Post-stroke spasticity is associated with restriction in the range of motion of the shoulder.Reducing muscular dystrophy may help relieve muscular dysfunction in patients with post-stroke shoulder spasticity.Dry needl...Post-stroke spasticity is associated with restriction in the range of motion of the shoulder.Reducing muscular dystrophy may help relieve muscular dysfunction in patients with post-stroke shoulder spasticity.Dry needle therapy is a method of needling the trigger points using a syringe needle without the use of a drug.Dry needle therapy is commonly used for pain at the shoulder,neck,waist,and back.In this case study,a 62-year-old male patient affected with cerebral hemorrhage of the right frontal lobe had received rehabilitative treatment for 12 years.However,he still experienced shoulder spasticity.The patient received daily dry needling at the trigger points of infraspinatus,teres minor,posterior deltoid,and pectoralis major on 9 days.After the first and ninth treatment,the Modified Ashworth Scale and the passive range of motion of the shoulder was used to assess the effect of the treatment.The spasticity and range of motion of the shoulder showed obvious improvement.These results indicate that dry needling at the myofascial trigger points can effectively treat chronic poststroke shoulder spasticity.展开更多
目的比较超声引导下干针与体外冲击波治疗(ESWT)对老年足底筋膜炎(PF)的临床疗效。方法2018年8月—2020年2月,选取南通市第六人民医院疼痛科收治的58例老年PF患者,随机分为干针组(n=29)和ESWT组(n=29)。分别于治疗前(T_(0))、1个疗程治...目的比较超声引导下干针与体外冲击波治疗(ESWT)对老年足底筋膜炎(PF)的临床疗效。方法2018年8月—2020年2月,选取南通市第六人民医院疼痛科收治的58例老年PF患者,随机分为干针组(n=29)和ESWT组(n=29)。分别于治疗前(T_(0))、1个疗程治疗结束后4周(T_(1))、1个疗程治疗结束后12周(T_(2)),对患者的"第一步"-数字疼痛评分(NRS)和改良的Roles and Maudsley评分(RMS)进行比较。结果干针组和ESWT组T_(1)、T_(2)的NRS、RMS均低于同组T0(P<0.01),且各组内T1和T2的NRS、RMS差异均无统计学意义(P>0.05)。干针组T,的NRS、RMS均低于ESWT组(P<0.05),干针组T2的RMS低于ESWT组(P<0.05),2组间T_(2)的NRS差异无统计学意义(P>0.05)。结论超声引导下干针和ESWT对于老年PF均有一定疗效,前者缓解疼痛起效更快,改善足踝功能的效果更佳。展开更多
In the last twenty years, in the United States and other Western countries, dry needling （DN） became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the autho...In the last twenty years, in the United States and other Western countries, dry needling （DN） became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the authoritative information of DN versus acupuncture to academic scholars, healthcare professional administrators, lawmakers, and the general public through providing the authoritative evidence and experts＇ opinions regarding critical issues of DN versus acupuncture, and then reach consensus. DN is the use of dry needles alone, either solid filiform acupuncture needles or hollow-core hypodermic needles, to insert into the body for the treatment of muscle pain and related myofascial pain syndrome. DN is sometimes also known as intramuscular stimulation, trigger points （TrP） acupuncture, TrP DN, myofascial TrP DN, or biomedical acupuncture. InWestern countries, DN is a form of simplified acupuncture using biomedical language in treating myofascial pain, a contemporary development of a portion of Ashi point acupuncture from Chinese acupuncture. It seeks to redefine acupuncture by reframing its theoretical principles in a Western manner. DN-like needling with filiform needles have been widely used in Chinese acupuncture practice over the past 2,000 years, and with hypodermic needles has been used in China in acupuncture practice for at least 72 years. In Eastern countries, such as China, since late of 1800s or earlier, DN is a common name of acupuncture among acupuncturists and the general public, which has a broader scope of indications, not limited to treating the myofascial pain.展开更多
Objective: Acupuncture guidelines have advised caution when treating women during pregnancy,because historical ‘‘forbidden" acupuncture points are believed to stimulate miscarriage or early labor.Despite recent...Objective: Acupuncture guidelines have advised caution when treating women during pregnancy,because historical ‘‘forbidden" acupuncture points are believed to stimulate miscarriage or early labor.Despite recent research demonstrating that acupuncture is a useful and safe treatment tool for pregnancy-related low-back pain(LBP) and pelvic girdle pain(PGP), it is postulated that fear of miscarriage and subsequent blame by association, restricts its provision. More recently, an increase in dry needling(DN) courses for physiotherapists has potentiated the rapid growth in DN practice in New Zealand(NZ). Many dry needlers do not consider DN to be a form of acupuncture; it is unknown if they have similar safety concerns.Methods: NZ registered physiotherapists practicing acupuncture and/or DN were invited to participate in an electronic survey to examine their practice and level of understanding in regard to safe needling during pregnancy.Results: Of 124 respondents, only 60(48%) would needle pregnant women, with a further 66% of those still expressing safety concerns. NZ physiotherapists practicing DN only, were more likely to needle areas related to ‘‘forbidden" points in all trimesters. However, overall, NZ physiotherapists were less likely to needle ‘‘forbidden" points than their UK peers.Conclusion: Conflicting literature and a ‘‘fear of blame" influences NZ physiotherapists' decisions to offer needling(both acupuncture and DN) during pregnancy. Further training in this field is recommended to ensure safe practice and adequate provision of acupuncture treatment options for pregnant women suffering musculoskeletal pain, such as LBP and PGP. Further research, particularly into DN, for women during pregnancy, is warranted.展开更多
文摘Post-stroke spasticity is associated with restriction in the range of motion of the shoulder.Reducing muscular dystrophy may help relieve muscular dysfunction in patients with post-stroke shoulder spasticity.Dry needle therapy is a method of needling the trigger points using a syringe needle without the use of a drug.Dry needle therapy is commonly used for pain at the shoulder,neck,waist,and back.In this case study,a 62-year-old male patient affected with cerebral hemorrhage of the right frontal lobe had received rehabilitative treatment for 12 years.However,he still experienced shoulder spasticity.The patient received daily dry needling at the trigger points of infraspinatus,teres minor,posterior deltoid,and pectoralis major on 9 days.After the first and ninth treatment,the Modified Ashworth Scale and the passive range of motion of the shoulder was used to assess the effect of the treatment.The spasticity and range of motion of the shoulder showed obvious improvement.These results indicate that dry needling at the myofascial trigger points can effectively treat chronic poststroke shoulder spasticity.
