2,470 results match your criteria needling method


Superficial needling acupuncture versus sham acupuncture for knee osteoarthritis: a randomized controlled trial.

Am J Med 2021 Jun 11. Epub 2021 Jun 11.

School of Chinese Medicine, The University of Hong Kong, Hong Kong, China. Electronic address:

Background: Acupuncture has been an alternative approach for pain management, but trial evidence is conflicting.

Methods: 86 KOA patients were randomly assigned in a 1:1 ratio from June 14, 2017 to January 20, 2019, to receive either superficial needling acupuncture treatment or sham acupuncture for 10 sessions over a 4-week treatment period, followed by a 6-week follow-up period. The primary outcome was the change of pain intensity at week 4 measured using a 100-mm visual analogue scale (VAS). Read More

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XEN45 Gelstent Implantation in the Treatment of Glaucoma Secondary to Fuchs Uveitis Syndrome.

Ocul Immunol Inflamm 2021 Jun 14:1-8. Epub 2021 Jun 14.

Centre for Ophthalmology, University of Tuebingen, Tuebingen, Germany.

Evaluation of treatment efficacy of XEN45 gelstent for glaucoma secondary to Fuchs uveitis syndrome (FUS). This retrospective case series evaluated patients with glaucoma secondary to FUS, who underwent XEN45 implantation. Complete success was defined as IOP lowering of ≥ 20% and cutoff IOP at 18 mmHg. Read More

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Dry Needling versus Trigger Point Injection for Neck Pain Symptoms Associated with Myofascial Trigger Points: A Systematic Review and Meta-analysis.

Pain Med 2021 Jun 11. Epub 2021 Jun 11.

Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain.

Objective: To examine the effects of dry needling against trigger point (TrP) injections (wet needling) applied to TrPs associated with neck pain.

Methods: Electronic databases were searched for randomized clinical trials where dry needling was compared to TrP injections (wet needling) applied to neck muscles and collected outcomes on pain or related-disability. Secondary outcomes consisted of pressure pain thresholds, cervical mobility, and psychological factors. Read More

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Efficacy and Safety of Plastic Cannulae Compared with Metal Needles in the Initial Use of an Arteriovenous Fistulae in Incident Hemodialysis Patients: A Randomized Controlled Study.

Am J Nephrol 2021 Jun 10:1-8. Epub 2021 Jun 10.

Kidney Research Institute & Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.

Introduction: Successful cannulation of an arteriovenous fistula (AVF) is important in patients starting hemodialysis (HD). Metal needles have been used for decades, but the usefulness of plastic cannulae has recently been demonstrated as a new technique.

Methods: This was a prospective, randomized, open-label study of incident HD patients. Read More

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Acupuncture Intervention Protocol: Consensus Process for a Pragmatic Randomized Controlled Trial of Acupuncture for Management of Chronic Low Back Pain in Older Adults: An NIH HEAL Initiative Funded Project.

Glob Adv Health Med 2021 26;10:21649561211007091. Epub 2021 May 26.

Kaiser Permanente Washington Health Research Institute; Department of Epidemiology, University of Washington, Seattle, Washington.

Objective: The aim of this article is to describe the consensus process used to develop an acupuncture intervention protocol for an NIH-funded pragmatic randomized controlled trial (PRCT) of acupuncture for the management of chronic low back (cLBP) in older adults (BackInAction).

Background: CLBP is among leading causes of disability worldwide: almost 33% of US adults 65 and older experience LBP. Acupuncture is effective for cLBP but there is no specific data on older adults. Read More

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SWE and SMI ultrasound techniques for monitoring needling treatment of ankylosing spondylitis: study protocol for a single-blinded randomized controlled trial.

Trials 2021 Jun 7;22(1):385. Epub 2021 Jun 7.

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 111 Dade Rd, Guangzhou, 510120, Guangdong Province, China.

Background: Ankylosing spondylitis (AS) is a high-incidence disease in young men that interferes with patients' physical and mental wellbeing and overall quality of life (QoL). It is often accompanied by arthralgia, stiffness, and limited lumbar flexibility. Acupuncture is safe and effective for reducing the symptoms of AS, but the underlying mechanisms by which it does so are not fully understood. Read More

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Comparison of the lateral sagittal and costoclavicular approaches for ultrasound-guided infraclavicular block in pediatric patients: a prospective randomized study.

Braz J Anesthesiol 2021 Jun 3. Epub 2021 Jun 3.

Ataturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkey.

Background: The lateral sagittal brachial plexus block is the most used method for pediatric upper extremity surgery, whereas the applications of costoclavicular brachial plexus block are limited. This study aimed to compare the lateral sagittal and costoclavicular approaches for the ultrasound-guided infraclavicular block in pediatric patients.

Methods: Sixty pediatric patients aged 5-15 years undergoing hand or forearm surgery were randomly assigned to two groups. Read More

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Surgeon Experience as a Risk Factor for Short-term Failure for Ab-interno Gelatin Microstent: A Canadian Multicentre Propensity Matched Study.

Ophthalmol Glaucoma 2021 Jun 2. Epub 2021 Jun 2.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada; Prism Eye Institute, Mississauga, Canada. Electronic address:

Purpose: Compare efficacy and safety of early compared to later surgical cases in patients receiving an ab-interno gelatin microstent with mitomycin C (MMC).

Design: Canada-wide, multicenter, retrospective propensity score matched cohort study.

Participants: Two hundred and seventy eyes (135 early cases and 135 later cases group) with no prior incisional surgery. Read More

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[Preliminary research of and the tissue depth of acupoint thread embedding therapy on weight reduction under ultrasonic guidance].

Zhongguo Zhen Jiu 2021 Jun;41(6):628-32

Department of Ultrasound Medicine, First Affiliated Hospital of Zhejiang Chinese Medical University/Zhejiang Provincial Chinese Medicine Hospital, Hangzhou 310006, China.

Objective: To explore the impacts on weight reduction effect treated with acupoint thread embedding therapy at different tissue levels under ultrasonic guidance.

Methods: A total of 70 patients with overweight or obesity were randomized into a shallow-tissue thread embedding group (35 cases, 5 cases dropped off) and a deep-tissue thread embedding group (35 cases, 4 cases dropped off). Under ultrasonic guidance, the thread was embedded in the shallow tissue level and the deep tissue level respectively. Read More

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Success of Primary Trabeculectomy in Advanced Open Angle Glaucoma.

Clin Ophthalmol 2021 27;15:2219-2229. Epub 2021 May 27.

Ophthalmology Clinic, St. Spiridon Emergency University Hospital, Iași, Romania.

Aim: The study assesed trabeculectomy survival in advanced open angle glaucoma (OAG).

Methods: This is a retrospective longitudinal study in advanced OAG undergoing primary trabeculectomy. Clinical and demographic parameters were recorded. Read More

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Mechanosensitive TRPV4 Channel-Induced Extracellular ATP Accumulation at the Acupoint Mediates Acupuncture Analgesia of Ankle Arthritis in Rats.

Life (Basel) 2021 May 31;11(6). Epub 2021 May 31.

Acupuncture and Moxibustion College, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

(1) Background Acupuncture (AP) is a safe and effective analgesic therapy. Understanding how fine needles trigger biological signals can help us optimize needling manipulation to improve its efficiency. Adenosine accumulation in treated acupoints is a vital related event. Read More

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Needling Interventions for Sciatica: Choosing Methods Based on Neuropathic Pain Mechanisms-A Scoping Review.

J Clin Med 2021 May 19;10(10). Epub 2021 May 19.

Northern New England Spine Center, Department of Physical Medicine and Rehabilitation, Musculoskeletal Health and Rehabilitation, Wentworth Douglass Hospital, Dover, NH 03820, USA.

Sciatica is a condition often accompanied by neuropathic pain (NP). Acupuncture and dry needling are common treatments for pain, and the current literature supports acupuncture as an effective treatment for sciatica. However, it is unknown if the mechanisms of NP are considered in the delivery of needling interventions for sciatica. Read More

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Physiological and Biochemical Evaluation of Different Types of Recovery in National Level Paralympic Powerlifting.

Int J Environ Res Public Health 2021 May 13;18(10). Epub 2021 May 13.

Graduate Program in Physical Education, Federal University of Sergipe (UFS), São Cristovão 49100-000, Sergipe, Brazil.

Background: Recovery from training is vital as it ensures training and performance to continue at high intensities and longer durations to stimulate the body and cause further adaptations.

Objective: To evaluate different methods of post-workout recovery in Paralympic powerlifting athletes.

Methods: Twelve male athletes participated (25. Read More

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Botulinum Toxin Type-A (Botulax) Treatment in Patients with Intractable Chronic Occipital Neuralgia: A Pilot Study.

