment of lower-limb muscle power (squat jump [SJ] and countermovement jump [CMJ]) and maximal isometric hip abduction and quadriceps strength were measured at baseline and after 48 hours of the intervention. Results. The results are expressed as Δ (SD) [95% CI]; unbiased Cohen’s d [dunb, 95% CI]). DN has been shown to reduce the presence of muscle TrP. The maximal isometric hip abduction strength had a moderate-to-high significant increase in the EG (left: 21.5 (16.9) [9.42, 33.57]; 0.55 [0.19, 0.99], right: 20.3 (16.2) [8.70, 31.89]; 0.74 [0.25, 1.35]); however, the Sham group only showed significant improvement in the left hip abductor muscles 15.77 (15.37) [3.96, 27.59]; 0.57 [0.11, 1.12]) with no significant changes in the right side. Conclusions. The acute reduction of myofascial TrP was observed with the application of DN but had no significant effect on maximal isometric strength or jump height compared to the Sham group. Results of this pilot clinical trial can be used to commission future research.

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Bibliometric and Visual Analysis in the Field of Dry Needling for Myofascial Pain Syndrome from 2000 to 2022

Luo¹,

Li²,

Fu³

et al. 2023

JPR

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Background Evidence has shown that dry needling (DN) is effective for myofascial pain syndrome (MPS). However, bibliometrics has rarely been used to analyze the literature related to DN for MPS. The purpose of this study is to provide a systematic overview of global frontiers and research hotspots of DN in the treatment of MPS from 2000 to 2022. Methods A search was conducted on Web of Science Core Collection (WoS CC) for literature on DN for MPS from 2000 to 2022. Based on the basic information provided by WoS CC, CiteSpace software was used to conduct bibliometric analysis of the countries, institutions, categories, journals, authors, references and keywords involved in this topic. Results A total of 458 papers were obtained, with the number of publications increasing over time. Journal of Bodywork and Movement Therapies (31) was the most productive journal based on the number of publications, while Arch Phys Med Rehab (329) was the most co-cited journal. The most productive countries and institutions were USA (112) and Universidad Rey Juan Carlos (39), respectively. Fernandez-de-las-penas, Cesar has the highest number of publications (24) and Simons DG, who was an author with the highest number of citations (250). The article published by Gattie et al (co-citations: 65), and Mejuto-Vazquez et al (centrality: 0.36) were the most representative and symbolic. Based on the co-cited literature and keywords, myofascial trigger point, research methods, and acupuncture were the hot research topics and trends in the field. Conclusion The current status and trends in clinical research of DN for MPS are revealed according to the results of this bibliometric study, which may facilitate researchers to identify hot topics and new directions for future research.

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Effects of dry needling in lower extremity myofascial trigger points: systematic review

Cited by 8 publications

References 0 publications

Efficacy of trigger point dry needling on pain and function of the hip joint: a systematic review of randomized clinical trials

Efficacy of trigger point dry needling on pain and function of the hip joint: a systematic review of randomized clinical trials

Acute Effects of Dry Needling on Lower Limb Muscle Strength in CrossFit Athletes with Latent Trigger Points: A Randomized Triple-Blinded Pilot Clinical Trial

Bibliometric and Visual Analysis in the Field of Dry Needling for Myofascial Pain Syndrome from 2000 to 2022

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