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Erschienen in: Current Pain and Headache Reports 8/2013

01.08.2013 | Myofascial Pain (R Gerwin, Section Editor)

Physiologic Effects of Dry Needling

verfasst von: Barbara Cagnie, Vincent Dewitte, Tom Barbe, Frank Timmermans, Nicolas Delrue, Mira Meeus

Erschienen in: Current Pain and Headache Reports | Ausgabe 8/2013

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Abstract

During the past decades, worldwide clinical and scientific interest in dry needling (DN) therapy has grown exponentially. Various clinical effects have been credited to dry needling, but rigorous evidence about its potential physiological mechanisms of actions and effects is still lacking. Research identifying these exact mechanisms of dry needling action is sparse and studies performed in an acupuncture setting do not necessarily apply to DN. The studies of potential effects of DN are reviewed in reference to the different aspects involved in the pathophysiology of myofascial triggerpoints: the taut band, local ischemia and hypoxia, peripheral and central sensitization. This article aims to provide the physiotherapist with a greater understanding of the contemporary data available: what effects could be attributed to dry needling and what are their potential underlying mechanisms of action, and also indicate some directions at which future research could be aimed to fill current voids.
Literatur
1.
2.
Zurück zum Zitat Kuan TS. Current studies on myofascial pain syndrome. Curr Pain Headache Rep. 2009;13(5):365–9.PubMedCrossRef Kuan TS. Current studies on myofascial pain syndrome. Curr Pain Headache Rep. 2009;13(5):365–9.PubMedCrossRef
3.
Zurück zum Zitat • Vulfsons S, Ratmansky M, Kalichman L. Trigger point needling: techniques and outcome. Curr Pain Headache Rep. 2012;16(5):407–12. In this review the authors provide an excellent update on last years’ advancements in basic science, imaging methods, efficacy, and safety of dry needling of MTrPs.PubMedCrossRef • Vulfsons S, Ratmansky M, Kalichman L. Trigger point needling: techniques and outcome. Curr Pain Headache Rep. 2012;16(5):407–12. In this review the authors provide an excellent update on last yearsadvancements in basic science, imaging methods, efficacy, and safety of dry needling of MTrPs.PubMedCrossRef
4.
Zurück zum Zitat Tough EA, White AR, Cummings TM, et al. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009;13(1):3–10.PubMedCrossRef Tough EA, White AR, Cummings TM, et al. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009;13(1):3–10.PubMedCrossRef
5.
Zurück zum Zitat • Kim TH, Lee CR, Choi TY, et al. Intramuscular stimulation therapy for healthcare: a systematic review of randomised controlled trials. Acupunct Med. 2012;30(4):286–90. A total of 416 publications were initially collected and only 4 studies could be included in this review. This is showing the urgent need of rigorous large-scale clinical trials on dry needling.PubMedCrossRef • Kim TH, Lee CR, Choi TY, et al. Intramuscular stimulation therapy for healthcare: a systematic review of randomised controlled trials. Acupunct Med. 2012;30(4):286–90. A total of 416 publications were initially collected and only 4 studies could be included in this review. This is showing the urgent need of rigorous large-scale clinical trials on dry needling.PubMedCrossRef
6.
Zurück zum Zitat Patel N. Physiology of pain. In: Patel N, Kopf A, editors. Guide to pain management in low-resource settings. 2010. p. 13–18. Patel N. Physiology of pain. In: Patel N, Kopf A, editors. Guide to pain management in low-resource settings. 2010. p. 13–18.
7.
Zurück zum Zitat Ossipov MH. The perception and endogenous modulation of pain. Scientifica. 2012;1–25. Ossipov MH. The perception and endogenous modulation of pain. Scientifica. 2012;1–25.
9.
Zurück zum Zitat Li J, Simone DA, Larson AA. Windup leads to characteristics of central sensitization. Pain. 1999;79(1):75–82.PubMedCrossRef Li J, Simone DA, Larson AA. Windup leads to characteristics of central sensitization. Pain. 1999;79(1):75–82.PubMedCrossRef
10.