Toxins (Basel) 2021 05 4;13(5). Epub 2021 May 4.

Department of Orofacial Pain and Oral Medicine, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea.

Intractable chronic occipital neuralgia (ON) is an uncommon type of headache often experienced by patients in outpatient neurological clinics. Among patients unresponsive to oral neuralgia medications, needling or injections with several drugs were suggested alternatives for treating chronic ON. This study aimed to determine the effectiveness and safety of botulinum toxin type-A (BTX-A) injection treatments, where eight patients with unilateral chronic ON received BTX-A injections at the pain sites. Read More

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Intramuscular Electrical Stimulation Combined with Therapeutic Exercises in Patients with Shoulder Adhesive Capsulitis: A Randomised Controlled Trial.

Int J Surg Protoc 2021 May 18;25(1):71-83. Epub 2021 May 18.

College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.

Background: Myofascial trigger points (MTrPs) precipitate the shoulder pain severity and disability in patients with shoulder adhesive capsulitis (SAC). This study aims to compare the effectiveness of intramuscular electrical stimulation (IMES) combined with therapeutic exercises versus dry needling (DN) combined with therapeutic exercises in improving the clinical outcomes in patients with SAC.

Methods And Materials: In this randomized controlled trial, IMES (n = 45) and DN (43) groups had received respectively IMES, and DN twice weekly for three consecutive weeks. Read More

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Multicenter case series of standalone XEN implant vs. combination with phacoemulsification in Turkish patients.

Int Ophthalmol 2021 May 28. Epub 2021 May 28.

Department of Ophthalmology, Adana City Training and Research Hospital, Adana, Turkey.

Purpose: To evaluate and compare the efficacy, safety and needling timing and rates of standalone XEN implant vs. combination with phacoemulsification in Turkish patients.

Methods: Retrospective, multicenter study which included the data of patients, who had open angle glaucoma including primary open angle glaucoma and pseudoexfoliation glaucoma, underwent standalone XEN implantation (XEN alone) and combined surgery with phacoemulsification (XEN + Phaco) between 2016 and 2018. Read More

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Outcomes of Primary Trabeculectomy from Two Same-Centre Cohorts Ten Years Apart.

J Glaucoma 2021 May 27. Epub 2021 May 27.

Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, United Kingdom Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust, United Kingdom University of Manchester, Manchester, United Kingdom.

Precis: Trabeculectomy can effectively lower IOP. A more junior surgeon profile is emerging. MMC has replaced 5-FU intra-operatively with comparable success rates and a decrease in post-operative antimetabolite administration. Read More

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Outcome of Bleb Needling With 5-Fluorouracil in Failed Filtering Procedures in Pediatric Glaucoma.

J Pediatr Ophthalmol Strabismus 2021 Mar-Apr;58(2):118-125. Epub 2021 Mar 1.

Purpose: To determine the surgical outcomes of bleb needling and the risk factors of failure of needling after failed filtration surgeries in patients with pediatric glaucoma.

Methods: The medical records of patients who underwent needling with 5-fluorouracil following filtering surgeries (trabeculectomy, combined trabeculectomy, and trabeculotomy) between January 2012 and December 2016 were retrospectively reviewed. At the 1-year follow-up visit, complete success and qualified success were defined as an intraocular pressure (IOP) of less than 18 mm Hg with and without antiglaucoma medication, respectively. Read More

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Protocols Used by Occupational Therapists on Shoulder Pain after Stroke: Systematic Review and Meta-Analysis.

Occup Ther Int 2021 3;2021:8811721. Epub 2021 May 3.

Occupational Therapy Department, Universidade Federal de Sergipe-UFS, Lagarto, Sergipe, Brazil.

Introduction: Shoulder pain as a consequence after a stroke has multifactorial causes and can prevent the functional return of the upper limb. In addition, the effectiveness of clinical protocols applied by occupational therapists remains uncertain.

Objective: To identify the main treatments currently used by occupational therapists for pain in the shoulder after a stroke. Read More

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A case of endophthalmitis following needling procedure after PRESERFLO Micro Shunt implantation.

Eur J Ophthalmol 2021 May 20:11206721211019548. Epub 2021 May 20.

Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Purpose: To report a case of endophthalmitis following bleb needling in a patient previously implanted with a PRESERFLO MicroShunt.

Methods: Case report.

