Evidenzlage bzgl. DryNeedling-Therapie
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Wir haben heute ein gut geprüftes Verständnis darüber, auf welchen pathophysiologischen Prozessen die Entstehung von Myofaszialen Triggerzonen beruht und wie diese an Patient-Innen indentifiziert werden können.
Anhand von labor-medizinischen Studien konnte schlüssig dargelegt werden, wie die Nadelbehandlung ursächlich und nachhaltig bei Schmerzbeschwerden wirkt. Die Evidenzlage zum Outcome von DryNeedling Therapie ist mittels RCTs und Metaanalysen breit abgestützt für verschiedene Körperregionen und/oder medizinische Indikationen. Im Verlauf der letzten 5 Jahre ist die Zahl qualitativ hochstehender Publikationen rapide angestiegen. Derzeit ist es eine Herausforderung, den Überblick zu behalten. Nachstehend werden im Sinn von "Aus der Theorie für die Praxis" handlungsrelevante Erkenntnisse in Form einer einfach gehaltenen Literaturliste mit Studienquellen aufgeführt. Fehlt Ihnen ein Evidenznachweis zu einem bestimmten Thema? Fragen Sie bei uns nach - Wir tun unser Bestes, entsprechende Literatur zu besorgen. |
Literaturliste zu E B M von DryNeedling
Biomedizinische Basics/Übersicht
Fernández-de-Las-Peñas, C.; Nijs, J. Trigger point dry needling for the treatment of myofascial pain syndrome: Current perspectives within a pain neuroscience paradigm. J. Pain Res. 2019 Steen J; Myofascial Pain Syndrome: An Update on Clinical Diagnosis and Treatement; Muscle Nerve 2025
Diagnostik
A. T. Rathbone et al ; Interrater Agreement of Manual Palpation for Identification of Myofascial Trigger Points: A Systematic Review and Meta-Analysi ; Clin J of Pain, 2017
Mayoral del Moral O. ; Validity and Reliability of Clinical Examination in the Diagnosis of Myofascial Pain Syndrome and Myofascial Trigger Points in Upper Quarter Muscles, ; Pain Med, 2018
Fernandez‐de‐Las‐Penas C. and Dommerholt J. ; International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study,” Pain Medicine 19, no. 1, 2018
Aetiologie
Shah J. P. ; Uncovering the Biochemical Milieu of Myofascial Trigger Points Using In Vivo Microdialysis ; J of Bodywork and Mov Ther,2008
Vedolin G. et al ; The Impact of Stress and Anxiety on the Pressure Pain Threshold of Myofascial Pain ; J of Oral Rehab 2009
Pain Mechanismen
Mense S., Simons D. G ; Appearance of New Receptive Fields in Rat Dorsal Horn Neurons Following Noxious Stimulation of Skeletal Muscle: A Model for Referral of Muscle Pain?,” Neurosc Letters, 1993
Hong C.‐Z. and Simons D. G ; Pathophysiologic and Electrophysiologic Mechanisms of Myofascial Trigger Points ; Arch of Physi Med and Rehab, 1998
Simons D. G., Hong C.‐Z. ; Endplate Potentials Are Common to Midfiber Myofacial Trigger Points,” Am J of Phys Med and Rehab, 2002
Outcome generell
Sánchez-Infante, J. et al; Dry Needling Applied by Physical Therapists Effective for Pain in Musculoskeletal Conditions? A Systematic Review and Meta-Analysis. Phys. Ther. 2021 Chys M.l; Clinical Effectiveness of Dry Needling in Patients with Musculoskeletal Pain ; J Clin Med, 2023
Outcome HWS/Kopf/Kiefer
Navarro-Santana, M.J. et al; Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis. J. Clin. Med. 2020
Pourahmadi, M. et al; M. Dry Needling for the Treatment of Tension-Type, Cervicogenic, or Migraine Headaches: A Systematic Review and Meta-Analysis. Phys. Ther. 2021
Vier, C. et al; The effectiveness of dry needling for patients with orofacial pain associated with temporomandibular dysfunction: A systematic review and meta-analysis. Braz. J. Phys. Ther. 2019
