Neurophysiological and clinical 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:10.1016/j.jbmt.2016.04.014

Cited by 37 publications

(27 citation statements)

References 29 publications

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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: 93%

<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

132

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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: 93%

<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

132

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“…After application of kinesio tape for 3 days significant improvement in pain and hip IR were observed, on the other hand there is no significant change in dependent variable in the control group. Kineso taping is effective in reducing pain of TrPs [33].…”

Section: Literature Reviewmentioning

confidence: 97%

Effect of Exams Period on Prevalence of Myofascial Trigger Points in Neck in Secondary School Students

Zehra¹,

Khan²

2020

JASPE

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To evaluate the effect of exams period on prevalence of myofascial trigger points in the neck in secondary school students. 120 secondary school students with the age of 12-18 years were palpated for MTrP in the upper trapezius, Sternocledoimastoid and levetor scapulae muscles with ordinal ranking (0= no finding,1=tight band, 2=latent MTrP,3= active MTrP). During the semester session and exam session. Pain intensity was measured on Numerical rating Scale scoring from 0 to 10. Participants showed higher prevalence of Myofascial Trigger Point in both Right and Left Upper Trapezius. Greater prevalence of MTrP in Right Sternocleidomastoid in comparison with Left Sternocleidomastoid. Levetor scapulae also showed greater prevalence on Right muscle than on the Left muscle. Students showed higher number of myofascial trigger point in the neck during exam session. It recommended that to minimize the formation of Myofascial Trigger point preventive measures should be taken in exam period.

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“…Os procedimentos terapêuticos propostos têm como objetivo a redução na intensidade da dor, inativação de pontos gatilhos musculares, reabilitação muscular e remoção preventiva de fatores perpetuadores. A literatura cita o uso de fármacos, aplicação de toxina botulínica (Botox-A), injeção de substâncias anestésicas, acupuntura, agulhamento seco (AS), terapias manuais, ultrassom, estimulação elétrica nervosa transcutânea (TENS), estimulação elétrica nervosa percutânea (PENS), spray e alongamento, estimulação magnética e terapia a laser de baixa intensidade (LBI) (Kuan, 2009;Srbely et al, 2010;Huang et al, 2011;Gerwin, 2014;Melchior et al, 2013;Uemoto et al, 2013;Pereira et al, 2014;Abbaszadeh-Amirdehi et al, 2017).…”

Section: Introductionunclassified

Laserterapia e agulhamento seco em pacientes portadores de dor miofascial: estudo comparativo

Netto

Melo

Leite

et al. 2020

RSD

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Objetivo: Este estudo comparou a laserterapia de baixa intensidade e o agulhamento seco, em curto e em longo prazos, no tratamento da dor miofascial, da dor a palpação muscular e na mobilidade mandibular. Metodologia: Trata-se de um ensaio clínico em que 28 indivíduos foram recrutados para participar do estudo. Os pacientes foram distribuídos aleatoriamente em dois grupos: GI (laserterapia) e Gll (agulhamento seco). No GI foi realizado 12 aplicações e no GII, três aplicações. Os pacientes de ambos os grupos foram submetidos a nove avaliações (T0-T8). Foram realizadas consultas de retorno e novas avaliações após sessenta dias e 18 meses do término das terapias para se avaliar a eficácia e os possíveis efeitos cumulativos das mesmas. Para comparar os grupos em todos os parâmetros ao longo dos tempos, empregou-se ANOVA GLM e Comparação Múltipla de Tukey com nível de significância de 5% para todas as análises. Resultados: De um modo geral, as duas terapias testadas demostraram-se efetivas para todos os parâmetros avaliados em T7 (2 meses após T6). Porém em T8, a terapia por agulhamento seco mostrou sustentar os resultados em comparação com laserterapia. Conclusão: Conclui-se que, apesar de ambas as terapias terem sido eficazes, para o alívio imediato dos sintomas da dor miofascial, o agulhamento seco foi mais eficiente e duradouro nos parâmetros analisados.

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Neurophysiological and clinical effects of dry needling in patients with upper trapezius myofascial trigger points

Cited by 37 publications

References 29 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>

Effect of Exams Period on Prevalence of Myofascial Trigger Points in Neck in Secondary School Students

Laserterapia e agulhamento seco em pacientes portadores de dor miofascial: estudo comparativo

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