Results: A 40-year-old woman with bilateral malformative glaucoma repeatedly operated on in childhood underwent PRESERFLO MicroShunt implantation in her right eye and six needling revisions (NRs) and a surgical revision due to unsatisfactory intraocular pressure (IOP) control due to bleb encapsulation. Read More

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Comparing the Safety and Efficacy of Phacogoniosynechialysis With Phacotrabeculectomy in the Management of Refractory Acute Primary Closure Angle Glaucoma With Cataract: A Multicenter Randomized Trial.

J Glaucoma 2021 May 11. Epub 2021 May 11.

Vietnam National Eye Hospital Military Hospital 103, Military Medical University Ha Dong Eye Hospital Hanoi Medical University, Hanoi, Vietnam Singapore National Eye Centre, Singapore Eye Research Institute, National University of Singapore, Singapore, Singapore.

Prcis: Combined phacoemulsification-goniosynechialysis (phaco-GSL) and unaugmented phacotrabeculectomy were both found to be effective in treating eyes with significant cataract and medically unresponsive acute primary angle closure glaucoma (PACG). Phaco-GSL seemed to be safer, with fewer surgical complications, and achieved better visual acuity than phacotrabeculectomy.

Objectives: To compare the results of combined phaco-GSL with unaugmented phacotrabeculectomy in the management of eyes with medically unresponsive acute PACG and cataract. Read More

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[Network Meta-analysis of 4 acupuncture therapies for shoulder hand syndrome after stroke].

Zhongguo Zhen Jiu 2021 May;41(5):563-9

Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006.

Objective: A network Meta-analysis of randomized controlled trials (RCT) of 4 commonly used acupuncture therapies (electroacupuncture, fire needling, warming acupuncture and filiform needling) for shoulder hand syndrome (SHS) after stroke was performed.

Methods: The RCTs regarding electroacupuncture, fire needling, warming acupuncture and filiform needling for SHS after stroke before March 10, 2020 were searched in databases of CNKI, Wanfang, VIP, SinoMed, PubMed, EMbase and Cochrane Library. The included literature was screened and evaluated by Cochrane bias risk assessment tool, and the data analysis was performed by RevMan5. Read More

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[Effect of needle insertion by slow twirling technique on peroxidation and apoptosis of kidney tissue in aging rats].

Zhongguo Zhen Jiu 2021 May;41(5):531-5

College of Acupuncture-Moxibustion and Tuina, Guangxi University of CM, Nanning 530001, China.

Objective: To observe the effect of needle insertion by slow twirling technique on the contents of hydrogen peroxide (HO) and malondialdehyde (MDA) and apoptosis rate in kidney tissue of aging model rats and explore the potential mechanism of such needling technique.

Methods: A total of 40 adult male SD rats were randomized into a blank control group, a model control group, a Zhulian needling technique group and a routine acupuncture group, 10 rats in each one. Except the blank control group, the sub-acute aging rat models were established by intraperitoneal injection with 10% D-galactose solution, 5 mL/kg in the rats of the other groups. Read More

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[Effect of fire needling on mild to moderate knee osteoarthritis and related serum inflammatory cytokines].

Zhongguo Zhen Jiu 2021 May;41(5):493-7

Department of Acupuncture and Moxibustion, Beijing Hospital of TCM, Capital Medical University, Beijing 100010, China;Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing Hospital of TCM, Capital Medical University, Beijing 100010, China.

Objective: To compare the clinical effect of fire needling and filiform needling for mild to moderate knee osteoarthritis (KOA) and observe the influence on related serum inflammatory sytokines.

Methods: A total of 60 patients with mild to moderate KOA were randomly divided into an observation group (30 cases, 4 cases dropped off) and a control group (30 cases, 4 cases dropped off). Both groups were given basic health management, and the acupoints of the two groups were Liangqiu (ST 34), Xuehai (SP 10), Neixiyan (EX-LE 4), Dubi (ST 35), Yanglingquan (GB 34) and point. Read More

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[Acupuncture adjuvant treatment for dysphagia in patients with Parkinson's disease: a randomized controlled trial].

Zhongguo Zhen Jiu 2021 May;41(5):485-8

Department of Rehabilitation Medicine, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, Henan Province, China.

Objective: To observe the effect of acupuncture on swallowing function and nutritional status of patients with Parkinson's disease (PD) dysphagia.

