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Evidence-Based Complementary and Alternative Medicine
Volume 2012 (2012), Article ID 353916, 8 pages
http://dx.doi.org/10.1155/2012/353916
Research Article

Remote Subcutaneous Needling to Suppress the Irritability of Myofascial Trigger Spots: An Experimental Study in Rabbits

1FSN Institute, Nanjing University of Chinese Medicine, Nanjing 210029, China
2Department of Physical Therapy and Graduate Institute of Rehabilitation Science, China Medical University, Taichung 40402, Taiwan
3Department of Physical Therapy, Hungkuang University, Taichung 43302, Taiwan
4Department of Physical Medicine and Rehabilitation, Yangming Branch, Taipei City Hospital, Taipei 11146, Taiwan
5Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei 11221, Taiwan
6School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan
7Department of Physical Medicine and Rehabilitation, China Medical University Hospital, 2 Yuh-Der Road, Taichung 40447, Taiwan

Received 26 July 2012; Accepted 20 November 2012

Academic Editor: José M. Climent Barberá

Copyright © 2012 Zhonghua Fu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. G. Travell and D. G. Simons, Myofascial Pain and Dysfunction: The Trigger Point Manual, vol. 1, Williams & Wilkins, Baltimore, Md, USA, 1983.
  2. D. G. Simons, J. G. Travell, and L. S. Simons, Myofascial Pain and Dysfunction: The Trigger Point Manual, vol. 1, Williams & Wilkins, Baltimore, Md, USA, 2nd edition, 1999.
  3. C. Z. Hong and Y. Torigoe, “Electrophysiological characteristics of localized twitch responses in responsive taut bands of rabbit skeletal muscle fibers,” Journal of Musculoskeletal Pain, vol. 2, no. 2, pp. 17–43, 1994. View at Scopus
  4. C. Z. Hong and D. G. Simons, “Pathophysiologic and electrophysiologic mechanisms of myofascial trigger points,” Archives of Physical Medicine and Rehabilitation, vol. 79, no. 7, pp. 863–872, 1998. View at Publisher · View at Google Scholar · View at Scopus
  5. C. Z. Hong, J. T. Chen, S. M. Chen, J. J. Yan, and Y. J. Su, “Histological findings of responsive loci in a myofascial trigger spot of rabbit skeletal muscle from where localized twitch responses could be elicited,” Arch Phys Med Rehabil, vol. 77, p. 962, 1996.
  6. D. G. Simons, C. Z. Hong, and L. S. Simons, “Prevalence of spontaneous electrical activity at trigger spots and at control sites in rabbit skeletal muscle,” Journal of Musculoskeletal Pain, vol. 3, no. 1, pp. 35–48, 1995. View at Scopus
  7. D. G. Simons, C. Z. Hong, and L. S. Simons, “Endplate potentials are common to midfiber myofacial trigger points,” American Journal of Physical Medicine and Rehabilitation, vol. 81, no. 3, pp. 212–222, 2002. View at Publisher · View at Google Scholar · View at Scopus
  8. T. S. Kuan, Y. L. Hsieh, S. M. Chen, J. T. Chen, W. C. Yen, and C. Z. Hong, “The myofascial trigger point region: correlation between the degree of irritability and the prevalence of endplate noise,” American Journal of Physical Medicine and Rehabilitation, vol. 86, no. 3, pp. 183–189, 2007. View at Publisher · View at Google Scholar · View at Scopus
  9. L. W. Chou, Y. L. Hsieh, M. J. Kao, and C. Z. Hong, “Remote influences of acupuncture on the pain intensity and the amplitude changes of endplate noise in the myofascial trigger point of the upper trapezius muscle,” Archives of Physical Medicine and Rehabilitation, vol. 90, no. 6, pp. 905–912, 2009. View at Publisher · View at Google Scholar · View at Scopus
  10. L. W. Chou, Y. L. Hsieh, H. S. Chen, C. Z. Hong, M. J. Kao, and T. I. Han, “Remote therapeutic effectiveness of acupuncture in treating myofascial trigger point of the upper trapezius muscle,” American Journal of Physical Medicine & Rehabilitation, vol. 90, no. 12, pp. 1036–1049, 2011. View at Publisher · View at Google Scholar
  11. C. Z. Hong, Y. Torigoe, and J. Yu, “The localized twitch responses in responsive taut bands of rabbit skeletal muscle fibers are related to the reflexes at spinal cord level,” Journal of Musculoskeletal Pain, vol. 3, no. 1, pp. 15–33, 1995. View at Scopus
  12. J. T. Chen, S. M. Chen, T. S. Kuan, K. C. Chung, and C. Z. Hong, “Phentolamine effect on the spontaneous electrical activity of active loci in a myofascial trigger spot of rabbit skeletal muscle,” Archives of Physical Medicine and Rehabilitation, vol. 79, no. 7, pp. 790–794, 1998. View at Publisher · View at Google Scholar · View at Scopus
