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Effectiveness of dry needling on reducing pain intensity in patients with myofascial pain syndrome： a Meta-analysis

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Journal of Traditional Chinese Medicine 2016年第1期36卷 1-13页

作者： Juan Rodriguez-Mansilla Blanca Gonzalez-Sanchez Alvaro De Toro Garcia Enrique Valera-Donoso Elisa Maria Garrido-Ardila Maria Jimenez-Palomares Maria Victoria Gonzalez Lopez-Arza Department of Medicine and Surgery University of Extremadura School of MedicineAdolor Research Group of the University of ExtremaduraBadajoz 06006Spain IMC Physiotherapy clinic Department of Physiotherapy.Caceres 10001Spain Physical and Rehabilitation Medicine Department Complutense University School of MedicineMadrid 28040Spain

OBJECTIVE: To summarize the literature about the effectiveness of dry needling(DN) on relieving pain and increasing range of motion(ROM) in individuals with myofascial pain syndrome(MPS).METHODS: Papers published from January 2000 to January 2013 were identified through an electronic search in the databases MEDLINE, Dialnet, Cochrane Library Plus, Physiotherapy Evidence Database(PEDro) and Spanish Superior Council of Scientific Research(CSIC). The studies included were randomized controlled trials written in English and/or Spanish about the effectiveness of DN on pain and ROM in individuals with ***: Out of 19 clinical trials that were potentially relevant, a total of 10 were included in the Meta-analysis. Regarding pain intensity reduction when measured before and immediately after the intervention, DN achieved improvement compared with the placebo treatment [d =-0.49; 95% CI(-3.21, 0.42)] and with the control group [d =-9.13;95% CI(- 14.70,- 3.56)]. However, other treatments achieved better results on the same variable compared with DN, considering the measurements for pre-treatment and immediately after [d = 2.54;95% CI(-0.40, 5.48)], as well as the pre-treatment and after 3-4 weeks [d = 4.23; 95% CI(0.78, 7.68)].DN showed a significantly increased ROM when measured before the intervention and immediately after, in comparison with the placebo [d = 2.00;95% CI(1.60, 2.41)]. However, other treatments achieved a significant better result regarding ROM when it was measured before the intervention and immediately after, as compared with DN [d =-1.42;95% CI(-1.84,-0.99)].CONCLUSION: DN was less effective on decreasing pain comparing to the placebo group. Other treatments were more effective than DN on reducing pain after 3-4 weeks. However, on increasing ROM,DN was more effective comparing to that of placebo group, but less than other treatments.

关键词： dry needling Myofascial pain syndromes Rehabilitation Meta-analysis

dry needling:a de-meridian style of acupuncture

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World Journal of Acupuncture-Moxibustion 2016年第2期26卷 1-5页

作者：金观源金雷金霞美国国际整体医学研究所

Recently, the educators OT ury Neeclllng （DN） in tne West ofterl proctaime that DN is not acupuncture, and thus DN practitioners do not need to have the same training as acupuncturists. Their primary reason is that DN does not use the meridian theory of traditional Chinese medicine （TCM）. in this paper, the authors refuted this claim. Through a systemic review on the global ＂Acupuncture Fever＂, there are several different manifestations of ＂De- Meridian＂ phenomena （meridian theory is not required for acupuncture and other related modalities）. Although De-Meridian has played a positive role in the development of acupuncture, it does not mean ＂De-Acupuncture＂（modaiities derived from but different from acupuncture）. Given the clear definition of acupuncture by WHO, even though DN has certain attributes of De-Meridian that is similar to other forms of novel needling therapies, all of them belong to acupuncture. DN is a style of contemporary acupuncture, also called Trigger points （TrPs） acupuncture. This is because not only these myofascial TrPs stimulated by DN have always been acupoints, the needles and techniques used in DN are no different than acupuncture. Moreover, the mechanisms of DN and acupuncture are one in the same. The development of modern DN theory and its application are closely associated with the clinical trials and research of acupuncture. On the other hand, researches and clinical applications on myofascial TrP have highlighted the importance of stimulating reflex points in the clinic. However, as it refuses to inherit the theory and experience from thousands of years of acupuncture practice, it has shown obvious shortcomings in clinical applications.

