PMID- 25801100
OWN - NLM
STAT- MEDLINE
DCOM- 20170209
LR  - 20220318
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 20
IP  - 6
DP  - 2015 Dec
TI  - Changes in lumbar multifidus muscle function and nociceptive sensitivity in low 
      back pain patient responders versus non-responders after dry needling treatment.
PG  - 769-76
LID - S1356-689X(15)00051-X [pii]
LID - 10.1016/j.math.2015.03.003 [doi]
AB  - BACKGROUND: Little is known about the physiologic mechanism of dry needling. 
      While some evidence suggests that dry needling may decrease nocioceptive 
      sensitivity and facilitate muscle function, no studies to date have examined 
      these physiologic changes compared to clinical outcomes. OBJECTIVE: To examine 
      changes in lumbar multifidus (LM) muscle function and nociceptive sensitivity 
      after dry needling in patients with LBP and to determine if such changes differ 
      in patients that exhibit improved disability (responders) and those that do not 
      (non-responders). DESIGN: Quasi-experimental study. METHODS: Sixty-six volunteers 
      with mechanical LBP (38 men, age = 41.3 +/- 9.2 years) completed the study. 
      Ultrasound measurements and pain algometry of the LM were taken at baseline and 
      repeated immediately following dry needling treatment to the LM muscles and after 
      one week. The percent change in muscle thickness from rest to contraction was 
      calculated for each time point to represent muscle function. Pressure pain 
      threshold (PPT) was used to measure nociceptive sensitivity. Participants were 
      dichotomized as responders and non-responders based on whether or not they 
      experienced clinical improvement using the modified Oswestry Disability Index 
      after one week. 2 x 3 mixed-model ANOVA were conducted for group (responders vs. 
      non-responders) by time. RESULTS: Patient responders exhibited larger 
      improvements in LM muscle contraction and nociceptive sensitivity 1 week, but not 
      immediately, after dry needling than non-responders. CONCLUSIONS: Our results 
      suggest that there may be lasting and clinically relevant sensorimotor changes 
      that occur in LBP patients that improve with dry needling treatment that 
      partially explain the physiologic mechanism of action.
CI  - Published by Elsevier Ltd.
FAU - Koppenhaver, Shane L
AU  - Koppenhaver SL
AD  - U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, 
      TX, USA. Electronic address: shanekoppenhaver@mac.com.
FAU - Walker, Michael J
AU  - Walker MJ
AD  - U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, 
      TX, USA.
FAU - Su, Jonathan
AU  - Su J
AD  - U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, 
      TX, USA.
FAU - McGowen, Jared M
AU  - McGowen JM
AD  - U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, 
      TX, USA.
FAU - Umlauf, Lindsey
AU  - Umlauf L
AD  - U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, 
      TX, USA.
FAU - Harris, Kevin D
AU  - Harris KD
AD  - Department of Rehabilitation, Guthrie Ambulatory Health Clinic, Ft. Drum, New 
      York, USA.
FAU - Ross, Michael D
AU  - Ross MD
AD  - Department of Physical Therapy, University of Scranton, Scranton, PA, USA.
LA  - eng
PT  - Journal Article
DEP - 20150313
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Acupuncture Therapy/*methods
MH  - Adult
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Low Back Pain/diagnostic imaging/*therapy
MH  - Male
MH  - Middle Aged
MH  - Muscle Contraction/physiology
MH  - Nociceptors/*physiology
MH  - *Pain Measurement
MH  - Pain Threshold/*physiology
MH  - Paraspinal Muscles/physiopathology
MH  - Risk Assessment
MH  - Severity of Illness Index
MH  - Treatment Failure
MH  - Treatment Outcome
MH  - Ultrasonography, Doppler/methods
OTO - NOTNLM
OT  - Acupuncture
OT  - Low back pain
OT  - Muscle contraction
OT  - Ultrasonography
EDAT- 2015/03/25 06:00
MHDA- 2017/02/10 06:00
CRDT- 2015/03/25 06:00
PHST- 2014/08/25 00:00 [received]
PHST- 2015/02/26 00:00 [revised]
PHST- 2015/03/04 00:00 [accepted]
PHST- 2015/03/25 06:00 [entrez]
PHST- 2015/03/25 06:00 [pubmed]
PHST- 2017/02/10 06:00 [medline]
AID - S1356-689X(15)00051-X [pii]
AID - 10.1016/j.math.2015.03.003 [doi]
PST - ppublish
SO  - Man Ther. 2015 Dec;20(6):769-76. doi: 10.1016/j.math.2015.03.003. Epub 2015 Mar 
      13.