Research Article
Volume 13 Issue 3 - 2022
Clinical Research Report of the Intricate Application of Dry Needling in Eliciting Trigger Points Local Twitch Response (TP-LTR) in the Upper Trapezius (UT) Region

Masahiro Takakura1, Jessica Norton2, Sharon Blaney3 and Nicholas A Kerna4,5*

1Seattle Nature Cure Clinic, Seattle, WA, United States
2Integrative Medicine Group, Seattle, WA, United States
3Bastyr University, Kenmore, WA, United States
4SMC-Medical Research, Thailand
5First InterHealth Group, Thailand

*Corresponding Author: Nicholas A Kerna, (mailing address) POB47 Phatphong, Suriwongse Road, Bangkok, Thailand 10500. Contact: medpublab+drkerna@gmail.com.
Received: January 04, 2021; Published: February 28, 2022




Abstract

Background: No past studies have examined the local twitch response (LTR) in the upper trapezius (UT), using multiple needles with manipulation. Prior and published research studies have focused primarily on a single-needle approach.

Purpose: This study was designed and performed to collect data on the LTR and its relationship to the number of (acupuncture or dry needling) needles that create biotensegrity tension in neuro-myofascial dynamics (to ultimately bring about relief from UT tension and related symptoms).

Methods: Data were gathered from qualified clinic patients and volunteers from a study population. All selected study participants were experiencing increased upper trapezius (UT) tension and pain or discomfort in the UT region. Certified practitioners located possible trigger points (TPs) by palpation. Treatment procedures—utilizing Ashi points—were applied. The subsequent data were evaluated to determine the most efficacious number and size of needles in effecting biotensegrity tension in neuro-myofascial dynamics and the subjects’ release or relief from UT tension.

Results: Based primarily on pre-treatment and post-treatment interviews and questionnaires, the results were analyzed using statistical bar graphs (tables). Primary data utilized determined the following. The average number of needles used was 3.15 for the right side and 2.73 for the left side. The average thrusts were 18 for the right side and 12.9 for the left side. The average number of 90-degree twists was 0.5 for the right side and 0.8 for the left side. The average number of 180-degree twists was 18.4 for the right side and 12.05 for the left side. The average duration of relief was 5.475 days, and the average duration of soreness was 16.2 hours.

Conclusion: Specific results of this study depicted a 3-D neuro-myofascial dynamics matrix using multiple needles, multiple thrusts and twists, and multiple LTR locations. These results demonstrated that overall and on average, multiple needling with larger gauge needles (based on participants’ tolerances) was more effective in reducing UT tension and associated symptoms (and longer-lasting relief) than the more conventional and utilized one-needle protocol.

Keywords: Acupuncture; Anti-Inflammatory; Biotensegrity; Dry-Needling; Manipulation; Motor Points; Neuro-Myofascial

References

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Citation: Takakura M, Norton J, Blaney S, Kerna NA.“Clinical Research Report of the Intricate Application of Dry Needling in Eliciting Trigger Points Local Twitch Response (TP-LTR) in the Upper Trapezius (UT) Region”. EC Orthopaedics 13.3 (2022): 63-78.

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