Trybulski Robert, Kużdżał Adrian, Kiljański Marek, Gałęziok Kamil, Matuszczyk Filip, Kawczyński Adam, Clemente Filipe Manuel
Medical Department Wojciech Korfanty Upper Silesian Academy, September Scouts Street 3, 40-659 Katowice, Poland.
Provita Żory Medical Center, 44-240 Żory, Poland.
J Clin Med. 2024 Nov 21;13(23):7032. doi: 10.3390/jcm13237032.
: The current study aimed to characterize the adverse reactions associated with dry needling (DN) treatments reported by Polish physiotherapists, with a secondary objective of investigating whether the level of DN experience influences the occurrence of these adverse effects. : A total of 102 Polish physiotherapists, all with regular DN practice, participated in an ad hoc online survey. The participants were categorized by their level of experience in DN treatment: 44 with 0-2 years, 43 with 3-6 years, and 15 with more than 7 years of experience. The survey consisted of 27 questions focused on both mild and severe adverse effects resulting from DN treatments. : The results showed that in the short term (over the past week), minor bleeding was the most commonly reported mild adverse effect (70%), followed closely by slightly pain during treatment (68%). Slight pain following treatment was also reported by 52% of respondents. No significant relationship was found between experience with dry needling (DN) and the reporting of mild adverse effects, with the exception of tingling (X = 10.958; = 0.004). In the retrospective analysis of the past month, most respondents reported experiencing bleeding between one and three times (49%), while bruising occurred one to three times in 44% of cases. Similarly, 44% of respondents noted pain after treatment one to three times, and 47% experienced pain during DN at this frequency. A significant interaction with DN experience was observed in the frequency of drowsiness reported over the past month (X = 19.735; = 0.032). : Severe adverse effects were extremely rare in clinical practice: pneumothorax and shock were each reported by 3% of respondents, nerve palsy by 14%, infection by 2%, and hospitalization by 1%. In conclusion, this study suggests that most adverse effects are mild, typically involving bleeding and slight pain during or after treatment. Additionally, DN experience does not appear to be a significant factor influencing the type or prevalence of these adverse effects.
本研究旨在描述波兰物理治疗师报告的与干针疗法（DN）治疗相关的不良反应，次要目的是调查DN经验水平是否会影响这些不良反应的发生。
共有102名经常进行DN治疗的波兰物理治疗师参与了一项专门的在线调查。参与者根据其DN治疗经验水平进行分类：44人经验为0 - 2年，43人经验为3 - 6年，15人经验超过7年。该调查由27个问题组成，重点关注DN治疗引起的轻度和重度不良反应。
结果显示，在短期内（过去一周），轻微出血是最常报告的轻度不良反应（70%），紧随其后的是治疗期间轻微疼痛（68%）。52%的受访者还报告了治疗后轻微疼痛。除刺痛外（X = 10.958；P = 0.004），未发现干针疗法（DN）经验与轻度不良反应报告之间存在显著关系。在过去一个月的回顾性分析中，大多数受访者报告出血发生一至三次（49%），而44%的病例中瘀伤发生一至三次。同样，44%的受访者指出治疗后疼痛一至三次，47%的受访者在此频率下在DN治疗期间经历疼痛。在过去一个月报告的嗜睡频率方面观察到与DN经验存在显著交互作用（X = 19.735；P = 0.032）。
气胸和休克各有3%的受访者报告，神经麻痹14%，感染2%，住院1%。总之，本研究表明大多数不良反应为轻度，通常包括治疗期间或治疗后的出血和轻微疼痛。此外，DN经验似乎不是影响这些不良反应类型或发生率的重要因素。