Zurück zum Zitat Coderre TJ, Katz J, Vaccarino AL, et al. Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence. Pain. 1993;52(3):259–85.PubMedCrossRef Coderre TJ, Katz J, Vaccarino AL, et al. Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence. Pain. 1993;52(3):259–85.PubMedCrossRef
11.
Zurück zum Zitat Staud R, Craggs JG, Robinson ME, et al. Brain activity related to temporal summation of C-fiber evoked pain. Pain. 2007;129(1–2):130–42.PubMedCrossRef Staud R, Craggs JG, Robinson ME, et al. Brain activity related to temporal summation of C-fiber evoked pain. Pain. 2007;129(1–2):130–42.PubMedCrossRef
12.
Zurück zum Zitat Nijs J, Van Houdenhove B, Oostendorp RA. Recognition of central sensitization in patients with musculoskeletal pain: Application of pain neurophysiology in manual therapy practice. Man Ther. 2010;15(2):135–41.PubMedCrossRef Nijs J, Van Houdenhove B, Oostendorp RA. Recognition of central sensitization in patients with musculoskeletal pain: Application of pain neurophysiology in manual therapy practice. Man Ther. 2010;15(2):135–41.PubMedCrossRef
13.
Zurück zum Zitat Yarnitsky D. Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): its relevance for acute and chronic pain states. Curr Opin Anaesthesiol. 2010;23(5):611–5.PubMedCrossRef Yarnitsky D. Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): its relevance for acute and chronic pain states. Curr Opin Anaesthesiol. 2010;23(5):611–5.PubMedCrossRef
14.
Zurück zum Zitat Meeus M, Nijs J, Van de Wauwer N, et al. Diffuse noxious inhibitory control is delayed in chronic fatigue syndrome: an experimental study. Pain. 2008;139(2):439–48.PubMedCrossRef Meeus M, Nijs J, Van de Wauwer N, et al. Diffuse noxious inhibitory control is delayed in chronic fatigue syndrome: an experimental study. Pain. 2008;139(2):439–48.PubMedCrossRef
15.
Zurück zum Zitat Ossipov MH, Dussor GO, Porreca F. Central modulation of pain. J Clin Invest. 2010;120(11):3779–87.PubMedCrossRef Ossipov MH, Dussor GO, Porreca F. Central modulation of pain. J Clin Invest. 2010;120(11):3779–87.PubMedCrossRef
16.
Zurück zum Zitat Zusman M. Forebrain-mediated sensitization of central pain pathways: 'non-specific' pain and a new image for MT. Man Ther. 2002;7(2):80–8.PubMedCrossRef Zusman M. Forebrain-mediated sensitization of central pain pathways: 'non-specific' pain and a new image for MT. Man Ther. 2002;7(2):80–8.PubMedCrossRef
17.
Zurück zum Zitat Brosschot JF. Cognitive-emotional sensitization and somatic health complaints. Scand J Psychol. 2002;43(2):113–21.PubMedCrossRef Brosschot JF. Cognitive-emotional sensitization and somatic health complaints. Scand J Psychol. 2002;43(2):113–21.PubMedCrossRef
18.
Zurück zum Zitat Rygh LJ, Tjolsen A, Hole K, et al. Cellular memory in spinal nociceptive circuitry. Scand J Psychol. 2002;43(2):153–9.PubMedCrossRef Rygh LJ, Tjolsen A, Hole K, et al. Cellular memory in spinal nociceptive circuitry. Scand J Psychol. 2002;43(2):153–9.PubMedCrossRef
19.
Zurück zum Zitat Simons DG, Travell J, Simons LE. Myofascial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore, MD: Williams and Wilkins; 1999. Simons DG, Travell J, Simons LE. Myofascial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore, MD: Williams and Wilkins; 1999.
20.
Zurück zum Zitat Gerwin RD, Dommerholt J, Shah JP. An expansion of Simons' integrated hypothesis of trigger point formation. Curr Pain Headache Rep. 2004;8(6):468–75.PubMedCrossRef Gerwin RD, Dommerholt J, Shah JP. An expansion of Simons' integrated hypothesis of trigger point formation. Curr Pain Headache Rep. 2004;8(6):468–75.PubMedCrossRef
21.
