Müller-Thyssen-Uriarte Julián, Lucha-López María Orosia, Hidalgo-García César, Sánchez-Rodríguez Rocío, Vicente-Pina Lucía, Ferrández-Laliena Loreto, Vauchelles-Barré Pierre, Tricás-Moreno José Miguel
Unidad de Investigación en Fisioterapia, Spin Off Centro Clínico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s/n, 50009 Zaragoza, Spain.
J Clin Med. 2024 Nov 30;13(23):7288. doi: 10.3390/jcm13237288.
Neck pain can be associated with specific conditions, such as neurological disorders, vascular or inflammatory diseases, fractures, herniated discs, etc. However, the majority of neck pain cases cannot be attributed to a specific cause. The objective of this review is to describe the muscle dysfunctions associated with neck pain, as measured by electromyography, and to determine the effectiveness of dry needling in improving these muscular dysfunctions. The research was conducted using the following databases: PubMed, Alcorze, and Google Scholar. The next conclusions have been extracted after the revision of the 65 selected manuscripts. The current scientific evidence supports electromyographic pathological findings in individuals with chronic neck pain, especially during general upper limb movement, repetitive work, violin playing, cervical force, and cervical movement tasks. Dry needling applied to an active myofascial trigger point in the upper trapezius can be suggested as an intervention to enhance the performance in the cranio-cervical flexion. Dry needling applied to latent myofascial trigger points in the upper trapezius after typing tasks in healthy subjects resulted in decreased upper trapezius activity and fatigue in the short term. In women with trapezius myalgia, dry needling applied to the upper trapezius led to a lower increase in electromyography activity compared to no intervention.
颈部疼痛可能与特定病症相关，如神经紊乱、血管或炎症性疾病、骨折、椎间盘突出等。然而，大多数颈部疼痛病例无法归因于特定原因。本综述的目的是描述通过肌电图测量的与颈部疼痛相关的肌肉功能障碍，并确定干针疗法在改善这些肌肉功能障碍方面的有效性。研究使用了以下数据库：PubMed、Alcorze和谷歌学术。在对65篇选定的手稿进行修订后得出了以下结论。目前的科学证据支持慢性颈部疼痛患者的肌电图病理结果，特别是在一般上肢运动、重复性工作、拉小提琴、颈部用力和颈部运动任务期间。可以建议将干针疗法应用于上斜方肌的活跃肌筋膜触发点，作为提高颅颈屈曲性能的一种干预措施。在健康受试者完成打字任务后，将干针疗法应用于上斜方肌的潜在肌筋膜触发点，短期内可导致上斜方肌活动和疲劳减轻。在患有斜方肌肌痛的女性中，与不进行干预相比，将干针疗法应用于上斜方肌导致肌电图活动增加较低。
