Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

Martín-Pintado-Zugasti, Aitor; Fernández‐Carnero, Josué; León-Hernández, Jose Vicente; Calvo‐Lobo, César; Beltrán-Alacreu, Héctor; Alguacil-Diego, Isabel M.; Gallego‐Izquierdo, Tomás; Pecos‐Martín, Daniel

doi:10.1016/j.pmrj.2018.05.015

Cited by 30 publications

(28 citation statements)

References 46 publications

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“…It has been observed that performance of DN until no twitch response is evoked produces more post-needling soreness in comparison to when no twitch response is evoked. However, there seems to be no difference when few twitch responses are evoked in comparison to DN until no twitch response is evoked [49]. Therefore, DN with more twitch responses produces a greater mechanical stimulus, which could increase its therapeutic potential without increasing post-needling soreness.…”

Section: Pain and Disabilitymentioning

confidence: 99%

Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial

Garcia-de-Miguel

Pecos‐Martín

Larroca-Sanz

et al. 2020

JCM

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Procedures such as dry needling (DN) or percutaneous electrical nerve stimulation (PENS) are commonly proposed for the treatment of myofascial trigger points (MTrP). The aim of the present study is to investigate if PENS is more effective than DN in the short term in subjects with mechanical neck pain. This was an evaluator-blinded randomized controlled trial. Subjects were recruited through announcements and randomly allocated into DN or PENS groups. Pain intensity, disability, pressure pain threshold (PPT), range of motion (ROM), and side-bending strength were measured. The analyses included mixed-model analyses of variance and pairwise comparisons with Bonferroni correction. The final sample was composed of 44 subjects (22 per group). Both groups showed improvements in pain intensity (ηp2 = 0.62; p < 0.01), disability (ηp2 = 0.74; p < 0.01), PPT (ηp2 = 0.79; p < 0.01), and strength (ηp2 = 0.37; p < 0.01). The PENS group showed greater improvements in disability (mean difference, 3.27; 95% CI, 0.27–6.27) and PPT (mean difference, 0.88–1.35; p < 0.01). Mixed results were obtained for ROM. PENS seems to produce greater improvements in PPT and disability in the short term.

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Section: Pain and Disabilitymentioning

confidence: 99%

Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial

Garcia-de-Miguel

Pecos‐Martín

Larroca-Sanz

et al. 2020

JCM

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“…14,15 MTrPs aktif dianggap ada jika tiga dari empat kriteria tersebut ada. 16,17 Kriteria lain yang merupakan konfirmasi MTrPs antara lain adanya local twitch response (LTR) yang muncul saat dilihat atau diraba. LTR diinduksi oleh penetrasi jarum pada titik nyeri.…”

Section: Pembahasan Nyeri Miofasial Servikalunclassified

Dry Needling Sebagai Terapi Nyeri Miofasial Servikal

Hidayat¹,

Oktavianti²

2020

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Nyeri miofasial servikal (NMS) merupakan sumber nyeri umum pada individu dengan nyeri leher kronik nonspesifik. Nyeri dapat bersifat lokal, regional dan dapat juga memiliki banyak titik pemicu nyeri (myofascial trigger points/MTrPs). NMS menyebabkan nyeri di daerah otot servikal maupun fasia di sekitarnya. Nyeri leher menurunkan kualitas hidup, menurunkan produktivitas dan menyebabkan disabilitas sehingga berpengaruh secara sosioekonomi terhadap penderita dan masyarakat.Pengobatan sindrom nyeri miofasial servikal masih belum memuaskan terkait kronisitasnya. Dry needling (DN) adalah salah satu pilihan terapi nonfarmakologi yang bisa diterapkan pada NMS. DN akan mengurangi sensitisasi perifer dan sentral dengan menghilangkan sumber nosisepsi perifer (area MTrPs), memodulasi aktifitas kornu dorsalis dan mengaktifkan jalur inhibisi nyeri sentral.Neurolog sering menangani kasus NMS dan perkembangan DN akhir-akhir ini semakin pesat sebagai manajemen nyeri. Namun, keefektifan terapi DN masih belum jelas. Oleh karena itu, pengetahuan tentang peran DN pada NMS ini penting untuk diketahui oleh para neurolog. Artikel kami akan membahas tentang peran DN pada sindrom nyeri miofasial servikal.Kata kunci: Dry needling, nyeri miofasial servikal, terapi, myofascial trigger point

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“…Postneedling soreness is thought to be result of neuromuscular injury, and hemorrhage and inflammatory reaction caused by the needle. The needle insertions, pain perceived during treatment (Martin-Pintado-Zugasti et al, 2018;Martin-Pintado-Zugasti et al, 2016) and psychosocial factors (Martin-Pintado-Zugasti et al, 2017) have been shown to correlate with postneedling soreness. Postneedling soreness is usually resolved within 72 hours and commonly within clinical practice patients receiving DN do not consider this soreness relevant.…”

Section: Gaubeca-gilarranzmentioning

confidence: 99%