María José Guzmán-Pavón , Ana Isabel Torres-Costoso , Iván Cavero-Redondo , Sara Reina-Gutiérrez , Patricia Lorenzo-García , Celia Álvarez-Bueno
{"title":"Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis","authors":"María José Guzmán-Pavón , Ana Isabel Torres-Costoso , Iván Cavero-Redondo , Sara Reina-Gutiérrez , Patricia Lorenzo-García , Celia Álvarez-Bueno","doi":"10.1016/j.jbmt.2024.07.003","DOIUrl":"10.1016/j.jbmt.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>The combination of dry needling and stretching has been proposed for the treatment of myofascial trigger points (MTPs), but it is not currently known whether the combination of both interventions would be of greater interest than the application of stretching alone. Thus, this systematic review aimed to compare the effectiveness of deep dry needling with stretching versus stretching alone on pain among patients with MTPs.</p></div><div><h3>Methods</h3><p>The PubMed, Web of Science, Cochrane Library, and Scopus databases were searched to identify studies analysing the effect of deep dry needling in combination with stretching versus stretching alone for the treatment of pain. The Cochrane risk of bias 2 tool (RoB2) was used to assess the risk of bias, and the DerSimonian‒Laird method was applied to estimate the pooled standard effect sizes (ESs) and their 95% confidence intervals (95% CIs).</p></div><div><h3>Results</h3><p>Five randomized controlled trials were included in this systematic review, and their pooled ES for pain was −1.73 (95% CI: −3.06; −0.40). The RoB2 tool revealed that four studies had an unclear risk of bias, and one study had a high risk of bias.</p></div><div><h3>Conclusions</h3><p>Adding deep dry needling to stretching for the treatment of MTP may be an effective approach for the treatment of pain in patients with MTPs. Further research is needed to clarify the ideal number of local twitch responses to perform during deep dry needling.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1360859224003395/pdfft?md5=89ea1c845ffc5584973275d28117fdf0&pid=1-s2.0-S1360859224003395-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vitória Maria Francisqueti Nardelli , Victor Hugo Alves Okazaki , Anderson Nascimento Guimarães , Vitor Bertoli Nascimento , Juliana Bayeux Dascal
{"title":"Effects on older adult Women's precision, strength and flexibility from resistance training and handicrafts practice","authors":"Vitória Maria Francisqueti Nardelli , Victor Hugo Alves Okazaki , Anderson Nascimento Guimarães , Vitor Bertoli Nascimento , Juliana Bayeux Dascal","doi":"10.1016/j.jbmt.2024.07.027","DOIUrl":"10.1016/j.jbmt.2024.07.027","url":null,"abstract":"<div><h3>Introduction</h3><p>As individuals age, they experience a gradual decline in strength, flexibility, and precision control. While resistance training has shown positive effects on aging, little is known about how beneficial handicrafts could be in effectively promoting motor improvements in aging. This study aimed to compare manual precision, manual grip strength, and upper limb flexibility among three groups of older adult women: (a) regular practitioners of resistance training, (b) regular practitioners of handicrafts, and (c) insufficiently active participants who did not engage in either regular resistance training or handicraft practice.</p></div><div><h3>Methods</h3><p>A total of 30 women (mean age = 67.86, SD = 7.01) were divided equally into the three groups (n = 10 per group). The participants were asked to perform a manual manipulative precision test, a manual grip strength test, and an upper limb flexibility test.</p></div><div><h3>Results</h3><p>The participants in the resistance training group exhibited superior precision and strength compared to those in the handicraft group, as well as better precision, strength, and flexibility compared to the control group participants. The handicraft group demonstrated better precision and upper limb flexibility compared to the control group.</p></div><div><h3>Conclusion</h3><p>Therefore, while resistance training was particularly beneficial for improving these motor skills, engaging in handicrafts also proved to be an effective means of maintaining and/or enhancing certain important motor abilities.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of high intensity laser therapy and dry needling on clinical signs in females with upper trapezius muscle active trigger points: A single blinded randomized clinical trial","authors":"Marzieh Yassin, Azizeh Parandnia, Javad Sarrafzadeh, Reza Salehi, Fereshteh Navaee","doi":"10.1016/j.jbmt.2024.07.031","DOIUrl":"10.1016/j.jbmt.2024.07.031","url":null,"abstract":"<div><h3>Objective</h3><p>One of the main contributors to musculoskeletal pain syndromes are myofascial trigger points (MTrPs), which are characterized by discomfort, tenderness, and restricted range of motion (ROM). In this study, patients with upper trapezius myofascial pain syndrome had their pain intensity, cervical range of motion, and disability evaluated in relation to the effectiveness of high intensity laser therapy and dry needling.