Zurück zum Zitat •• Ge HY, Fernandez-de-las-Penas C, Yue SW. Myofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation. Chin Med. 2011;6:13. Excellent review and scientific update on the parts of the integrated triggerpoint hypothesis: the taut band, local and referred pain, peripheral and central sensitization.PubMedCrossRef •• Ge HY, Fernandez-de-las-Penas C, Yue SW. Myofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation. Chin Med. 2011;6:13. Excellent review and scientific update on the parts of the integrated triggerpoint hypothesis: the taut band, local and referred pain, peripheral and central sensitization.PubMedCrossRef
22.
Zurück zum Zitat Fu Z, Hsieh YL, Hong CZ, et al. Remote subcutaneous needling to suppress the irritability of myofascial trigger spots: an experimental study in rabbits. Evid Based Complement Alternat Med. 2012;2012:353916.PubMed Fu Z, Hsieh YL, Hong CZ, et al. Remote subcutaneous needling to suppress the irritability of myofascial trigger spots: an experimental study in rabbits. Evid Based Complement Alternat Med. 2012;2012:353916.PubMed
23.
Zurück zum Zitat Mense S. How Do Muscle Lesions such as Latent and Active Trigger Points Influence Central Nociceptive Neurons? J Muscoskeletal Pain. 2010;18(4):348–53.CrossRef Mense S. How Do Muscle Lesions such as Latent and Active Trigger Points Influence Central Nociceptive Neurons? J Muscoskeletal Pain. 2010;18(4):348–53.CrossRef
24.
Zurück zum Zitat Gerwin R. Myofascial Pain Syndrome: Here We Are, Where Must We Go? J Muscoskeletal Pain. 2010;18(4):329–47.CrossRef Gerwin R. Myofascial Pain Syndrome: Here We Are, Where Must We Go? J Muscoskeletal Pain. 2010;18(4):329–47.CrossRef
25.
Zurück zum Zitat Niddam DM, Chan RC, Lee SH, et al. Central representation of hyperalgesia from myofascial trigger point. NeuroImage. 2008;39(3):1299–306.PubMedCrossRef Niddam DM, Chan RC, Lee SH, et al. Central representation of hyperalgesia from myofascial trigger point. NeuroImage. 2008;39(3):1299–306.PubMedCrossRef
26.
Zurück zum Zitat •• Chou LW, Kao MJ, Lin JG. Probable mechanisms of needling therapies for myofascial pain control. Evid Based Complement Alternat Med. 2012;2012:705327. ••Citing the several promising scientific studies (i.e. electrophysiological, neurophysiological, and biochemical) that have revealed objective abnormalities in MTrP’s. The analgesic effect of needling is hypothesized to be related to immune, hormonal, and nervous systems. Compared to the slow-acting hormonal system, the nervous system acts in a faster manner. Given these complexities, needling analgesia cannot be explained by any single mechanism. •• Chou LW, Kao MJ, Lin JG. Probable mechanisms of needling therapies for myofascial pain control. Evid Based Complement Alternat Med. 2012;2012:705327. ••Citing the several promising scientific studies (i.e. electrophysiological, neurophysiological, and biochemical) that have revealed objective abnormalities in MTrPs. The analgesic effect of needling is hypothesized to be related to immune, hormonal, and nervous systems. Compared to the slow-acting hormonal system, the nervous system acts in a faster manner. Given these complexities, needling analgesia cannot be explained by any single mechanism.
27.
Zurück zum Zitat •• Leung L. Neurophysiological basis of acupuncture-induced analgesia–an updated review. J Acupunct Meridian Stud. 2012;5(6):261–70. This article presents an up-to-date review of the various neurophysiologic mechanisms that have been proposed to produce acupuncture-induced analgesia.PubMedCrossRef •• Leung L. Neurophysiological basis of acupuncture-induced analgesia–an updated review. J Acupunct Meridian Stud. 2012;5(6):261–70. This article presents an up-to-date review of the various neurophysiologic mechanisms that have been proposed to produce acupuncture-induced analgesia.PubMedCrossRef
28.
Zurück zum Zitat Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol. 2008;85(4):355–75.PubMedCrossRef Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol. 2008;85(4):355–75.PubMedCrossRef
29.
