SynthesisThe Journal of manual & manipulative therapy2021
Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis.
Synthesis in The Journal of manual & manipulative therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 8 of them syntheses that pooled 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.
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.
Efficacy of Dry Needling and Ischaemic Compression of the Scapula Angularis Muscle in Patients With Cervicalgia. Randomised Clinical Trial
Comparison of Effects Of Dry Needling And Myofascial Massage Therapy On Masseter Muscle In Patients With Temporomandibular Joint Dysfunction
Who cites it
40 citing papers in PubMed, 8 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Efficacy of Myofascial Release Therapy and Related Soft-Tissue Techniques for Pain in Temporomandibular Disorders: A Systematic Review of Randomized Controlled Trials.Journal of oral rehabilitation · 2026Pooled it
- Deep Versus Superficial Dry Needling for Neck Pain: A Systematic Review of Randomised Clinical Trials.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Caution is necessary in interpreting musculoskeletal physiotherapy intervention outcomes: a methodological review of physiotherapy neuromusculoskeletal reviews.The Journal of manual & manipulative therapy · 2025Pooled it
- Acupuncture combined therapy for the treatment of nape dorsal myofascial pain syndrome: meta-analysis, systematic evaluation, and GRADE evaluation.Frontiers in medicine · 2025Pooled it
- A systematic review and meta-analysis of randomized controlled trials on the effectiveness of high-intensity laser therapy in the management of neck pain.Lasers in medical science · 2024Pooled it
- An overview of systematic reviews examining the quantitative sensory testing-derived hypoalgesic effects of manual therapy for musculoskeletal pain.The Journal of manual & manipulative therapy · 2024Pooled it
- Effectiveness of deep dry needling versus manual therapy in the treatment of myofascial temporomandibular disorders: a systematic review and network meta-analysis.Chiropractic & manual therapies · 2023Pooled it
- A dual-database bibliometric analysis on dry needling for pain: Global trends and hotspots from web of science core collection and Scopus (2006-2025).Frontiers in neurologyPooled it
- Efficacy of ultrasound-guided myofascial hydrodissection technique in myofascial pain syndrome of upper trapezius: a randomized controlled trial.Scientific reports · 2025Trial
- Comparative effects of Bowen therapy and tennis ball technique on pain and functional disability in patients with thoracic myofascial pain syndrome.Journal of orthopaedic surgery and research · 2023Trial
- Prognostic role of affected side of the sacroiliac joint in pain recurrence after total hip arthroplasty with prior manual correction of iliosacral dislocation: prospective randomized clinical study.International orthopaedics · 2022Trial
- Dry needling in active or latent trigger point in patients with neck pain: a randomized clinical trial.Scientific reports · 2022Trial
- Immediate Effects of Fascial Manipulation on Pain in Patients with Myofascial Densification and Central Sensitization: A Case Series.International journal of therapeutic massage & bodywork · 2026Article
- Ultrasound-guided platelet-rich plasma myofascial injection for chronic low back pain: a retrospective study.BMC musculoskeletal disorders · 2026Article
- Comparison of interfascial plane injection and trigger point injection for upper trapezius myofascial pain syndrome in young women: a prospective cohort study.Frontiers in medicine · 2026Article
- Review
- Article
- Evaluating Effects of Skin Needling Treatment on Visible Changes and Elasticity of Scars Using High-Frequency Ultrasound, CutometerJournal of clinical medicine · 2025Article
- Ultrasound features of myofascial trigger points: a multimodal study integrating preliminary histological findings from the upper trapezius.Scientific reports · 2025Article
- Myofascial Pain Syndrome: An Update on Clinical Characteristics, Etiopathogenesis, Diagnosis, and Treatment.Muscle & nerve · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with myofascial pain syndrome of the neck and upper back have active trigger points and may present with pain and decreased function. Dry needling (DN) and trigger point manual therapy (TMPT) techniques are often used to manage MPS.
objectiveTo compare DN and TPMT for reducing pain on the Visual Analog Scale (VAS) and Pressure Pain Threshold (PPT) scores and improving function on the Neck Disability Index (NDI) in patients with neck and upper back MPS.
methodsPubMed, PEDro, and CINAHL were searched for randomized controlled trials within the last 10 years comparing a group receiving DN and the other receiving TPMT. Studies were assessed using PEDro scale and Cochrane risk-of-bias tool to assess methodological quality. Meta-analyses were performed using random-effect model. Standardized mean differences (Cohen's d) and confidence intervals were calculated to compare DN to TPMT for effects on VAS, PPT, and NDI.
resultsSix randomized controlled trials with 241 participants total were included in this systematic review. The effect size of difference between DN and TPMT was non-significant for VAS [d = 0.41 (-0.18, 0.99)], for PPT [d = 0.64 (-0.19, 1.47)], and for NDI [d = -0.66 (-1.33, 0.02)].
conclusionsBoth DN and TPMT improve pain and function in the short to medium term. Neither is more superior than the other.
Indexed as
Identifiers
What OpenQuestion holds
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.