</p></div><div><h3>Methods</h3><p>32 participants with active upper trapezius myofascial trigger points were split into two groups at random: one group received high intensity laser treatment (n = 16), while the other received dry needling (n = 16). All participants got relevant intervention twice weekly throughout the three weeks of treatment sessions (5 sessions). Before and after the intervention, the cervical range of movements, disability and Pain intensity were all assessed by iPhone inclinometer & goniometer, neck disability index and visual analog scale respectively.</p></div><div><h3>Results</h3><p>The visual analog scale and neck disability index significantly reduced post-intervention in both groups (P < 0.001). Moreover, the cervical range of motions significantly increased in both groups (P < 0.05). However, there was no significant difference in pain intensity, neck disability index and the cervical range of motions between the two groups (P > 0.05).</p></div><div><h3>Conclusion</h3><p>Active myofascial trigger points in the upper trapezius muscle may be effectively treated with dry needling or high-intensity laser therapy.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matheus Silveira Pedroso, Mikael Seabra Moraes, Priscila Custódio Martins, Diego Augusto Santos Silva
{"title":"Body composition and phase angle in rugby union athletes: A comparison between forward and back positions","authors":"Matheus Silveira Pedroso, Mikael Seabra Moraes, Priscila Custódio Martins, Diego Augusto Santos Silva","doi":"10.1016/j.jbmt.2024.07.013","DOIUrl":"10.1016/j.jbmt.2024.07.013","url":null,"abstract":"<div><h3>Introduction</h3><p>Rugby union has been increasingly attracting a multitude of enthusiasts over the past years. Nevertheless, there is a need for a more profound understanding of body composition, particularly regarding body fluids, and phase angle by playing position in rugby union athletes.</p></div><div><h3>Methods</h3><p>This study aimed to compare body composition components and phase angle among rugby union athletes based on their playing positions (forwards vs. backs). The sample consisted of 26 male athletes from rugby union clubs in Florianópolis, Brazil. Body composition [fat mass, lean soft tissue mass (LSTM)], body fluids (total body water, intra and extracellular water, and their proportions) and phase angle were evaluated using dual emission X-ray absorptiometry and bioelectrical impedance analysis, respectively. Statistical analysis was carried out using the analysis of covariance to compare body composition, and phase angle between playing positions (forwards vs. backs).</p></div><div><h3>Results</h3><p>The primary findings indicated that rugby union athletes playing as forwards demonstrated higher values for fat mass, FFBM, and body fluids (total body water, intracellular, and extracellular water) compared to those playing as backs (p < 0.01). No difference was observed between playing positions for the other variables.</p></div><div><h3>Conclusions</h3><p>Body composition may vary depending on the playing position in rugby union athletes.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gizem Turksen , Eylul Pinar Kisa , Begum Kara Kaya , Kiymet Muammer , Rasmi Muammer
{"title":"Effects of connective tissue massage and kinesiotaping in patients with fibromyalgia","authors":"Gizem Turksen , Eylul Pinar Kisa , Begum Kara Kaya , Kiymet Muammer , Rasmi Muammer","doi":"10.1016/j.jbmt.2024.07.009","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.07.009","url":null,"abstract":"<div><h3>Background</h3><p>Fibromyalgia (FM) is a common soft tissue rheumatic disease. There is no established treatment plan for FM. Current treatments primarily focus on controlling symptoms and improving the quality of life. The aim of our study was to determine how connective tissue massage (CTM) and kinesiotaping (KT) affect pain and depression in patients with fibromyalgia, and to compare their effects on quality of life.</p></div><div><h3>Methods</h3><p>Thirty-four patients diagnosed with fibromyalgia were included. Participants divided into two groups. Group 1: CTM (n = 17, mean age = 35.47 ± 6.84 years), Group 2: KT (n = 17, mean age = 34.00 ± 5.46 years). This study was initiated by obtaining sociodemographic information. Pain (Visual Analogue Scale (VAS)), pain characteristics (McGill Pain Questionnaire), disease impact on patients (Fibromyalgia Impact Questionnaire (FIQ)), depression (Beck's Depression Inventory (BDI)), and quality of life (Short Form-36 (SF-36)) were evaluated. All participants received electrotherapy (TENS and infrared treatment) for 25 min, 5 days a week for 4 weeks. CTM was applied 3 days a week, KT was applied 2 days a week for 4 weeks.</p></div><div><h3>Results</h3><p>A significant improvement with very large effect size was found in VAS, McGill, FIQ, BDI, and SF-36 variables in both groups (p < 0.05). The change after 4 weeks of treatment was similar between groups in terms of all parameters (p > 0.05).</p></div><div><h3>Conclusion</h3><p>Both CTM and KT improved pain, disease effects depression, and quality of life. These two interventions, which are not superior, can be added to the treatment program for patients with fibromyalgia.