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CC BY-NC-ND 4.0 · Revista Fisioterapia Invasiva / Journal of Invasive Techniques in Physical Therapy 2019; 02(02): 050-054
DOI: 10.1055/s-0039-3402788
Special Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Clinical criteria for the application of dry needling in myofascial pain Syndrome: An expert consensus document and a cross-sectional study among physical therapists

Article in several languages: English | español
Nicolas Secorro
1   Grupo de Investigación iPhysio, Facultad de Ciencias de la Salud, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain
,
Rafael Guerra
2   Clínica Rafael Guerra, Fisioterapia y Medicina Especializada, Getafe (Madrid), Spain
,
Xavi Labraca
3   Instituto de Terapias NeuroMiofasciales, Barcelona, Spain
,
Marc Lari
4   Centro de Fisioterapia Inspira, Barcelona, Spain
,
Daniel Pecos
5   Grupo de Investigación Fisioterapia y Dolor, Departamento de Enfermería y Fisioterapia, Universidad de Alcalá, Madrid, Spain
,
Bárbara Torres
6   Fundación San Juan De Dios, Centro de Ciencias de la Salud San Rafael, Universidad Antonio de Nebrija, Madrid, Spain
,
Sandra Calvo 
1   Grupo de Investigación iPhysio, Facultad de Ciencias de la Salud, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain
› Author Affiliations
Further Information

Publication History

20 November 2019

06 December 2019

Publication Date:
20 December 2019 (online)

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Abstract

Presently, there is no clear consensus on the essential and confirmatory criteria which should govern the application of dry needling (DN) in the treatment of myofascial trigger points. The aim of this study was to generate a consensus on these criteria, via a panel discussion with DN experts which took place at the International Conference of Invasive Physical Therapy held in 2018, including the opinion of the attendees who participated in a live survey on the subject at the conference via an app. The results obtained reveal discrepancies regarding confirmatory criteria such as the elicitation of referred pain; nonetheless, consensus exists on the suitability of the application of individualized and personalized DN treatment and the combination of treatment with other intervention approaches in physical therapy, with the use of ultrasound when required to support a safer clinical practice.

 

  • References

  • 1 Valera F, Minaya F. Fisioterapia invasiva. 2ª ed. Barcelona: Elsevier España; 2017
    Google Scholar
  • 2 Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual, The Upper Half of the Body. Vol. 1 second ed. Philadelphia, Baltimore: Lippincott William & Wilkins; 1999
    Google Scholar
  • 3 Baldry P. Superficial versus deep dry needling. Acupunct Med 2002; 20 (2-3): 78-81
    CrossrefPubMedGoogle Scholar
  • 4 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 (04) 371-384
    CrossrefPubMedGoogle Scholar
  • 5 Domingo A, Mayoral O, Monterde S, Santafé MM. Neuromuscular damage and repair after dry needling in mice. Evid Based Complement Alternat Med 2013; 2013: 260806
    PubMedGoogle Scholar
  • 6 Simons DG. Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J Electromyogr Kinesiol 2004; 14 (01) 95-107
    CrossrefPubMedGoogle Scholar
  • 7 Shah JP, Thaker N, Heimur J, Aredo JV, Sikdar S, Gerber L. Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective. PM R 2015; 7 (07) 746-761
    CrossrefPubMedGoogle Scholar
  • 8 INE. Profesionales sanitarios colegiados 2012 [cited 2019 27/05]. Available from: http://www.ine.es/jaxi/Tabla.htm?path=/t15/p416/a2012/&file=s08002.px
    Google Scholar