Evidence map›Paper›PMID 30935332›Full record

ReviewThe Journal of manual & manipulative therapy2019

New perspectives on dry needling following a medical model: are we screening our patients sufficiently?

Gary Kearns, César Fernández-De-Las-Peñas, Jean-Michel Brismée, Josué Gan, Jacqueline Doidge

Registry-linked trialAbstract readReview
In one paragraph

Review in The Journal of manual & manipulative therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07309874 (Effect of Ultrasound-Guided Dry Needling Targeting Rectus Capitus Posterior Major on Individuals With Headaches), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07309874 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Ultrasound-Guided Dry Needling Targeting Rectus Capitus Posterior Major on Individuals With Headaches

TypeinterventionalSponsorTexas Tech University Health Sciences CenterRan2026 to 2026Enrolled50ConditionsHeadache Disorders, Primary, Headache, CervicogenicArmsDry needling
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Safety of dry needling to the upper lumbar spine: a pilot cadaver study.The Journal of manual & manipulative therapy · 2020
    Article
  8. Needling: is there a point?The Journal of manual & manipulative therapy · 2019
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gary Kearnsa Physical Therapy (DPT) Program, Department of Rehabilitation Sciences , School of Health Professions, Texas Tech University Health Sciences Center , Lubbock , TX , USA.ORCID http://orcid.org/0000-0002-6530-2611
César Fernández-De-Las-Peñasb Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine , Universidad Rey Juan Carlos , Alcorcón , Madrid , Spain.ORCID http://orcid.org/0000-0003-3772-9690
Jean-Michel Brisméee Center for Rehabilitation Research & Doctor of Science (ScD) Program in Physical, Department of Rehabilitation Sciences , School of Health Professions, Texas Tech University Health Sciences Center , Lubbock , TX , USA.ORCID http://orcid.org/0000-0002-1037-7704
Josué Ganf Institute of Physiotherapy, School of Health Professions , Zurich University of Applied Sciences ZHAW , Winterthur , Switzerland.ORCID http://orcid.org/0000-0002-0058-2114
Jacqueline Doidgeh Optimal Dry Needling Solutions , Tuscon , AZ , USA.ORCID http://orcid.org/0000-0002-0498-4399

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myofascial trigger points are not an isolated neuromusculoskeletal phenomenon and have been implicated in systemic, visceral, and metabolic pathology, as a side effect of some medications and in the presence of psychological risk factors. This complexity can complicate adequate screening of patients prior to choosing dry needling as a treatment intervention. Regardless of whether clinicians practice in a direct access setting, they should be cognizant of medical conditions, comorbidities, and risk factors that will influence clinical decisions for dry-needling appropriateness, technique chosen, and potential adverse responses to treatment. Of primary concern are conditions that can either manifest with myalgia and/or myopathy or masquerade as a more common musculoskeletal condition. This clinical commentary reviews system-specific considerations and other common disorders that should be screened for and discusses not only whether dry needling is appropriate but comments on technique and dosage considerations when initiating dry needling.

Indexed as

Dry NeedlingPatient SafetyContraindications, ProcedureHumansRisk FactorsTrigger PointsDry needlesafetyscreeningtrigger point

Identifiers

PMID30935332
PMCPMC6598537

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.