关键词： dry needling trigger point acupuncture de-meridian de-acupuncture

Discussion about the training or education for“dry needling practice”

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World Journal of Acupuncture-Moxibustion 2016年第2期26卷 6-10页

作者：樊蓥蒋见元 faggert sarah 徐俊美京中医中心美国弗吉尼亚维也纳22182 加利福利亚奥汗博拉医科大学康州格林威治康复医学与针灸中心

dry needling is one style of acupuncture, therefore, practitioners of dry needling should abide by laws of the Food and Drug Administration （FDA） and acupuncture boards in the U.S.. Along with following the laws of practice should be included basic acupuncture education requirements. The education or training requirements regarding regulations for practicing acupuncture among different professionals in the U.S. were investigated for this article. The facts are, in the U.S., licensed acupuncturists are required to attain a minimal of 1 905 educational or training hours via an accredited （such as the Accreditation Commission for Acupuncture and Oriental Medicine, ACAOM） school or program before they apply for a license. The physician or medical acupuncturists are required to get a minimum of 300 educational hours in a board （American Board of Medical Acupuncture, ABMA） approved acupuncture training institution and have 500 cases of clinical acupuncture treatments to get certified in medical acupuncture. Some physical therapists （PTs） receive only 20-30 hours of acupuncture training in the form of dry needling in weekend continuing education classes and want to be able to practice acupuncture. For the sake of public safety, they should get a formal education in an accredited acupuncture school or program.

关键词： acupuncture dry needling physical therapy legal scope education

Traditional Chinese acupuncture manipulations and “dry needling”

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World Journal of Acupuncture-Moxibustion 2016年第2期26卷 15-19页

作者：郝洋刘炜宏中国中医科学院针灸研究所中国北京100700 世界针灸学会联合会

In this paper, the authors studied the manipulation of ＂dry needling＂, reviewed Chinese ancient and modern literature of acupuncture-moxibustion, and found that ＂dry needling＂ is very similar to triple needling, superficial needling, joint valley needling, surround needling, and other traditional Chinese acupuncture- moxibustion manipulations; even if in modern China, before and after the invention of ＂dry needling＂, some unique therapies, such as oblique insertion therapy at Ashi point, sliver needling, Fu＇s subcutaneous needling, and long-round needling, were also invented. It can be seen that ＂dry needling＂ therapy is actually a kind of differentiation of traditional Chinese acupuncture- moxibustion in the international communication. The spread of traditional Chinese acupuncture-moxibustion in the West is the basis for the invention of ＂dry needling＂ therapy, and ＂dry needling＂ therapy develops and enriches traditional Chinese acupuncture-moxibustion.

关键词： dry needling triple needling superficial needling joint valleyneedling surround needling oblique insertion at Ashi point sliver needling Fu's subcutaneous needling long-round needling traditional acupuncture-moxibustion

Evidence and Expert Opinions:drying needling versus Acupuncture(Ⅰ)--The American Alliance for Professional Acupuncture Safety(AAPAS)White Paper 2016

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Chinese Journal of Integrative Medicine 2017年第2期23卷 3-9页

作者： FAN Arthur Yin XU Jun LI Yong-ming American Alliance for Professional Acupuncture Safety GreenwichConnecticut 06878U.S.A American Traditional Chinese Medicine Association ViennaVirginia 22182U.S.A American Acupuncture Association of Greater New York New York 10016U.S.A

