ArticleReferred pain elicited by palpation and by needling of myofascial trigger points: A comparison☆
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Dry needling in chronic abdominal wall pain of uncertain origin
2019, Journal of Bodywork and Movement TherapiesCitation Excerpt :LTR during needling is also a sensitive measure and objective confirmation of needles penetrated in to the correct spot and should be used as the primary goal to achieve maximal response (Ge et al., 2008). The number of LTRs elicited was directly proportional to subjective pain intensity and LTR would be elicited in 100% of MTrPs treated by dry needling (Hong et al., 1997). The mechanism by which the LTR relieves pain is still not fully understood but studies have shown that LTR is associated with immediate and long-lasting pain relief than no elicitation of LTR (Shah et al., 2008).
The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?
2017, Journal of Bodywork and Movement TherapiesCitation Excerpt :Moreover, early studies (Hong, 1994b; Hong et al., 1997b) also observed that the number of LTRs elicited was directly proportional to subjective pain intensity before needling of MTrPs. Hong et al. (1997b) further found the LTR was elicited in 100% of MTrPs treated with needling, while manual palpation prior to injection was only able to elicit the LTR in 39% of the same MTrPs, a phenomenon which is likely due to the needle tip's ability to directly stimulate sensitive loci (Hong et al., 1997b). TrPDN to elicit the LTR is associated with neurophysiological responses (Cagnie et al., 2013) that may contribute to its therapeutic effects.
Interrater Reliability in the Clinical Evaluation of Myofascial Trigger Points in Three Ankle Muscles
2016, Journal of Manipulative and Physiological TherapeuticsClinical assessment of patients with orofacial pain and temporomandibular disorders
2013, Dental Clinics of North AmericaCitation Excerpt :Palpation may also reveal trigger points, which are hyperirritable sites in muscle taut bands. Provocation of trigger points causes significant discomfort and may refer pain to an adjacent location.14,15 Referred pain from the cervical muscles to the orofacial region is common1 and palpation of cervical muscles should be included in a comprehensive assessment of orofacial pain.
Basic concepts of myofascial trigger points (TrPs)
2013, Trigger Point Dry Needling: An Evidence and Clinical-Based ApproachProposed mechanisms and effects of trigger point dry needling
2013, Trigger Point Dry Needling: An Evidence and Clinical-Based Approach
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