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腓肠肌肌筋膜触发点干针疗法的有效性：系统评价

Effectiveness of Dry Needling of Myofascial Trigger Points in the Triceps Surae Muscles: Systematic Review.

作者信息

Lucena-Anton David, Luque-Moreno Carlos, Valencia-Medero Jesus, Garcia-Munoz Cristina, Moral-Munoz Jose A

机构信息

Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain.

Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.

出版信息

Healthcare (Basel). 2022 Sep 24;10(10):1862. doi: 10.3390/healthcare10101862.

DOI:10.3390/healthcare10101862
PMID:36292308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9602116/
Abstract

This study aims to analyze the effects of Dry Needling (DN) for the release of myofascial trigger points (MTrPs) in the triceps surae muscles (TSM). A systematic review was performed up to February 2022 in PubMed, PEDro, Scopus, CENTRAL, and Web of Science. Selection criteria were studies involving subjects older than 18 years presenting MTrPs in the TSM, without any concomitant acute or chronic musculoskeletal conditions; DN interventions applied to the MTrPs of the TSM; and results on pain, range of motion (ROM), muscle strength, muscle stiffness, and functional outcomes. The PEDro scale was used to assess the methodological quality of the studies, and the Risk of Bias Tool 2.0 to assess risk of bias. A total of 12 studies were included in the systematic review, involving 426 participants. These results suggest that DN of MTrPs in TSM could have a positive impact on muscle stiffness and functional outcomes. There are inconclusive findings on musculoskeletal pain, ROM, and muscle strength. Significant results were obtained in favor of the control groups on pressure pain thresholds. Despite the benefits obtained on muscle stiffness and functional performance, the evidence for the use of DN of MTrPs in the TSM remains inconclusive.

摘要

本研究旨在分析干针疗法（DN）对腓肠肌（TSM）肌筋膜触发点（MTrP）松解的效果。截至2022年2月，在PubMed、PEDro、Scopus、CENTRAL和科学网进行了系统综述。选择标准为涉及年龄超过18岁、在TSM中存在MTrP且无任何并发急性或慢性肌肉骨骼疾病的受试者的研究；应用于TSM的MTrP的DN干预；以及关于疼痛、活动范围（ROM）、肌肉力量、肌肉僵硬度和功能结局的结果。使用PEDro量表评估研究的方法学质量，并使用偏倚风险工具2.0评估偏倚风险。系统综述共纳入12项研究，涉及426名参与者。这些结果表明，TSM中MTrP的DN可能对肌肉僵硬度和功能结局产生积极影响。关于肌肉骨骼疼痛、ROM和肌肉力量的研究结果尚无定论。在压力疼痛阈值方面，对照组取得了显著结果。尽管在肌肉僵硬度和功能表现方面取得了益处，但TSM中MTrP使用DN的证据仍然尚无定论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579d/9602116/db4d3efc26f6/healthcare-10-01862-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579d/9602116/af6c9286654e/healthcare-10-01862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579d/9602116/aa45cac11ddd/healthcare-10-01862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579d/9602116/db4d3efc26f6/healthcare-10-01862-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579d/9602116/af6c9286654e/healthcare-10-01862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579d/9602116/aa45cac11ddd/healthcare-10-01862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579d/9602116/db4d3efc26f6/healthcare-10-01862-g003.jpg

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[7]
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[8]
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引用本文的文献

[1]
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Animals (Basel). 2025-7-27

[2]
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Int J Sports Phys Ther. 2025-3-1

[3]
Pneumothorax as a complication of dry needling technique.

ERJ Open Res. 2024-4-15

[4]
Dry Needling with the Use of FRSc Technique in Addition to Standard Rehabilitation Program for Chronic Low Back Pain: A Randomized Controlled Trial Using Both PROMs and Measurement Tools.

J Pain Res. 2024-3-13

本文引用的文献

[1]
A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome.

Biology (Basel). 2022-2-4

[2]
Trigger point injections and dry needling can be effective in treating long COVID syndrome-related myalgia: a case report.

J Med Case Rep. 2022-1-17

[3]
Cost-effectiveness of upper extremity dry needling in the rehabilitation of patients with stroke.

Acupunct Med. 2022-4

[4]
Effects of dry needling in lower extremity myofascial trigger points.

J Pak Med Assoc. 2021-11

[5]
Effects of Dry Needling of Latent Trigger Points on Viscoelastic and Muscular Contractile Properties: Preliminary Results of a Randomized Within-Participant Clinical Trial.

J Clin Med. 2021-8-27

[6]
Immediate decrease of muscle biomechanical stiffness following dry needling in asymptomatic participants.

J Bodyw Mov Ther. 2021-7

[7]
Electromyographic Assessment of the Efficacy of Deep Dry Needling versus the Ischemic Compression Technique in Gastrocnemius of Medium-Distance Triathletes.

Sensors (Basel). 2021-4-21

[8]
The utilization and effects of filiform dry needling in the management of tendinopathy: a systematic review.

Physiother Theory Pract. 2022-12

[9]
Acute Effects of Dry Needling on Myofascial Trigger Points in the Triceps Surae of Ballet Dancers: A Pilot Randomized Controlled Trial.

Int J Sports Phys Ther. 2021-4-1

[10]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

Syst Rev. 2021-3-29

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