  13. T. S. Kuan, S.-M. Chen, J.-T. Chen, C.-H. Chien, and C.-Z. Hong, “The effect of transection of innervating nerve on spontaneous electrical activity of myofascial trigger spot in rabbit skeletal muscle,” Journal of Rehabilitation Medicine Association, vol. 29, pp. 65–75, 2001.
  14. T. S. Kuan, C. Z. Hong, J. T. Chen, S. M. Chen, and C. H. Chien, “The spinal cord connections of the myofascial trigger spots,” European Journal of Pain, vol. 11, no. 6, pp. 624–634, 2007. View at Publisher · View at Google Scholar · View at Scopus
  15. Y. L. Hsieh, L. W. Chou, Y. S. Joe, and C. Z. Hong, “Spinal cord mechanism involving the remote effects of dry needling on the irritability of myofascial trigger spots in rabbit skeletal muscle,” Archives of Physical Medicine and Rehabilitation, vol. 92, no. 7, pp. 1098–1105, 2011. View at Publisher · View at Google Scholar · View at Scopus
  16. J. T. Chen, K. C. Chung, C. R. Hou, T. S. Kuan, S. M. Chen, and C. Z. Hong, “Inhibitory effect of dry needling on the spontaneous electrical activity recorded from myofascial trigger spots of rabbit skeletal muscle,” American Journal of Physical Medicine and Rehabilitation, vol. 80, no. 10, pp. 729–735, 2001. View at Publisher · View at Google Scholar · View at Scopus
  17. T. S. Kuan, J. T. Chen, S. M. Chen, C. H. Chien, and C. Z. Hong, “Effect of botulinum toxin on endplate noise in myofascial trigger spots of rabbit skeletal muscle,” American Journal of Physical Medicine and Rehabilitation, vol. 81, no. 7, pp. 512–520, 2002. View at Publisher · View at Google Scholar · View at Scopus
  18. K. H. Chen, C. Z. Hong, F. C. Kuo, H. C. Hsu, and Y. L. Hsieh, “Electrophysiologic effects of a therapeutic laser on myofascial trigger spots of rabbit skeletal muscles,” American Journal of Physical Medicine and Rehabilitation, vol. 87, no. 12, pp. 1006–1014, 2008. View at Publisher · View at Google Scholar · View at Scopus
  19. Academy of Traditional Chinese Medicine (ATCM), An Outline of Chinese Acupuncture, Foreign Languages Press, Peking, Beijing, China, 1975.
  20. J. N. Ghia, W. Mao, T. C. Toomey, and J. M. Gregg, “Acupuncture and chronic pain mechanisms,” Pain, vol. 2, no. 3, pp. 285–299, 1976. View at Publisher · View at Google Scholar · View at Scopus
  21. R. Melzack, D. M. Stillwell, and J. Fox, “Trigger points and acupuncture points for pain: correlations and implications,” Pain, vol. 3, no. 1, pp. 3–23, 1977. View at Publisher · View at Google Scholar · View at Scopus
  22. R. Melzack, “Myofascial trigger points: relation to acupuncture and mechanisms of pain,” Archives of Physical Medicine and Rehabilitation, vol. 62, no. 3, pp. 114–117, 1981. View at Scopus
  23. X. Cheng, Chinese Acupuncture and Moxibustion, Foreign languages press, Beijing, China, 1987.
  24. A. Ellis, N. Wiseman, and K. Boss, Fundamentals of Chinese Acupuncture, Revised Edition, Paradigm Publications, Brookline, Mass, USA, 1991.
  25. P. T. Dorsher and J. Fleckenstein, “Trigger points and classical acupuncture points: part 1: qualitative and quantitative anatomic correspondences,” Deutsche Zeitschrift fur Akupunktur, vol. 51, no. 3, pp. 15–24, 2008. View at Publisher · View at Google Scholar · View at Scopus
  26. J. G. Lin and W. L. Chen, “Acupuncture analgesia: a review of its mechanisms of actions,” American Journal of Chinese Medicine, vol. 36, no. 4, pp. 635–645, 2008. View at Publisher · View at Google Scholar · View at Scopus
  27. J. G. Lin and W. L. Chen, “Review: acupuncture analgesia in clinical trials,” American Journal of Chinese Medicine, vol. 37, no. 1, pp. 1–18, 2009. View at Scopus
  28. K. Lewit, “The needle effect in the relief of myofascial pain,” Pain, vol. 6, no. 1, pp. 83–90, 1979. View at Publisher · View at Google Scholar · View at Scopus
  29. C. C. Gunn, W. E. Milbrandt, A. S. Little, and K. E. Mason, “Dry needling of muscle motor points for chronic low-back pain. A randomized clinical trial with long-term follow-up,” Spine, vol. 5, no. 3, pp. 279–291, 1980. View at Scopus
  30. C. Z. Hong, “Lidocaine injection versus dry needling to myofascial trigger point: the importance of the local twitch response,” American Journal of Physical Medicine and Rehabilitation, vol. 73, no. 4, pp. 256–263, 1994. View at Publisher · View at Google Scholar · View at Scopus
