PMID- 33636373
OWN - NLM
STAT- MEDLINE
DCOM- 20220125
LR  - 20220125
IS  - 1528-8447 (Electronic)
IS  - 1526-5900 (Linking)
VI  - 22
IP  - 7
DP  - 2021 Jul
TI  - Effects of Dry Needling on Muscle Stiffness in Latent Myofascial Trigger Points: 
      A Randomized Controlled Trial.
PG  - 817-825
LID - S1526-5900(21)00024-9 [pii]
LID - 10.1016/j.jpain.2021.02.004 [doi]
AB  - The aim of this study was to analyze the effects of dry needling (DN) in upper 
      trapezius latent trigger points (LTrPs) on muscle stiffness. A total of 51 
      recreational physically active subjects with LTrPs in the upper trapezius 
      volunteered to participate and were randomly divided into a DN-group (n = 27) and 
      a sham-DN group (n = 24). Volunteers received 1-session of DN or placebo 
      treatment. Muscle stiffness, measured with strain and shear-wave elastography, 
      pressure pain threshold (PPT), post-needling soreness, and muscle thickness were 
      evaluated before treatment, and at 30-min, 24-hours, and 72-hours follow-up after 
      treatment. The DN-group showed lower values from baseline for muscle stiffness 
      measured with shear-wave elastrography at 24-hours (from 44.44 +/- 15.97 to 35.78 +/- 
      11.65 kpa; P < .01) and at 72-hours (35.04 +/- 12.61 kpa; P < .01) and with strain 
      elastography at 72-hours (from 1.75 +/- 0.50 to 1.36 +/- 0.40 AU; P < .01). The 
      DN-group showed higher values of PPT than the sham-DN group at 72-hours (4.23 +/- 
      0.75 vs. 5.19 +/- 1.16 kg/cm(2); P < .05). There was a progressive decrease in 
      post-needling soreness compared to pain during needling of 33.13 +/- 21.31% at 
      30-min, 80.92 +/- 10.06% at 24-hours, and a total decrease in post-needling 
      soreness in all participants at 72-hours. DN therapy is effective in reducing 
      short-term muscle stiffness and increasing the PPT in volunteers with LTrPs in 
      the upper trapezius after a treatment session. PERSPECTIVE: This study found that 
      one session of DN intervention in latent trigger points of the upper trapezius 
      muscle reduced muscle stiffness and the pressure pain threshold for the dry 
      needling group compared to the sham dry needling group.
CI  - Copyright (c) 2021 United States Association for the Study of Pain, Inc. Published 
      by Elsevier Inc. All rights reserved.
FAU - Sanchez-Infante, Jorge
AU  - Sanchez-Infante J
AD  - Performance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, 
      University of Castilla-La Mancha, Toledo, Spain; Hospital Universitario Virgen de 
      la Salud, Castilla La Mancha, Toledo, Spain.
FAU - Bravo-Sanchez, Alfredo
AU  - Bravo-Sanchez A
AD  - Performance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, 
      University of Castilla-La Mancha, Toledo, Spain.
FAU - Jimenez, Fernando
AU  - Jimenez F
AD  - Performance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, 
      University of Castilla-La Mancha, Toledo, Spain.
FAU - Abian-Vicen, Javier
AU  - Abian-Vicen J
AD  - Performance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, 
      University of Castilla-La Mancha, Toledo, Spain. Electronic address: 
      javier.abian@uclm.es.
LA  - eng
SI  - ClinicalTrials.gov/NCT04394741
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20210223
PL  - United States
TA  - J Pain
JT  - The journal of pain
JID - 100898657
SB  - IM
MH  - Adult
MH  - Double-Blind Method
MH  - *Dry Needling
MH  - Elasticity Imaging Techniques
MH  - Female
MH  - Humans
MH  - Male
MH  - *Muscle Tonus
MH  - Pain Threshold
MH  - *Superficial Back Muscles
MH  - Treatment Outcome
MH  - *Trigger Points
MH  - Young Adult
OTO - NOTNLM
OT  - Shear wave elastography
OT  - muscle stiffness
OT  - pain
OT  - strain elastography
OT  - upper trapezius
EDAT- 2021/02/27 06:00
MHDA- 2022/01/27 06:00
CRDT- 2021/02/26 20:11
PHST- 2020/10/29 00:00 [received]
PHST- 2021/01/06 00:00 [revised]
PHST- 2021/02/03 00:00 [accepted]
PHST- 2021/02/27 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2021/02/26 20:11 [entrez]
AID - S1526-5900(21)00024-9 [pii]
AID - 10.1016/j.jpain.2021.02.004 [doi]
PST - ppublish
SO  - J Pain. 2021 Jul;22(7):817-825. doi: 10.1016/j.jpain.2021.02.004. Epub 2021 Feb 
      23.