In the last twenty years, in the United States and other Western countries, dry needling （DN） became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the authoritative information of DN versus acupuncture to academic scholars, healthcare professional administrators, lawmakers, and the general public through providing the authoritative evidence and experts＇ opinions regarding critical issues of DN versus acupuncture, and then reach consensus. DN is the use of dry needles alone, either solid filiform acupuncture needles or hollow-core hypodermic needles, to insert into the body for the treatment of muscle pain and related myofascial pain syndrome. DN is sometimes also known as intramuscular stimulation, trigger points （TrP） acupuncture, TrP DN, myofascial TrP DN, or biomedical acupuncture. InWestern countries, DN is a form of simplified acupuncture using biomedical language in treating myofascial pain, a contemporary development of a portion of Ashi point acupuncture from Chinese acupuncture. It seeks to redefine acupuncture by reframing its theoretical principles in a Western manner. DN-like needling with filiform needles have been widely used in Chinese acupuncture practice over the past 2,000 years, and with hypodermic needles has been used in China in acupuncture practice for at least 72 years. In Eastern countries, such as China, since late of 1800s or earlier, DN is a common name of acupuncture among acupuncturists and the general public, which has a broader scope of indications, not limited to treating the myofascial pain.

关键词： dry needling acupuncture biomedical acupuncture authoritative evidence experts' opinions,consensus

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Short-term effectiveness of high-and low-intensity percutaneous electrolysis in patients with patellofemoral pain syndrome:A pilot study

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World Journal of Orthopedics 2021年第10期12卷 781-790页

作者： Juan Antonio Valera-Calero Alberto Sánchez-Mayoral-Martín Umut Varol Department of Physiotherapy Camilo Jose Cela UniversityMadrid 28692Spain Business Analytics and Big Data IE School of Human Sciences and TechnologyMadrid 28006Spain

BACKGROUND Unilateral patellofemoral pain syndrome(PFPS)is the most frequently diagnosed knee condition in populations aged0.05;tendon PPT immediate effects:F=0.15;η2=0.02;P>0.05 and tendon PPT 7-d effects:F=0.67;η2... 详细信息

BACKGROUND Unilateral patellofemoral pain syndrome(PFPS)is the most frequently diagnosed knee condition in populations ageddry needling(DN).AIM To evaluate changes in sensitivity,knee pain perception and perceived pain during the application of these three invasive *** A triple-blinded,pilot randomized controlled trial was conducted on fifteen patients with unilateral PFPS who were randomized to the high-intensity percutaneous electrolysis(HIPE)experimental group,low-intensity percutaneous electrolysis(LIPE)experimental group or DN active control *** interventions were conducted in the most active MTrP,in the rectus femoris *** HIPE group received a 660 mA galvanic current for 10 s,the LIPE group 220 mA×30 s and the DN group received no galvanic *** MTrP and patellar tendon pain pressure thresholds(PPTs)and subjective anterior knee pain perception(SAKPP)were assessed before,after and 7 d after the single *** addition,perceived pain during the intervention was also *** Both groups were comparable at baseline as no significant differences were found for age,height,weight,body mass index,PPTs or *** adverse events were reported during or after the interventions.A significant decrease in SAKPP(both HIPE and LIPE,P0.05;tendon PPT immediate effects:F=0.15;η2=0.02;P>0.05 and tendon PPT 7-d effects:F=0.67;η2=0.10;P>0.05).A significant PPT increase in rectus femoris MTrP was found at follow-up in both the HIPE

关键词： Patellofemoral pain syndrome Electrolysis Myofascial pain syndromes dry needling Clinical trial

The historical source of “Trigger Points”:classical Ashi points

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World Journal of Acupuncture-Moxibustion 2016年第2期26卷 11-14页

作者：姜姗赵京生中国中医科学院针灸研究所中国北京100700

Our research began with a consideration of the etymological origins of the terms Ashi and the Ashi point. We used both original source texts and textual criticism to trace the original meaning of the phrases, ＂take the tender spot as the point＂ and ＂use the Ashi method.＂ Linguistic theory informed our discussion of three similar terms and our analysis of them. We show that Ashi points are in theory similar to regular acupuncture points in terms of their definition and function. Furthermore, we can use the concept of ＂c/i-pathway （Qi./ie）＂ to expand our understanding of the clinical use of Ashi points. Ultimately, the main purpose of our research was to clarify that the classical Ashi point and modern, western concept of the trigger point are in fact quite similar. The two concepts have been described in different languages primarily due to cultural differences.

关键词： Ashi point tenderness as acupoint acupoints local effect triggerpoint dry needling