Methods: A total of 56 patients with PD dysphagia were randomly divided into an observation group and a control group, 28 cases in each one. Both groups were given conventional treatment and swallowing function rehabilitation training. Read More

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Influence of Mitomycin C on the Therapeutic Success of Stand-Alone Xen45 Gel Stents and Its Combination with Cataract Surgery in Open-Angle Glaucoma Patients.

Klin Monbl Augenheilkd 2021 May 17. Epub 2021 May 17.

Universitätsklinikum Erlangen, Augenklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

Purpose: Minimally invasive glaucoma surgery (MIGS), like Xen45 gel stents, is known as effective therapy in lowering intraocular pressure (IOP); however, fibrotic reactions are a common problem in postoperative management. It was the aim of this study to investigate the therapeutic success of Xen45 gel stents as a stand-alone technique (Xen) and combined with cataract surgery (XenPhaco), and with antimetabolites (mitomycin C, MMC) in open-angle glaucoma patients.

Methods: Retrospective analysis was performed of 199 eyes of 177 glaucoma patients of the Department of Ophthalmology, University of Erlangen Nürnberg, and from the Erlangen Glaucoma Registry (NCT00494923; ISSN 2191-5008, CS-2011) who underwent implantation of a Xen45 gel stent. Read More

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The effect of dry needling & muscle energy technique separately and in combination in patients suffering shoulder impingement syndrome and active trigger points of infraspinatus.

J Bodyw Mov Ther 2021 Apr 28;26:94-100. Epub 2020 Dec 28.

Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objective: The aim of this study was to investigate the effects of a combination of dry needling (DN) and muscle energy technique (MET) on pain intensity (PI), pressure pain threshold (PPT) and shoulder active range of motion (ROM) in patients with shoulder impingement syndrome and active trigger points in the infraspinatus muscle.

Methods: 39 patients, aged 20-50 participated in this study. All the cases were randomly assigned into three groups: group 1 (n = 13) received DN, group 2 (n = 13) received MET, and group 3 (n = 13) received DN & MET. Read More

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Accuracy of rib palpation for dry needling of deep periscapular musculature, measured with ultrasound.

J Bodyw Mov Ther 2021 Apr 13;26:7-11. Epub 2020 Oct 13.

Division of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, USA.

Introduction: Dry needling of the periscapular musculature is a procedure commonly performed by physical therapists. Needling of the deep musculature may be challenging, and use of a thoracic rib as a "backstop" is often applied to prevent inadvertent puncture of the pleura. The aim of this study was to: 1) To examine the accuracy rate of experienced physical therapists in identifying a mid-scapular thoracic rib using palpation, 2) to understand patient characteristics that affect the accuracy rate, and 3) to examine if therapist confidence levels were associated with palpatory accuracy. Read More

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Comparison between dry needling plus manual therapy with manual therapy alone on pain and function in overhead athletes with scapular dyskinesia: A randomized clinical trial.

J Bodyw Mov Ther 2021 Apr 24;26:339-346. Epub 2020 Nov 24.

Shiraz University of Medical Sciences, Rehabilitation Faculty, Shiraz, Iran; Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Muscles' trigger points can induce scapular dyskinesia (SD) which interferes with overhead athletes' professional training. We aimed to evaluate effects of dry needling (DN) alone and plus manual therapy (MT) on pain and function of overhead athletes with SD. 40 overhead athletes (15 male, 25 female) aged 18-45 with at least 3 points Numeric Rating Scale (NRS) pain intensity during training were recruited and randomly allocated to the treatment group: MT followed by DN on trigger points of Subscapularis, Pectoralis minor, Serratus anterior, upper and lower Trapezius muscles; or the control group: MT alone. Read More

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Short-term effects of dry needling at a spinal and peripheral site on functional outcome measures, strength, and proprioception among individuals with a lateral ankle sprain.

J Bodyw Mov Ther 2021 Apr 6;26:158-166. Epub 2021 Feb 6.

Department of Rehabilitation Medicine, Emory University, Atlanta, 30322, USA.

Background: The purpose of the study was to compare the effects of spinal and peripheral dry needling with peripheral dry needling alone, in addition to a strength and proprioception home exercise program, on pain, balance, strength, proprioception, and functional limitations among individuals with a history of a lateral ankle sprain.

Methods: The study design is a single-blinded, repeated measures randomized clinical trial. Thirty-four participants, aged 18-50, with a history of a lateral ankle sprain within the last twelve months were randomly assigned into a peripheral dry needling (PDN) group or a spinal and peripheral dry needling (SPDN) group. Read More

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