Zurück zum Zitat Hong CZ. Lidocaine injection versus dry needling to myofascial trigger point. The importance of the local twitch response. Am J Phys Med Rehabil. 1994;73(4):256–63.PubMedCrossRef Hong CZ. Lidocaine injection versus dry needling to myofascial trigger point. The importance of the local twitch response. Am J Phys Med Rehabil. 1994;73(4):256–63.PubMedCrossRef
30.
Zurück zum Zitat Ceccherelli F, Rigoni MT, Gagliardi G, et al. Comparison of superficial and deep acupuncture in the treatment of lumbar myofascial pain: a double-blind randomized controlled study. Clin J Pain. 2002;18(3):149–53.PubMedCrossRef Ceccherelli F, Rigoni MT, Gagliardi G, et al. Comparison of superficial and deep acupuncture in the treatment of lumbar myofascial pain: a double-blind randomized controlled study. Clin J Pain. 2002;18(3):149–53.PubMedCrossRef
31.
Zurück zum Zitat Itoh K, Minakawa Y, Kitakoji H. Effect of acupuncture depth on muscle pain. Chin Med. 2011;6(1):24.PubMedCrossRef Itoh K, Minakawa Y, Kitakoji H. Effect of acupuncture depth on muscle pain. Chin Med. 2011;6(1):24.PubMedCrossRef
32.
Zurück zum Zitat Giamberardino MA, Affaitati G, Fabrizio A, et al. Effects of treatment of myofascial trigger points on the pain of fibromyalgia. Curr Pain Headache Rep. 2011;15(5):393–9.PubMedCrossRef Giamberardino MA, Affaitati G, Fabrizio A, et al. Effects of treatment of myofascial trigger points on the pain of fibromyalgia. Curr Pain Headache Rep. 2011;15(5):393–9.PubMedCrossRef
33.
Zurück zum Zitat Chen JT, Chung KC, Hou CR, et al. Inhibitory effect of dry needling on the spontaneous electrical activity recorded from myofascial trigger spots of rabbit skeletal muscle. Am J Phys Med Rehabil. 2000;80(10):729–35.CrossRef Chen JT, Chung KC, Hou CR, et al. Inhibitory effect of dry needling on the spontaneous electrical activity recorded from myofascial trigger spots of rabbit skeletal muscle. Am J Phys Med Rehabil. 2000;80(10):729–35.CrossRef
34.
Zurück zum Zitat Hsieh YL, Chou LW, Joe YS, et al. Spinal cord mechanism involving the remote effects of dry needling on the irritability of myofascial trigger spots in rabbit skeletal muscle. Arch Phys Med Rehabil. 2011;92(7):1098–105.PubMedCrossRef Hsieh YL, Chou LW, Joe YS, et al. Spinal cord mechanism involving the remote effects of dry needling on the irritability of myofascial trigger spots in rabbit skeletal muscle. Arch Phys Med Rehabil. 2011;92(7):1098–105.PubMedCrossRef
35.
Zurück zum Zitat Baldry P. Acupuncture, trigger points and musculoskeletal pain. third ed. Churchill Livingstone; 2005. Baldry P. Acupuncture, trigger points and musculoskeletal pain. third ed. Churchill Livingstone; 2005.
36.
Zurück zum Zitat Cagnie B, Barbe T, De Ridder E, et al. The influence of dry needling of the trapezius muscle on muscle blood flow and oxygenation. J Manipulative Physiol Ther. 2012;35(9):685–91.PubMedCrossRef Cagnie B, Barbe T, De Ridder E, et al. The influence of dry needling of the trapezius muscle on muscle blood flow and oxygenation. J Manipulative Physiol Ther. 2012;35(9):685–91.PubMedCrossRef
37.
Zurück zum Zitat Sandberg M, Larsson B, Lindberg LG, et al. Different patterns of blood flow response in the trapezius muscle following needle stimulation (acupuncture) between healthy subjects and patients with fibromyalgia and work-related trapezius myalgia. Eur J Pain. 2005;9(5):497–510.PubMedCrossRef Sandberg M, Larsson B, Lindberg LG, et al. Different patterns of blood flow response in the trapezius muscle following needle stimulation (acupuncture) between healthy subjects and patients with fibromyalgia and work-related trapezius myalgia. Eur J Pain. 2005;9(5):497–510.PubMedCrossRef
38.
