Evidence map›Paper›PMID 34205103›Full record

Trial reportInternational journal of environmental research and public health2021

Immediate Effects of Dry Needling on the Autonomic Nervous System and Mechanical Hyperalgesia: A Randomized Controlled Trial.

Irene Lázaro-Navas, Cristina Lorenzo-Sánchez-Aguilera, Daniel Pecos-Martín, Jose Jesús Jiménez-Rejano, Marcos Jose Navarro-Santana, Josué Fernández-Carnero, Tomás Gallego-Izquierdo

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 25% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Irene Lázaro-NavasDepartment of Physical Therapy, University Hospital Ramón y Cajal, 28034 Madrid, Spain.ORCID 0000-0003-4634-9200
Cristina Lorenzo-Sánchez-AguileraUniversity of Alcalá, Instituto de Fisioterapia y Dolor, 28805 Madrid, Spain.ORCID 0000-0003-3074-3270
Daniel Pecos-MartínUniversity of Alcalá, Instituto de Fisioterapia y Dolor, 28805 Madrid, Spain.ORCID 0000-0001-8690-0998
Jose Jesús Jiménez-RejanoDepartment of Physical Therapy, Faculty of Nursing, Physiotherapy and Podology, University of Sevilla, 41009 Sevilla, Spain.ORCID 0000-0003-3358-3305
Marcos Jose Navarro-SantanaRehabilitation San Fernando, Alcalá de Henares, 28801 Madrid, Spain.
Josué Fernández-CarneroDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, 28922 Madrid, Spain.ORCID 0000-0002-1314-624X
Tomás Gallego-IzquierdoUniversity of Alcalá, Instituto de Fisioterapia y Dolor, 28805 Madrid, Spain.
Universidad de Alcalá · ESUniversidad de Sevilla · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDry needling (DN) is often used for the treatment of muscle pain among physiotherapists. However, little is known about the mechanisms of action by which its effects are generated. The aim of this randomized controlled trial was to determine if the use of DN in healthy subjects activates the sympathetic nervous system, thus resulting in a decrease in pain caused by stress.

methodsSixty-five healthy volunteer subjects were recruited from the University of Alcala, Madrid, Spain, with an age of 27.78 (SD = 8.41) years. The participants were randomly assigned to participate in a group with deep DN in the adductor pollicis muscle or a placebo needling group. The autonomic nervous system was evaluated, in addition to local and remote mechanical hyperalgesia.

resultsIn a comparison of the moment at which the needling intervention was carried out with the baseline, the heart rate of the dry needling group significantly increased by 20.60% (SE = 2.88), whereas that of the placebo group increased by 5.33% (SE = 2.32) (

conclusionsThis work appears to indicate that dry needling produces an immediate activation in the sympathetic nervous system, improving local and distant mechanical hyperalgesia.

Indexed as

Dry NeedlingAdultAutonomic Nervous SystemHumansHyperalgesiaPain ThresholdSpainautonomic nervous systemcortisoldry needlingpain physiologyphysiological effects

Identifiers

PMID34205103
PMCPMC8199958
OpenAlexW3166506610

What OpenQuestion holds

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Registered trials

None linked

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.