文摘目的比较超声引导下干针与体外冲击波治疗(ESWT)对老年足底筋膜炎(PF)的临床疗效。方法2018年8月—2020年2月,选取南通市第六人民医院疼痛科收治的58例老年PF患者,随机分为干针组(n=29)和ESWT组(n=29)。分别于治疗前(T_(0))、1个疗程治疗结束后4周(T_(1))、1个疗程治疗结束后12周(T_(2)),对患者的"第一步"-数字疼痛评分(NRS)和改良的Roles and Maudsley评分(RMS)进行比较。结果干针组和ESWT组T_(1)、T_(2)的NRS、RMS均低于同组T0(P<0.01),且各组内T1和T2的NRS、RMS差异均无统计学意义(P>0.05)。干针组T,的NRS、RMS均低于ESWT组(P<0.05),干针组T2的RMS低于ESWT组(P<0.05),2组间T_(2)的NRS差异无统计学意义(P>0.05)。结论超声引导下干针和ESWT对于老年PF均有一定疗效,前者缓解疼痛起效更快,改善足踝功能的效果更佳。
文摘In the last twenty years, in the United States and other Western countries, dry needling （DN） became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the authoritative information of DN versus acupuncture to academic scholars, healthcare professional administrators, lawmakers, and the general public through providing the authoritative evidence and experts＇ opinions regarding critical issues of DN versus acupuncture, and then reach consensus. DN is the use of dry needles alone, either solid filiform acupuncture needles or hollow-core hypodermic needles, to insert into the body for the treatment of muscle pain and related myofascial pain syndrome. DN is sometimes also known as intramuscular stimulation, trigger points （TrP） acupuncture, TrP DN, myofascial TrP DN, or biomedical acupuncture. InWestern countries, DN is a form of simplified acupuncture using biomedical language in treating myofascial pain, a contemporary development of a portion of Ashi point acupuncture from Chinese acupuncture. It seeks to redefine acupuncture by reframing its theoretical principles in a Western manner. DN-like needling with filiform needles have been widely used in Chinese acupuncture practice over the past 2,000 years, and with hypodermic needles has been used in China in acupuncture practice for at least 72 years. In Eastern countries, such as China, since late of 1800s or earlier, DN is a common name of acupuncture among acupuncturists and the general public, which has a broader scope of indications, not limited to treating the myofascial pain.
文摘Objective: Acupuncture guidelines have advised caution when treating women during pregnancy,because historical ‘‘forbidden" acupuncture points are believed to stimulate miscarriage or early labor.Despite recent research demonstrating that acupuncture is a useful and safe treatment tool for pregnancy-related low-back pain(LBP) and pelvic girdle pain(PGP), it is postulated that fear of miscarriage and subsequent blame by association, restricts its provision. More recently, an increase in dry needling(DN) courses for physiotherapists has potentiated the rapid growth in DN practice in New Zealand(NZ). Many dry needlers do not consider DN to be a form of acupuncture; it is unknown if they have similar safety concerns.Methods: NZ registered physiotherapists practicing acupuncture and/or DN were invited to participate in an electronic survey to examine their practice and level of understanding in regard to safe needling during pregnancy.Results: Of 124 respondents, only 60(48%) would needle pregnant women, with a further 66% of those still expressing safety concerns. NZ physiotherapists practicing DN only, were more likely to needle areas related to ‘‘forbidden" points in all trimesters. However, overall, NZ physiotherapists were less likely to needle ‘‘forbidden" points than their UK peers.Conclusion: Conflicting literature and a ‘‘fear of blame" influences NZ physiotherapists' decisions to offer needling(both acupuncture and DN) during pregnancy. Further training in this field is recommended to ensure safe practice and adequate provision of acupuncture treatment options for pregnant women suffering musculoskeletal pain, such as LBP and PGP. Further research, particularly into DN, for women during pregnancy, is warranted.