Zurück zum Zitat Sandberg M, Lundeberg T, Lindberg LG, et al. Effects of acupuncture on skin and muscle blood flow in healthy subjects. Eur J Appl Physiol. 2003;90(1–2):114–9.PubMedCrossRef Sandberg M, Lundeberg T, Lindberg LG, et al. Effects of acupuncture on skin and muscle blood flow in healthy subjects. Eur J Appl Physiol. 2003;90(1–2):114–9.PubMedCrossRef
39.
Zurück zum Zitat Sandberg M, Lindberg LG, Gerdle B. Peripheral effects of needle stimulation (acupuncture) on skin and muscle blood flow in fibromyalgia. Eur J Pain. 2004;8(2):163–71.PubMedCrossRef Sandberg M, Lindberg LG, Gerdle B. Peripheral effects of needle stimulation (acupuncture) on skin and muscle blood flow in fibromyalgia. Eur J Pain. 2004;8(2):163–71.PubMedCrossRef
40.
Zurück zum Zitat Kubo K, Yajima H, Takayama M, et al. Changes in blood circulation of the contralateral achilles tendon during and after acupuncture and heating. Int J Sports Med. 2011;32(10):807–13.PubMedCrossRef Kubo K, Yajima H, Takayama M, et al. Changes in blood circulation of the contralateral achilles tendon during and after acupuncture and heating. Int J Sports Med. 2011;32(10):807–13.PubMedCrossRef
41.
Zurück zum Zitat Kubo K, Yajima H, Takayama M, et al. Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo. Eur J Appl Physiol. 2010;109(3):545–50.PubMedCrossRef Kubo K, Yajima H, Takayama M, et al. Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo. Eur J Appl Physiol. 2010;109(3):545–50.PubMedCrossRef
42.
Zurück zum Zitat Ohkubo M, Hamaoka T, Niwayama M, et al. Local increase in trapezius muscle oxygenation during and after acupuncture. Dyn Med. 2009;8:2.PubMedCrossRef Ohkubo M, Hamaoka T, Niwayama M, et al. Local increase in trapezius muscle oxygenation during and after acupuncture. Dyn Med. 2009;8:2.PubMedCrossRef
43.
Zurück zum Zitat Sato A, Sato Y, Shimura M, et al. Calcitonin gene-related peptide produces skeletal muscle vasodilation following antidromic stimulation of unmyelinated afferents in the dorsal root in rats. Neurosci Lett. 2000;283(2):137–40.PubMedCrossRef Sato A, Sato Y, Shimura M, et al. Calcitonin gene-related peptide produces skeletal muscle vasodilation following antidromic stimulation of unmyelinated afferents in the dorsal root in rats. Neurosci Lett. 2000;283(2):137–40.PubMedCrossRef
44.
Zurück zum Zitat •• Hsieh YL, Yang SA, Yang CC, et al. Dry needling at myofascial trigger spots of rabbit skeletal muscles modulates the biochemicals associated with pain, inflammation, and hypoxia. Evid Based Complement Alternat Med. 2012;2012:342165. The hypothesis that dry needling at MTrSs can modulate biochemicals associated with pain, inflammation, and hypoxia depending on the dry needling dosage is supported by this study. data. The findings clarify the biochemical mechanisms induced by dry needling. Dry needling at the MTrSs modulates various biochemicals associated with pain, inflammation, and hypoxia in a dose-dependent manner.PubMed •• Hsieh YL, Yang SA, Yang CC, et al. Dry needling at myofascial trigger spots of rabbit skeletal muscles modulates the biochemicals associated with pain, inflammation, and hypoxia. Evid Based Complement Alternat Med. 2012;2012:342165. The hypothesis that dry needling at MTrSs can modulate biochemicals associated with pain, inflammation, and hypoxia depending on the dry needling dosage is supported by this study. data. The findings clarify the biochemical mechanisms induced by dry needling. Dry needling at the MTrSs modulates various biochemicals associated with pain, inflammation, and hypoxia in a dose-dependent manner.PubMed
45.