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141607343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Timed up and go and 30-S chair-stand tests applied via video call are reliable and provide results similar to face-to-face assessment of older adults with different musculoskeletal conditions","authors":"Jane Fonseca Dias, Rosana Ferreira Sampaio, Pollyana Ruggio Tristão Borges, Juliana Melo Ocarino, Renan Alves Resende","doi":"10.1016/j.jbmt.2024.07.021","DOIUrl":"10.1016/j.jbmt.2024.07.021","url":null,"abstract":"<div><h3>Background</h3><p>Remote assessments are promising for coping with adverse situations, such as those imposed by the COVID-19 pandemic. Measurement properties must be specific to the characteristics of the population and the context in which the instruments are used.</p></div><div><h3>Purpose</h3><p><em>s</em>: 1) To evaluate the parallel reliability of the timed up and go (TUG) and 30-s chair-stand test (30CST) performed in-person and remotely and 2) to analyze the intra-rater, inter-rater, and test-retest reliability of these tests assessed remotely in older adults with different musculoskeletal conditions.</p></div><div><h3>Methods</h3><p>The sample included 50 older adults. Parallel reliability was determined by comparing in-person and remote data. Bland-Altman plots displayed differences between tests (TUG and 30CST) performed in-person and remotely, showing the mean scores of each participant. The intra-rater, inter-rater, and test-retest reliability for remote assessments were analyzed using the intraclass correlation coefficient (ICC) with a 95% confidence interval.</p></div><div><h3>Results</h3><p>Parallel reliability was high between in-person and remote assessments (ICC >0.82). Intra-rater, inter-rater, and test-retest reliability were very high for remote assessments (ICC >0.90). The minimal detectable change for the remote assessment of TUG (MDC <1.95) and 30CST (MDC <2.39) indicated adequate sensitivity. In both tests, the standard error of the measurement was acceptable (SEM% < 10%) and Bland-Altman limits of agreement were solid.</p></div><div><h3>Conclusions</h3><p>The remote assessment of TUG and 30CST in older adults with different musculoskeletal conditions was as reliable as those performed in person and may be considered when in-person assessments are impossible.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masanobu Yokochi , Masatoshi Nakamura , Ayaka Iwata , Ryota Kaneko , Andreas Konrad , Noboru Yamada
{"title":"Efficacy of self-care foam rolling intervention on muscle function and pain conducted by postoperative patients who underwent total knee arthroplasty from the second to the third postoperative week","authors":"Masanobu Yokochi , Masatoshi Nakamura , Ayaka Iwata , Ryota Kaneko , Andreas Konrad , Noboru Yamada","doi":"10.1016/j.jbmt.2024.07.033","DOIUrl":"10.1016/j.jbmt.2024.07.033","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to investigate whether self-care foam rolling (FR) intervention, in addition to regular physical therapy, effectively improves pain, knee joint range of motion (ROM), muscle function (knee extension strength and gait speed), and balance function in patients who underwent total knee arthroplasty (TKA) during the second and third postoperative weeks.</p></div><div><h3>Methods</h3><p>A total of 15 patients admitted to the hospital and who underwent TKA for knee osteoarthritis were enrolled. FR was performed for more than 10 min in the morning and 10 min in the afternoon each day from the second to the third postoperative week. Knee flexion and extension ROM, pain (resting and stretching position), 10 m walk speed, timed up-and-go test (TUG), one-leg stand, and maximal voluntary isometric contraction torques of knee extensors were assessed.</p></div><div><h3>Results</h3><p>Significant improvements in knee flexion pain, knee flexion ROM, knee extension ROM, knee extension strength, 10 m walk speed, TUG, and one-leg stand were observed from the second to the third postoperative week. However, at rest, no statistically significant differences in pain were found.</p></div><div><h3>Conclusions</h3><p>Muscle function of the knee extensors improved following the self-care FR intervention probably attributed to the adjusted pain level.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative effects of myofascial release with and without eccentric resistance on pain, range of motion, and functional disability in patients with Achilles tendinopathy","authors":"Muhammad Sufyan Karamat , Ayesha Jamil","doi":"10.1016/j.jbmt.2024.07.029","DOIUrl":"10.1016/j.jbmt.2024.07.029","url":null,"abstract":"<div><h3>Background</h3><p>The ankle is one of the most commonly injured areas in people with active and sedentary lives. Achilles tendinopathy (AT) is characterized by pain and stiffness that limits daily living work. Myofascial release and eccentric training are believed to improve soft tissue circulation, strength, pain, ROM, and function.</p></div><div><h3>Objective</h3><p>To compare the effects of myofascial release with and without eccentric resistance on pain, range of motion, and functional disability in patients with AT.