Current state of dry needling practices: a comprehensive analysis on use, training, and safety.

Background and Objectives: Dry needling (DN) is a technique that involves inserting a thin filament needle through the skin to target myofascial trigger points for the treatment of musculoskeletal pain and dysfunction. Despite its efficacy in a broad plethora of musculoskeletal pain conditions, its...

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Autores: Valera Calero, Juan Antonio, Plaza Manzano, Gustavo, Rabanal-Rodríguez, Gabriel, Díaz-Arribas, María José, D. Kobylarz, Mateusz, Buffet-García, Jorge, Fernández de las Peñas, César, Navarro-Santana, Marcos José
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad Francisco de Vitoria
Repositorio:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
Idioma:inglés
OAI Identifier:oai:ddfv.ufv.es:10641/5494
Acceso en línea:https://hdl.handle.net/10641/5494
Access Level:acceso abierto
Palabra clave:Adverse effects
Dry needling
Myofascial trigger points
Risk management
Safety management
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spelling Current state of dry needling practices: a comprehensive analysis on use, training, and safety.Valera Calero, Juan AntonioPlaza Manzano, GustavoRabanal-Rodríguez, GabrielDíaz-Arribas, María JoséD. Kobylarz, MateuszBuffet-García, JorgeFernández de las Peñas, CésarNavarro-Santana, Marcos JoséAdverse effectsDry needlingMyofascial trigger pointsRisk managementSafety managementBackground and Objectives: Dry needling (DN) is a technique that involves inserting a thin filament needle through the skin to target myofascial trigger points for the treatment of musculoskeletal pain and dysfunction. Despite its efficacy in a broad plethora of musculoskeletal pain conditions, its safety remains a topic of debate among clinicians and researchers. The aim of this study was to provide an overview of the current practice of DN through a national survey, focusing on the frequency of its use and the incidence of adverse events (AEs), considering factors including physiotherapist experience, clinical workload, the extent of training received by practitioners, and the use of ultrasound guidance. Materials and Methods: An online cross-sectional survey was conducted. Respondents were licensed physical therapists (PTs) working in Spain. The survey covered demographics, professional data, frequency of adverse effects, and if they use ultrasound routinary for guiding interventions. Results: A total of 422 PTs participated in the study, mostly having 21–60 h of DN training (38.6%), less than 2 years of experience (36%), and not using ultrasound during the interventions (85.5%). Post-needling soreness and bent needles were the most common AEs, with most severe events rarely reported. Adverse event frequencies varied significantly based on training hours, experience, patient percentage treated with DN, and weekly clinical dedication. Clinicians with more hours of DN training or fewer years of experience reported higher incidences of certain complications. Conclusions: DN is a common intervention among PTs, with minor AEs frequently occurring and major AEs being less common but still significant. The accidental puncture of non-desired structures highlights the necessity for improve training on anatomical landmarks, needle insertion depth, cross-sectional anatomy education, and patient monitoring. To ensure safe practice, emphasize comprehensive training, adhere to safety protocols, exercise caution, and prioritize the use of ultrasound-guide is encouraged.MDPI20242024-01-0120242024-01-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10641/5494reponame:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoriainstname:Universidad Francisco de VitoriaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddfv.ufv.es:10641/54942026-06-11T12:44:57Z
dc.title.none.fl_str_mv Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
title Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
spellingShingle Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
Valera Calero, Juan Antonio
Adverse effects
Dry needling
Myofascial trigger points
Risk management
Safety management
title_short Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
title_full Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
title_fullStr Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
title_full_unstemmed Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
title_sort Current state of dry needling practices: a comprehensive analysis on use, training, and safety.
dc.creator.none.fl_str_mv Valera Calero, Juan Antonio
Plaza Manzano, Gustavo
Rabanal-Rodríguez, Gabriel
Díaz-Arribas, María José
D. Kobylarz, Mateusz
Buffet-García, Jorge
Fernández de las Peñas, César
Navarro-Santana, Marcos José
author Valera Calero, Juan Antonio
author_facet Valera Calero, Juan Antonio
Plaza Manzano, Gustavo
Rabanal-Rodríguez, Gabriel
Díaz-Arribas, María José
D. Kobylarz, Mateusz
Buffet-García, Jorge
Fernández de las Peñas, César
Navarro-Santana, Marcos José
author_role author
author2 Plaza Manzano, Gustavo
Rabanal-Rodríguez, Gabriel
Díaz-Arribas, María José
D. Kobylarz, Mateusz
Buffet-García, Jorge
Fernández de las Peñas, César
Navarro-Santana, Marcos José
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Adverse effects
Dry needling
Myofascial trigger points
Risk management
Safety management
topic Adverse effects
Dry needling
Myofascial trigger points
Risk management
Safety management
description Background and Objectives: Dry needling (DN) is a technique that involves inserting a thin filament needle through the skin to target myofascial trigger points for the treatment of musculoskeletal pain and dysfunction. Despite its efficacy in a broad plethora of musculoskeletal pain conditions, its safety remains a topic of debate among clinicians and researchers. The aim of this study was to provide an overview of the current practice of DN through a national survey, focusing on the frequency of its use and the incidence of adverse events (AEs), considering factors including physiotherapist experience, clinical workload, the extent of training received by practitioners, and the use of ultrasound guidance. Materials and Methods: An online cross-sectional survey was conducted. Respondents were licensed physical therapists (PTs) working in Spain. The survey covered demographics, professional data, frequency of adverse effects, and if they use ultrasound routinary for guiding interventions. Results: A total of 422 PTs participated in the study, mostly having 21–60 h of DN training (38.6%), less than 2 years of experience (36%), and not using ultrasound during the interventions (85.5%). Post-needling soreness and bent needles were the most common AEs, with most severe events rarely reported. Adverse event frequencies varied significantly based on training hours, experience, patient percentage treated with DN, and weekly clinical dedication. Clinicians with more hours of DN training or fewer years of experience reported higher incidences of certain complications. Conclusions: DN is a common intervention among PTs, with minor AEs frequently occurring and major AEs being less common but still significant. The accidental puncture of non-desired structures highlights the necessity for improve training on anatomical landmarks, needle insertion depth, cross-sectional anatomy education, and patient monitoring. To ensure safe practice, emphasize comprehensive training, adhere to safety protocols, exercise caution, and prioritize the use of ultrasound-guide is encouraged.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10641/5494
url https://hdl.handle.net/10641/5494
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
instname:Universidad Francisco de Vitoria
instname_str Universidad Francisco de Vitoria
reponame_str DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
collection DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
repository.name.fl_str_mv
repository.mail.fl_str_mv
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