Al-Moraissi, E.A. et al ; Needling therapies in the management of myofascial pain of the masticatory muscles: A network meta-analysis of randomised clinical trials. J. Oral Rehabil. 2025 Vasquez-Justes D.; Effectiveness of dry needling for headache: A systematic review ; Neurologia, 2022 Kandeel M. ; Dry needling techniques as a treatment for improving disability and pain in patients with different types of headache: A systematic review and meta-analysis ; Compl Ther Med, 2024
Outcome Schulter
Navarro-Santana et al; Effects of Trigger Point Dry Needling for Nontraumatic Shoulder Pain of Musculoskeletal Origin: A Systematic Review and Meta-Analysis. Phys. Ther. 2021
Blanco-Diaz, M. et al; A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome. Biology 2022,
Outcome Ellbogen/Hand
Navarro-Santana et al.; Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: A systematic review and meta-analysis. Clin. Rehabil. 2020
Outcome US/Fuss/Achillessehne
He,C.; Effectiveness of trigger point dry needling for plantar heel pain: A meta-analysis of seven randomized controlled trials. J. Pain Res. 2017
Llurda-Almuzara, L. et al; Is Dry Needling Effective for the Management of Plantar Heel Pain or Plantar Fasciitis? An Updated Systematic Review and Meta-Analysis. Pain Med. 2021
Outcome LBP/LWS
Liu, L. et al ; Evidence for Dry Needling in the Management of Myofascial Trigger Points Associated with Low Back Pain: A Systematic Review and Meta-Analysis. Arch. Phys. Med. Rehabil. 2018 Rajfur J. ;The effectiveness of dry needling in patients with chronic low back pain: a prospective, randomized, single-blinded study ; Random Control trial, 2022
Outcome Knie/Hüfte
Rahou-El-Bachiri, Y. et al; Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis. J. Clin. Med. 2020
Ughreja, R.A.; Effectiveness of dry needling techniques in patients with knee osteoarthritis: A systematic review and meta-analysis. J. Bodyw. Mov. Ther. 2021,
Bijan F. et al ; Efficacy of trigger point dry needling on pain and function of the hip joint: a systematic review of randomized clinical trials ; Acupunct Med, 2024 Jimenez-del-Bario S.; The Effectiveness of Dry Needling in Patients with Hip or Knee Osteoarthritis: A Systematic Review and Meta-Analysis; Life, 2024
Biomedizinische Basics/Übersicht
Fernández-de-Las-Peñas, C.; Nijs, J. Trigger point dry needling for the treatment of myofascial pain syndrome: Current perspectives within a pain neuroscience paradigm. J. Pain Res. 2019 Steen J; Myofascial Pain Syndrome: An Update on Clinical Diagnosis and Treatement; Muscle Nerve 2025
Diagnostik
A. T. Rathbone et al ; Interrater Agreement of Manual Palpation for Identification of Myofascial Trigger Points: A Systematic Review and Meta-Analysi ; Clin J of Pain, 2017
Mayoral del Moral O. ; Validity and Reliability of Clinical Examination in the Diagnosis of Myofascial Pain Syndrome and Myofascial Trigger Points in Upper Quarter Muscles, ; Pain Med, 2018
Fernandez‐de‐Las‐Penas C. and Dommerholt J. ; International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study,” Pain Medicine 19, no. 1, 2018
Aetiologie
Shah J. P. ; Uncovering the Biochemical Milieu of Myofascial Trigger Points Using In Vivo Microdialysis ; J of Bodywork and Mov Ther,2008
Vedolin G. et al ; The Impact of Stress and Anxiety on the Pressure Pain Threshold of Myofascial Pain ; J of Oral Rehab 2009
Pain Mechanismen
