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Probable mechanisms of needling therapies for myofascial pain control.针刺疗法治疗肌筋膜疼痛控制的可能机制。
Evid Based Complement Alternat Med. 2012;2012:705327. doi: 10.1155/2012/705327. Epub 2012 Dec 31.
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Electrophysiologic evidence of spinal accessory neuropathy in patients with cervical myofascial pain syndrome.颈椎肌筋膜疼痛综合征患者的副神经电生理证据。
Arch Phys Med Rehabil. 2011 Jun;92(6):935-40. doi: 10.1016/j.apmr.2011.01.010.
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Dry needling in the management of musculoskeletal pain.干针疗法在肌肉骨骼疼痛管理中的应用。
J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.
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New views of myofascial trigger points: etiology and diagnosis.肌筋膜触发点的新观点：病因与诊断
Arch Phys Med Rehabil. 2008 Jan;89(1):157-9. doi: 10.1016/j.apmr.2007.11.016.
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Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points.与疼痛和炎症相关的生化物质在活跃肌筋膜触发点附近及远处的部位都会升高。
Arch Phys Med Rehabil. 2008 Jan;89(1):16-23. doi: 10.1016/j.apmr.2007.10.018.
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Myofascial trigger points.肌筋膜触发点
Anesthesiol Clin. 2007 Dec;25(4):841-51, vii-iii. doi: 10.1016/j.anclin.2007.07.003.
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Regional myofascial pain: diagnosis and management.局部肌筋膜疼痛：诊断与管理
Best Pract Res Clin Rheumatol. 2007 Apr;21(2):367-87. doi: 10.1016/j.berh.2006.12.006.
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Neck and back pain: musculoskeletal disorders.
Neurol Clin. 2007 May;25(2):419-38. doi: 10.1016/j.ncl.2007.01.006.
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Sympathetic facilitation of hyperalgesia evoked from myofascial tender and trigger points in patients with unilateral shoulder pain.单侧肩部疼痛患者肌筋膜压痛点和触发点诱发痛觉过敏的交感神经易化作用
Clin Neurophysiol. 2006 Jul;117(7):1545-50. doi: 10.1016/j.clinph.2006.03.026. Epub 2006 Jun 5.
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An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle.一种用于测量人体骨骼肌局部生化环境的体内微量分析技术。
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针刺肌筋膜触发点治疗上斜方肌肌筋膜触发点的神经生理学效应：一项对照临床试验研究方案。

The neurophysiological effects of dry needling in patients with upper trapezius myofascial trigger points: study protocol of a controlled clinical trial.

机构信息

Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMJ Open. 2013 May 28;3(5):e002825. doi: 10.1136/bmjopen-2013-002825.

DOI:10.1136/bmjopen-2013-002825
PMID:23793673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3657661/
Abstract

INTRODUCTION

Dry needling (DN) is an effective method for the treatment of myofascial trigger points (MTrPs). There is no report on the neurophysiological effects of DN in patients with MTrPs. The aim of the present study will be to assess the immediate neurophysiological efficacy of deep DN in patients with upper trapezius MTrPs.

METHODS AND ANALYSIS

A prospective, controlled clinical trial was designed to include patients with upper trapezius MTrPs and volunteered healthy participants to receive one session of DN. The primary outcome measures are neuromuscular junction response and sympathetic skin response. The secondary outcomes are pain intensity and pressure pain threshold. Data will be collected at baseline and immediately after intervention.

ETHICS AND DISSEMINATION

This study protocol has been approved by the Research Council, School of Rehabilitation and the Ethics Committee of Tehran University of Medical Sciences. The results of the study will be disseminated in a peer-reviewed journal and presented at international congresses.

摘要

简介

干针疗法（DN）是治疗肌筋膜触发点（MTrPs）的有效方法。目前尚无关于 DN 对 MTrPs 患者神经生理影响的报告。本研究旨在评估深部干针疗法（DN）对斜方肌上部 MTrPs 患者即刻神经生理疗效。

方法和分析

设计了一项前瞻性、对照临床试验，纳入斜方肌上部 MTrPs 患者和自愿健康参与者，接受一次 DN 治疗。主要结局指标为神经肌肉接头反应和交感皮肤反应。次要结局指标为疼痛强度和压痛阈值。数据将在基线和干预后即刻收集。

伦理和传播

本研究方案已获得德黑兰医科大学康复学院研究委员会和伦理委员会的批准。研究结果将在同行评议的期刊上发表，并在国际大会上展示。