The utilization of dry needling - a survey of contemporary clinical practice within the USA
Journal of Manual & Manipulative Therapy,
Год журнала:
2025,
Номер
unknown, С. 1 - 12
Опубликована: Май 10, 2025
Dry
needling
(DN)
is
a
skilled
intervention
commonly
used
for
pain
relief
and
the
management
of
movement
disorders
in
neuromusculoskeletal
conditions.
Although
systematic
reviews
indicate
its
effectiveness,
variations
treatment
parameters
exist.
This
study
surveyed
U.S.
healthcare
professionals
who
utilize
DN,
examining
their
clinical
techniques,
rationale,
use
electrostimulation.
An
electronic
survey
was
created
distributed
via
Qualtrics™
to
providers
performing
DN.
The
link
shared
through
social
media
e-mail,
data
were
analyzed
using
non-parametric
statistical
methods
(Mann-Whitney
U,
Spearman's
rho)
identify
significant
patterns
DN
practices.
A
total
1,399
completed
survey,
predominantly
physical
therapists
(93.3%)
with
an
average
13.5
years
experience
5.2
Most
worked
outpatient
orthopedics
(90.3%).
Common
techniques
included
trigger
point
(95.8%)
deep
(82.0%),
44.5%
periosteal
pecking.
majority
practitioners
up
4
needles
per
session
(68.1%),
while
63.8%
more
than
4.
Electro-stimulation
(e-stim)
applied,
62.5%
it
after
needle
insertion
55.6%
combining
manipulation.
Differences
noted
between
nonphysical
therapists,
particularly
practice
leaving
place
without
highlights
widespread
evolving
methodologies
practices
noting
integration
electrostimulation
multimodal
approaches.
It
also
inconsistencies
parameters,
underscoring
need
standardized
protocols
enhance
effectiveness
research
validity.
Future
should
focus
on
long-term
efficacy
various
applications
neurological
rehabilitation.
Язык: Английский
Effect of dry needling plus static stretching on plantar flexor spasticity, function, and quality of life in a patient with chronic stroke: a case report
Journal of Medical Case Reports,
Год журнала:
2025,
Номер
19(1)
Опубликована: Май 18, 2025
Static
stretching
is
a
treatment
that
reduces
spasticity
by
elongating
the
muscle
fibers.
Dry
needling
also
novel
intervention
destroying
dysfunctional
endplates.
Plantar
flexor
can
cause
gait
disturbances
and
impaired
balance
in
patients
who
have
had
stroke.
Therefore,
reducing
of
these
muscles
improve
patient's
independence
overall
function.
This
study
reported
additional
effects
dry
on
static
function
chronic
stroke
patient.
The
patient
was
47-year-old
Iranian
woman
with
past-7-month
history
plantar
spasticity.
In
this
study,
interventions
were
conducted
for
5
days.
session,
first
(60
seconds
×
3
days/week
1
week
total)
applied
gastrocnemius,
then,
an
orthosis
used
(20
minutes
total).
outcome
measures
Modified
Ashworth
Scale,
active
passive
range
motion,
timed
up
go
test,
European
Quality
Life
questionnaire
.
assessed
at
baseline
(T0),
immediately
following
(T1),
1-week
follow-up
(T2).
results
as
follows:
Scale
score
decreased
from
2
T0
to
T1
remained
T2.
Active
motion
increased
10°
25°
again
15°
Passive
40°
50°
45°
test
50
40
42
Her
0.25
0.39
unchanged
case
post-stroke
After
combination
stretching,
improved.
It
would
be
beneficial
conduct
randomized
clinical
trial
control
group
comprehend
impact
stretching.
Trial
registration
IRCT20230719058844N1,
Registered
7
August
2023,
https://irct.behdasht.gov.ir/trial/71395
Язык: Английский
Efficacy of Dry Needling in Enhancing Hand Function and Reducing Spasticity in MCA Stroke Patients: A Prospective Case Report
International Journal of experimental research and review,
Год журнала:
2024,
Номер
42, С. 162 - 168
Опубликована: Авг. 30, 2024
Stroke,
particularly
involving
the
middle
cerebral
artery
(MCA),
often
leads
to
persistent
disability,
significantly
impairing
hand
function
and
inducing
severe
spasticity
in
forearm
flexors
due
complex
motor
pathway
involvement.
This
case
report
evaluates
effectiveness
of
combining
dry
needling
therapy
(DNT)
with
task-oriented
training
(TOT)
reducing
improving
a
post-MCA
stroke
patient.
A
61-year-old
male
right-side
hemiplegia
following
left
MCA
stroke,
compounded
by
history
diabetes,
hypertension,
recent
kidney
stone
diagnosis,
participated
this
study.
The
patient
experienced
functional
limitations
(grade
3
on
Modified
Ashworth
Scale)
scored
31
CAHAI-13,
indicating
significant
dysfunction.
DNT
was
applied
key
muscles
(flexor
carpi
radialis,
flexor
ulnaris,
digitorum
superficialis,
profundus,
pronator
teres),
followed
TOT
targeting
daily
tasks.
Post-intervention,
demonstrated
improvements:
reduced
(Modified
Scale
score
decreased
from
grade
2),
muscle
hypertonicity,
as
measured
EMG,
all
targeted
muscles.
Functional
use
improved
markedly,
CAHAI-13
increasing
45.
These
improvements
led
enhanced
independence
activities.
highlights
clinical
relevance
integrating
rehabilitation.
combined
intervention
not
only
neuromuscular
but
also
meaningful
gains
function,
enhancing
patient’s
ability
perform
activities
independently.
Given
promising
results,
approach
could
serve
practical
effective
strategy
for
recovery
post-stroke
patients.
Further
studies
larger
sample
sizes
are
necessary
confirm
these
findings
explore
broader
application
practice.
Язык: Английский