Mense S., Simons D. G ; Appearance of New Receptive Fields in Rat Dorsal Horn Neurons Following Noxious Stimulation of Skeletal Muscle: A Model for Referral of Muscle Pain?,” Neurosc Letters, 1993
Hong C.‐Z. and Simons D. G ; Pathophysiologic and Electrophysiologic Mechanisms of Myofascial Trigger Points ; Arch of Physi Med and Rehab, 1998
Simons D. G., Hong C.‐Z. ; Endplate Potentials Are Common to Midfiber Myofacial Trigger Points,” Am J of Phys Med and Rehab, 2002
Outcome generell
Sánchez-Infante, J. et al; Dry Needling Applied by Physical Therapists Effective for Pain in Musculoskeletal Conditions? A Systematic Review and Meta-Analysis. Phys. Ther. 2021 Chys M.l; Clinical Effectiveness of Dry Needling in Patients with Musculoskeletal Pain ; J Clin Med, 2023
Outcome HWS/Kopf/Kiefer
Navarro-Santana, M.J. et al; Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis. J. Clin. Med. 2020
Pourahmadi, M. et al; M. Dry Needling for the Treatment of Tension-Type, Cervicogenic, or Migraine Headaches: A Systematic Review and Meta-Analysis. Phys. Ther. 2021
Vier, C. et al; The effectiveness of dry needling for patients with orofacial pain associated with temporomandibular dysfunction: A systematic review and meta-analysis. Braz. J. Phys. Ther. 2019
Al-Moraissi, E.A. et al ; Needling therapies in the management of myofascial pain of the masticatory muscles: A network meta-analysis of randomised clinical trials. J. Oral Rehabil. 2025 Vasquez-Justes D.; Effectiveness of dry needling for headache: A systematic review ; Neurologia, 2022 Kandeel M. ; Dry needling techniques as a treatment for improving disability and pain in patients with different types of headache: A systematic review and meta-analysis ; Compl Ther Med, 2024
Outcome Schulter
Navarro-Santana et al; Effects of Trigger Point Dry Needling for Nontraumatic Shoulder Pain of Musculoskeletal Origin: A Systematic Review and Meta-Analysis. Phys. Ther. 2021
Blanco-Diaz, M. et al; A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome. Biology 2022,
Outcome Ellbogen/Hand
Navarro-Santana et al.; Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: A systematic review and meta-analysis. Clin. Rehabil. 2020
Outcome US/Fuss/Achillessehne
He,C.; Effectiveness of trigger point dry needling for plantar heel pain: A meta-analysis of seven randomized controlled trials. J. Pain Res. 2017
Llurda-Almuzara, L. et al; Is Dry Needling Effective for the Management of Plantar Heel Pain or Plantar Fasciitis? An Updated Systematic Review and Meta-Analysis. Pain Med. 2021
Outcome LBP/LWS
Liu, L. et al ; Evidence for Dry Needling in the Management of Myofascial Trigger Points Associated with Low Back Pain: A Systematic Review and Meta-Analysis. Arch. Phys. Med. Rehabil. 2018 Rajfur J. ;The effectiveness of dry needling in patients with chronic low back pain: a prospective, randomized, single-blinded study ; Random Control trial, 2022
Outcome Knie/Hüfte
Rahou-El-Bachiri, Y. et al; Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis. J. Clin. Med. 2020
Ughreja, R.A.; Effectiveness of dry needling techniques in patients with knee osteoarthritis: A systematic review and meta-analysis. J. Bodyw. Mov. Ther. 2021,
Bijan F. et al ; Efficacy of trigger point dry needling on pain and function of the hip joint: a systematic review of randomized clinical trials ; Acupunct Med, 2024 Jimenez-del-Bario S.; The Effectiveness of Dry Needling in Patients with Hip or Knee Osteoarthritis: A Systematic Review and Meta-Analysis; Life, 2024