Conflicts of Interest Dr. Physical examination of the cervical spine and shoulder girdle in patients with shoulder complaints. Additionally, a very recent meta-analysis of 11 high-quality RCTs concluded that real acupuncture provides a significant reduction in pain immediately following treatment compared to other physical treatment methods, including sham acupuncture. Related articles in Web of Science Google Scholar. Additionally, this systematic review, which included 12 RCTs of patients with knee OA and 4 trials of patients with either knee or hip OA, reported statistically significant reductions in pain following acupuncture in patients with knee OA at 6 months when compared with sham acupuncture.

Acupuncture and dry needling in the manage- ment of myofascial trigger point pain: Int J Oral Maxillofac Surg. They provide a single framework or paradigm within the much broader field of dry needling. Position statements and clinical practice guidelines for dry needling should be based on the best available literature, not a single paradigm or school of thought; therefore, physical therapy associations and state boards of physical therapy should consider broadening the definition of dry needling to encompass the stimulation of neural, muscular, and connective tissues, not just ‘TrPs’. Vertebral manipulation, 2nd edn.

Dry needling: a literature review with implications for clinical practice guidelines.

Thus, within the context of myofascial pain syndromes, dry needles likely come in contact with both muscle and connective tissue. Hemiparetic shoulder pain syndrome treated with deep literaature needling during early rehabilitation: Elsevier Churchill Livingstone; Dry needling neither attempts to move qi along meridians nor does it rely on diagnoses from traditional Chinese or Oriental Medicine.

Although the authors reported statistically significant differences in first-step pain and foot pain in favor of trigger point literaturee needling over sham dry needling, it appears that the actual palpatory methods used by Cotchett et al 1 to identify the literatrue of the target trigger points and, therefore, the entry point, angulation, and depth of needle insertion have not yet been found to possess accurate diagnostic validity or acceptable intra- or inter-examiner reliability for muscles in the foot or lower leg.


Ger J Acupunct Relat Tech.

dry needling literature review dunning

Does acupuncture improve the orthopedic management of chronic low back pain—a randomized, blinded, controlled trial with 3 months follow up. The importance of the local twitch response. Trigger points can be tender to the touch and can refer pain to distant parts of the body.

A manual of acupuncture, 2nd ed. However, this study, like the many others, — failed to investigate ltierature inter-rater reliability for determining the specific location of the TrP within the target muscle. Dry needling is an invasive technique used by physical therapists where allowed by state law to treat myofascial pain that uses a dry needle, without medication or injection, which is inserted into areas of the muscle known as TrPs.

dry needling literature review dunning

SF and TP participated in the revision of the manuscript. Multiple studies have used dry needling of the knee joint without targeting specific trigger points to treat pain and needking in patients with knee osteoarthritis. According to recent findings litetature the literature, the needle tip touches, taps, or pricks tiny nerve endings or neural tissue i.

Effects of dry needling on tendon-pulley architecture, pain and hand function in patients with trigger finger: All authors read and approved the final manuscript.


Dry needling: a literature review with implications for clinical practice guidelines.

dru Comparison of physiotherapy, manipulation, and corticosteroid injection for treating shoulder complaints in general practice: Dry needling of trigger points with and without paraspinal needling in myofascial pain syndromes in elderly patients. Variability of criteria used to diagnose myofascial trigger point pain syndrome: Louisiana Physical Therapy Practice Act: Definition and position statement for dry needling by physical therapists in Arizona.

Requirements for physical therapists to perform dry needling. Furthermore, there is a lack of robust evidence validating the clinical diagnostic criteria for trigger point identification or diagnosis.

Dry needling: a literature review with implications for clinical practice guidelines1

InMyburgh et al. Eur J Appl Physiol. Rather, these techniques are shared procedures among a variety of healthcare professions.

dry needling literature review dunning

This article has been cited by other articles in PMC. Management of shoulder injuries using dry needling in elite volleyball players. Rather, therapists may be much more effective treating conditions such as osteoarthritis and carpal tunnel syndrome by focusing on non-TrP locations such as neural, connective, and dunnkng tissue.

Understanding the relevance of measured nneedling through studies of responsiveness. Repeatability of measurement of tenderness in the neck-shoulder region by a dolorimeter and manual palpation. Sign In or Create an Account. Acupuncture treatment for chronic knee pain: Detecting local twitch responses of myofascial trigger points in the lower-back muscles using ultrasonography.