  31. J. Chu, “Dry needling (intramuscular stimulation) in myofascial pain related to lumbosacral radiculopathy,” European Journal of Physical Medicine and Rehabilitation, vol. 5, no. 4, pp. 106–121, 1995. View at Scopus
  32. J. Chu, “Does EMG (dry needling) reduce myofascial pain symptoms due to cervical nerve root irritation?” Electromyography and Clinical Neurophysiology, vol. 37, no. 5, pp. 259–272, 1997. View at Scopus
  33. J. Chu, “Twitch-obtaining intramuscular stimulation: observations in the management of radiculopathic chronic low back pain,” Journal of Musculoskeletal Pain, vol. 7, no. 4, pp. 131–146, 1999. View at Scopus
  34. L. W. Chou, J. Y. Hong, and C. Z. Hong, “A new technique for acupuncture therapy and its effectiveness in treating fibromyalgia syndrome: a case report,” Journal of Musculoskeletal Pain, vol. 16, no. 3, pp. 193–198, 2008. View at Publisher · View at Google Scholar · View at Scopus
  35. J. Chu, D. V. Neuhauser, I. Schwartz, and H. Htar Aye, “The efficacy of automated/electrical twitch obtaining intramuscular stimulation (atoims/etoims) for chronic pain control: evaluation with statistical process control methods,” Electromyography and Clinical Neurophysiology, vol. 42, no. 7, pp. 393–401, 2002. View at Scopus
  36. J. Chu, K. F. Yuen, B. H. Wang, R. C. Chan, I. Schwartz, and D. Neuhauser, “Electrical twitch-obtaining intramuscular stimulation in lower back pain: a pilot study,” American Journal of Physical Medicine and Rehabilitation, vol. 83, no. 2, pp. 104–111, 2004. View at Publisher · View at Google Scholar · View at Scopus
  37. M. F. Aranha, M. C. Alves, F. Berzin, and M. B. Gaviao, “Efficacy of electroacupuncture for myofascial pain in the upper trapezius muscle: a case series,” Revista Brasileira de Fisioterapia, vol. 15, no. 5, pp. 371–379, 2011. View at Publisher · View at Google Scholar
  38. P. Baldry, “Superficial dry needling at myofascial trigger point sites,” Journal of Musculoskeletal Pain, vol. 3, no. 3, pp. 117–126, 1995. View at Publisher · View at Google Scholar · View at Scopus
  39. P. Baldry, “Superficial dry needling,” in Fibromyalgia Syndrome: A Practitioner's Guide to Treatment, C. L. Chaitow, Ed., Churchill Livingston, Edinburgh, Scotland, 2000.
  40. Z. H. Fu and J. G. Xu, “A brief introduction to Fu's subcutaneous needling,” Pain Clinic, vol. 17, no. 3, pp. 343–348, 2005. View at Publisher · View at Google Scholar · View at Scopus
  41. Z. H. Fu, X. Y. Chen, L. J. Lu, J. Lin, and J. G. Xu, “Immediate effect of Fu's subcutaneous needling for low back pain,” Chinese Medical Journal, vol. 119, no. 11, pp. 953–956, 2006. View at Scopus
  42. Z. H. Fu, J. H. Wang, J. H. Sun, X. Y. Chen, and J. G. Xu, “Fu's subcutaneous needling: possible clinical evidence of the subcutaneous connective tissue in acupuncture,” Journal of Alternative and Complementary Medicine, vol. 13, no. 1, pp. 47–51, 2007. View at Publisher · View at Google Scholar · View at Scopus
  43. Y. Huang, “The clinical assessment of the treatment of 675 cases of painful diseases with Fu's subcutaneous needling,” International Journal of Clinical Acupuncture, vol. 14, no. 3, pp. 165–168, 2005.
  44. J. Chen, W. M. Htut, S. Wang, Y. Huang, and Q. Li, “The anesthetic effect of an innovative acupuncture technique: Fu's subcutaneous needling technique,” International Journal of Clinical Acupuncture, vol. 14, no. 3, pp. 207–212, 2005.
  45. M. Zimmermann, “Ethical guidelines for investigations of experimental pain in conscious animals,” Pain, vol. 16, no. 2, pp. 109–110, 1983. View at Publisher · View at Google Scholar · View at Scopus
  46. P. L. Wood, “Animal models in analgesic testing,” in Analgesics: Neurochemical, Behavioral and Clinical Perspective, M. Kuhar and G. Pasternak, Eds., pp. 175–182, Raven Press, New York, NY, USA, 1984.
  47. C. Z. Hong, “Myofascial trigger points: pathophysiology and correlation with acupuncture points,” Acupuncture in Medicine, vol. 18, no. 1, pp. 41–47, 2000. View at Scopus
  48. H. M. Langevin, D. L. Churchill, and M. J. Cipolla, “Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture,” FASEB Journal, vol. 15, no. 12, pp. 2275–2282, 2001. View at Publisher · View at Google Scholar · View at Scopus