Zurück zum Zitat Shah JP, Phillips T, Danoff JV et al. An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. J Appl Physiol. 2005;(8750–7587 (Print)). Shah JP, Phillips T, Danoff JV et al. An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. J Appl Physiol. 2005;(8750–7587 (Print)).
46.
Zurück zum Zitat Shah JP, Gilliams EA. Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome. J Bodyw Mov Ther. 2008;12(4):371–84.PubMedCrossRef Shah JP, Gilliams EA. Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome. J Bodyw Mov Ther. 2008;12(4):371–84.PubMedCrossRef
47.
Zurück zum Zitat Chiang J, Shen YC, Wang YH, et al. Honokiol protects rats against eccentric exercise-induced skeletal muscle damage by inhibiting NF-kappaB induced oxidative stress and inflammation. Eur J Pharmacol. 2009;610(1–3):119–27.PubMedCrossRef Chiang J, Shen YC, Wang YH, et al. Honokiol protects rats against eccentric exercise-induced skeletal muscle damage by inhibiting NF-kappaB induced oxidative stress and inflammation. Eur J Pharmacol. 2009;610(1–3):119–27.PubMedCrossRef
48.
Zurück zum Zitat Melzack R. Myofascial trigger points: relation to acupuncture and mechanisms of pain. Arch Phys Med Rehabil. 1981;62(3):114–7.PubMed Melzack R. Myofascial trigger points: relation to acupuncture and mechanisms of pain. Arch Phys Med Rehabil. 1981;62(3):114–7.PubMed
49.
Zurück zum Zitat Chu J, Schwartz I. The muscle twitch in myofascial pain relief: effects of acupuncture and other needling methods. Electromyogr Clin Neurophysiol. 2002;42(5):307–11.PubMed Chu J, Schwartz I. The muscle twitch in myofascial pain relief: effects of acupuncture and other needling methods. Electromyogr Clin Neurophysiol. 2002;42(5):307–11.PubMed
50.
Zurück zum Zitat Srbely JZ, Dickey JP, Lee D, et al. Dry needle stimulation of myofascial trigger points evokes segmental anti-nociceptive effects. J Rehabil Med. 2010;42(5):463–8.PubMedCrossRef Srbely JZ, Dickey JP, Lee D, et al. Dry needle stimulation of myofascial trigger points evokes segmental anti-nociceptive effects. J Rehabil Med. 2010;42(5):463–8.PubMedCrossRef
51.
Zurück zum Zitat Hsieh YL, Kao MJ, Kuan TS, et al. Dry needling to a key myofascial trigger point may reduce the irritability of satellite MTrPs. Am J Phys Med Rehabil. 2007;86(5):397–403.PubMedCrossRef Hsieh YL, Kao MJ, Kuan TS, et al. Dry needling to a key myofascial trigger point may reduce the irritability of satellite MTrPs. Am J Phys Med Rehabil. 2007;86(5):397–403.PubMedCrossRef
52.
Zurück zum Zitat Fernandez-Carnero J, Ge HY, Kimura Y, et al. Increased spontaneous electrical activity at a latent myofascial trigger point after nociceptive stimulation of another latent trigger point. Clin J Pain. 2010;26(2):138–43.PubMedCrossRef Fernandez-Carnero J, Ge HY, Kimura Y, et al. Increased spontaneous electrical activity at a latent myofascial trigger point after nociceptive stimulation of another latent trigger point. Clin J Pain. 2010;26(2):138–43.PubMedCrossRef
53.
Zurück zum Zitat Niddam DM, Chan RC, Lee SH, et al. Central modulation of pain evoked from myofascial trigger point. Clin J Pain. 2007;23(5):440–8.PubMedCrossRef Niddam DM, Chan RC, Lee SH, et al. Central modulation of pain evoked from myofascial trigger point. Clin J Pain. 2007;23(5):440–8.PubMedCrossRef
54.