</p></div><div><h3>Methodology</h3><p>This randomized clinical trial was conducted with a sample of 72 participants selected via a convenient sampling technique. Participants were divided into two groups, Group A was given myofascial release therapy, and Group B was given myofascial release with eccentric resistance. Numeric Pain Rating Scale (NPRS), Goniometer, and Foot ankle disability index (FADI) were outcome measure tools for pain, range of motion, and functional disability. The assessment was done at baseline, 2nd and 4th week. Mann-Whitney <em>U</em> Test and Friedman's ANOVA were applied to find between-group and within-group differences. P-value was set at ≤0.05.</p></div><div><h3>Results</h3><p>There was a significant difference in pain (p = 0.03), plantarflexion ROM (p = 0.008), and functional disability (p = 0.02) between the two groups. However, no significant difference was observed in dorsiflexion (p = 0.06). Within-group differences were also significant (p < 0.05).</p></div><div><h3>Conclusion</h3><p>It is concluded that myofascial release with eccentric resistance was more effective than myofascial release without eccentric resistance in improving pain, range of motion, and functional disability in Achilles tendinopathy.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Idara Asuquo Okon PhD , Justin Atiang Beshel PhD , Albert E. Okorocha PhD , Elijah Ekene Eze , Daniel U. Owu PhD
{"title":"Blood pressure and ECG variables of healthy young males and females participating in moderate aerobic exercise","authors":"Idara Asuquo Okon PhD , Justin Atiang Beshel PhD , Albert E. Okorocha PhD , Elijah Ekene Eze , Daniel U. Owu PhD","doi":"10.1016/j.jbmt.2024.07.014","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.07.014","url":null,"abstract":"<div><h3>Introduction</h3><p>Changes in blood pressure and electrocardiogram are important factors that determine exercise testing. This study investigated blood pressure and electrocardiogram (ECG) changes in healthy young adults after performing acute moderate aerobic exercise protocols.</p></div><div><h3>Methods</h3><p>Forty young healthy untrained non-athletes, twenty males and twenty females (age, 25 ± 5.6 years; body weight, 65 ± 4.0 kg; body height, 176.9 ± 2.5 cm) were recruited for the study. The exercise regimen was acute moderate exercise for 20 min on a treadmill consistently for 14 days daily at the speed of 13 km/h. The body weight, blood pressure, and electrocardiograph were measured before and after exercise.</p></div><div><h3>Results</h3><p>There was a significant reduction (P < 0.05) in body weight (59 ± 3.2 kg) of female participants after 14 days of aerobic exercise relative to their baseline mean value (63 ± 2.9 kg). The systolic blood pressure decreased (P < 0.05) in males (117 ± 1.1 mmHg) and females (117 ± 1.0 mmHg) when compared to the mean baseline values in males (127 ± 1.3 mmHg) and females (128 ±0 .3 mmHg). The diastolic blood pressure also decreased (P < 0.05) in male (71 ± 0.88 mmHg) participants after exercise when compared to the baseline mean values (79 ± 1.2 mmHg) while there was no change in diastolic blood pressure of females. The ECG parameters remained unchanged, while the heart rate (75 ± 1.3 beats/min) increased (P < 0.05) after exercise in all participants relative to the baseline (69 ± 2 beats/min).</p></div><div><h3>Conclusion</h3><p>The results suggest that moderate aerobic exercise normalized blood pressure and electrical activity of the heart while reducing heart rate after 14 days of consistent aerobic exercise in healthy individuals.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does dry needling aid in post-training recovery? A critically appraised topic","authors":"Janice Loudon , Yvonne Ball","doi":"10.1016/j.jbmt.2024.07.017","DOIUrl":"10.1016/j.jbmt.2024.07.017","url":null,"abstract":"<div><h3>Clinical scenario</h3><p>Following intense physical training, it is common for athletes to develop muscle soreness, muscle tightness and a sense of fatigue. Minimizing the time spent in this state is advantageous to limit time off from sport, potential injury and lack of mental focus.</p></div><div><h3>Clinical question</h3><p>Does dry needling aid in post-training recovery in athletes?</p></div><div><h3>Summary of key findings</h3><p>A search was performed for articles exploring the effect of dry needling on exercise/training recovery in athletes. Six articles were included in this critically appraised topic. Three articles were randomized controlled trials, one was a cross-over design, one was a case series, and one was a survey. Five of the six studies demonstrated that dry needling had some sort of positive effect on post-training recovery. One article found DN did not improve muscle soreness after a long distance race.</p></div><div><h3>Clinical bottom line</h3><p>Based on six studies, DN provides mixed results on a variety of physiological and subjective measures. No adverse effects were reported with the use of DN on athletes following post-training.</p></div><div><h3>Strength of recommendation</h3><p>In agreement with the Center of Evidence-Based Medicine, the consistent results from three Level II and two Level III intervention studies designate that there is grade D evidence that DN may aid in some post-training recovery variables.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}