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09 Apr2014

09 April 2014.

Written by Willem-Paul Wiertz
Posted in Upper extremity

Written by Willem-Paul Wiertz09-04-2014 08:30:00. Posted in Upper extremity

Trigger point dry needling in the upper quadrant (Image by: steppinuppt.com)

Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis

Myofascial trigger points (MTrPs) may cause local and referred pain when compressed and are reported to contribute to deficits in ROM and increased sensitivity to stretch. In trigger-point dry-needling, a thin filiform is used to penetrate the skin and is then inserted into the muscle at a MTrP – when the MTrP is inactivated, the needle is removed.

This systematic review with meta-analysis selected 12 RCTs to investigate the effectiveness of dry needling compared to sham or placebo interventions and other treatments in upper-quarter myofascial pain syndrome in the short term (immediately after treatment) and longer term (4 weeks after treatment). Based on the studies included, dry needling is recommended for immediate pain relief and pain relief after 4 weeks when compared to sham or placebo interventions.

The importance of an observed local twitch response during treatment is highlightened: it is hypothesized that this interrupts motor end-plate noise, leading to an analgesic effect. Moreover, one of the studies included in this review found that, in the absence of a local twitch response, treatment effects of dry needling were only marginal. > From: Kietrys et al, J Orthop Sports Phys Ther 43 (2013) 620-634. All rights reserved to the Journal of Orthopaedic & Sports Physical Therapy. 

Visit the Pubmed summary for more information or your article access.

Trigger point dry needling
(Image by: medifitfysiotherapie.nl)

Tags: Shoulder, Effectiveness, Upper quarter, Myofascial pain syndrome, Myofascial trigger points, MTrPs, Trigger point dry needling

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About the Author
Willem-Paul Wiertz

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  • Articles
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        • Cervical
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