Zurück zum Zitat Tobbackx Y, Meeus M, Wauters L et al. Does acupuncture activate endogenous analgesia in chronic whiplash-associated disorders? A randomized crossover trial. Eur J Pain. 2012. Tobbackx Y, Meeus M, Wauters L et al. Does acupuncture activate endogenous analgesia in chronic whiplash-associated disorders? A randomized crossover trial. Eur J Pain. 2012.
55.
Zurück zum Zitat Schliessbach J, van der Klift E, Siegenthaler A, et al. Does acupuncture needling induce analgesic effects comparable to diffuse noxious inhibitory controls? Evid Based Complement Alternat Med. 2012;2012:785613.PubMedCrossRef Schliessbach J, van der Klift E, Siegenthaler A, et al. Does acupuncture needling induce analgesic effects comparable to diffuse noxious inhibitory controls? Evid Based Complement Alternat Med. 2012;2012:785613.PubMedCrossRef
56.
Zurück zum Zitat Tsai CT, Hsieh LF, Kuan TS, et al. Remote effects of dry needling on the irritability of the myofascial trigger point in the upper trapezius muscle. Am J Phys Med Rehabil. 2010;89(2):133–40.PubMedCrossRef Tsai CT, Hsieh LF, Kuan TS, et al. Remote effects of dry needling on the irritability of the myofascial trigger point in the upper trapezius muscle. Am J Phys Med Rehabil. 2010;89(2):133–40.PubMedCrossRef
57.
Zurück zum Zitat Lyby PS, Aslaksen PM, Flaten MA. Variability in placebo analgesia and the role of fear of pain–an ERP study. Pain. 2011;152(10):2405–12.PubMedCrossRef Lyby PS, Aslaksen PM, Flaten MA. Variability in placebo analgesia and the role of fear of pain–an ERP study. Pain. 2011;152(10):2405–12.PubMedCrossRef
58.
Zurück zum Zitat Kong J, Kaptchuk TJ, Polich G, et al. An fMRI study on the interaction and dissociation between expectation of pain relief and acupuncture treatment. NeuroImage. 2009;47(3):1066–76.PubMedCrossRef Kong J, Kaptchuk TJ, Polich G, et al. An fMRI study on the interaction and dissociation between expectation of pain relief and acupuncture treatment. NeuroImage. 2009;47(3):1066–76.PubMedCrossRef
59.
Zurück zum Zitat Langevin HM, Wayne PM, Macpherson H, et al. Paradoxes in acupuncture research: strategies for moving forward. Evid Based Complement Alternat Med. 2011;2011:180805.PubMedCrossRef Langevin HM, Wayne PM, Macpherson H, et al. Paradoxes in acupuncture research: strategies for moving forward. Evid Based Complement Alternat Med. 2011;2011:180805.PubMedCrossRef
60.
Zurück zum Zitat •• Davis RT, Churchill DL, Badger GJ, et al. A new method for quantifying the needling component of acupuncture treatments. Acupunct Med. 2012;30(2):113–9. Needling motion and force parameters can be quantified in a treatment-like setting. Needling data can subsequently be analysed, providing an objective method for characterising needling in basic and clinical acupuncture research.PubMedCrossRef •• Davis RT, Churchill DL, Badger GJ, et al. A new method for quantifying the needling component of acupuncture treatments. Acupunct Med. 2012;30(2):113–9. Needling motion and force parameters can be quantified in a treatment-like setting. Needling data can subsequently be analysed, providing an objective method for characterising needling in basic and clinical acupuncture research.PubMedCrossRef
61.
Zurück zum Zitat Nijs J, Van Oosterwijck J, De Hertogh W. Rehabilitation of chronic whiplash: treatment of cervical dysfunctions or chronic pain syndrome? Clin Rheumatol. 2009;28(3):243–51.PubMedCrossRef Nijs J, Van Oosterwijck J, De Hertogh W. Rehabilitation of chronic whiplash: treatment of cervical dysfunctions or chronic pain syndrome? Clin Rheumatol. 2009;28(3):243–51.PubMedCrossRef
Metadaten
Titel
Physiologic Effects of Dry Needling
verfasst von
Barbara Cagnie
Vincent Dewitte
Tom Barbe
Frank Timmermans
Nicolas Delrue
Mira Meeus
Publikationsdatum
01.08.2013
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 8/2013
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-013-0348-5

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