Efficacy of Fu’s Subcutaneous Needling on Myofascial Trigger Points for Lateral Epicondylalgia: A Randomized Control Trial
Lateral epicondylalgia (LE), a common overuse syndrome of the extensor muscle and tendons on the lateral epicondyle, causes persistent severe musculoskeletal pain on the outer part of the elbow. Fu’s subcutaneous needling (FSN), a newly invented subtype of acupuncture and dry needling, is a new tren...
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| Veröffentlicht in: | Evidence-based complementary and alternative medicine 2022-03, Vol.2022, p.5951327-10 |
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| creator | Huang, Ching-Hsuan Lin, Chun-Yen Sun, Mao-Feng Fu, Zhonghua Chou, Li-Wei |
| description | Lateral epicondylalgia (LE), a common overuse syndrome of the extensor muscle and tendons on the lateral epicondyle, causes persistent severe musculoskeletal pain on the outer part of the elbow. Fu’s subcutaneous needling (FSN), a newly invented subtype of acupuncture and dry needling, is a new trend and potential treatment of LE by targeting the myofascial trigger points (MTrPs). However, no scientific evidence is available to support this method. This study aims to evaluate the distal FSN treatment on the LE by measuring pain-related scales, such as visual analog scale (VAS), pressure pain threshold (PPT), muscle tissue hardness (TH), pain-free grip (PFG), and the functional outcome by a patient-rated tennis elbow evaluation (PRTEE) questionnaire study. A total of 60 LE patients were randomly divided into FSN (n = 30) and transcutaneous electrical nerve stimulation (TENS, n = 30) as the control group. Every subject was treated with three regimens and followed up for 15 days. Results showed that FSN has an immediate effect on VAS, PPT, TH, and PFG. Moreover, sustained effects on pain relief were followed up to 15 days. Pain remission was consistent with long-term PRTEE results. Overall, FSN is a safe and efficient therapy option for LE, significantly improving pain relief and activity difficulty with immediate, short-term, and long-term effectiveness. This trial is registered with ClinicalTrials.gov NCT03605563. |
| doi_str_mv | 10.1155/2022/5951327 |
| format | Article |
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Fu’s subcutaneous needling (FSN), a newly invented subtype of acupuncture and dry needling, is a new trend and potential treatment of LE by targeting the myofascial trigger points (MTrPs). However, no scientific evidence is available to support this method. This study aims to evaluate the distal FSN treatment on the LE by measuring pain-related scales, such as visual analog scale (VAS), pressure pain threshold (PPT), muscle tissue hardness (TH), pain-free grip (PFG), and the functional outcome by a patient-rated tennis elbow evaluation (PRTEE) questionnaire study. A total of 60 LE patients were randomly divided into FSN (n = 30) and transcutaneous electrical nerve stimulation (TENS, n = 30) as the control group. Every subject was treated with three regimens and followed up for 15 days. Results showed that FSN has an immediate effect on VAS, PPT, TH, and PFG. Moreover, sustained effects on pain relief were followed up to 15 days. Pain remission was consistent with long-term PRTEE results. Overall, FSN is a safe and efficient therapy option for LE, significantly improving pain relief and activity difficulty with immediate, short-term, and long-term effectiveness. This trial is registered with ClinicalTrials.gov NCT03605563.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2022/5951327</identifier><identifier>PMID: 35321501</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Acupuncture ; Elbow ; Pain ; Patients ; Questionnaires ; Remission ; Tendons ; Transcutaneous electrical nerve stimulation-TENS ; Variance analysis ; Visual thresholds</subject><ispartof>Evidence-based complementary and alternative medicine, 2022-03, Vol.2022, p.5951327-10</ispartof><rights>Copyright © 2022 Ching-Hsuan Huang et al.</rights><rights>Copyright © 2022 Ching-Hsuan Huang et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2022 Ching-Hsuan Huang et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-144c7d458e0cf4aa061a09a69bd1486e39ed10f28069a0f024fcd220181d6dfc3</citedby><cites>FETCH-LOGICAL-c378t-144c7d458e0cf4aa061a09a69bd1486e39ed10f28069a0f024fcd220181d6dfc3</cites><orcidid>0000-0002-3540-6225</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938053/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938053/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35321501$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zhang, Jianliang</contributor><contributor>Jianliang Zhang</contributor><creatorcontrib>Huang, Ching-Hsuan</creatorcontrib><creatorcontrib>Lin, Chun-Yen</creatorcontrib><creatorcontrib>Sun, Mao-Feng</creatorcontrib><creatorcontrib>Fu, Zhonghua</creatorcontrib><creatorcontrib>Chou, Li-Wei</creatorcontrib><title>Efficacy of Fu’s Subcutaneous Needling on Myofascial Trigger Points for Lateral Epicondylalgia: A Randomized Control Trial</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Lateral epicondylalgia (LE), a common overuse syndrome of the extensor muscle and tendons on the lateral epicondyle, causes persistent severe musculoskeletal pain on the outer part of the elbow. Fu’s subcutaneous needling (FSN), a newly invented subtype of acupuncture and dry needling, is a new trend and potential treatment of LE by targeting the myofascial trigger points (MTrPs). However, no scientific evidence is available to support this method. This study aims to evaluate the distal FSN treatment on the LE by measuring pain-related scales, such as visual analog scale (VAS), pressure pain threshold (PPT), muscle tissue hardness (TH), pain-free grip (PFG), and the functional outcome by a patient-rated tennis elbow evaluation (PRTEE) questionnaire study. A total of 60 LE patients were randomly divided into FSN (n = 30) and transcutaneous electrical nerve stimulation (TENS, n = 30) as the control group. Every subject was treated with three regimens and followed up for 15 days. Results showed that FSN has an immediate effect on VAS, PPT, TH, and PFG. Moreover, sustained effects on pain relief were followed up to 15 days. Pain remission was consistent with long-term PRTEE results. Overall, FSN is a safe and efficient therapy option for LE, significantly improving pain relief and activity difficulty with immediate, short-term, and long-term effectiveness. This trial is registered with ClinicalTrials.gov NCT03605563.</description><subject>Acupuncture</subject><subject>Elbow</subject><subject>Pain</subject><subject>Patients</subject><subject>Questionnaires</subject><subject>Remission</subject><subject>Tendons</subject><subject>Transcutaneous electrical nerve stimulation-TENS</subject><subject>Variance analysis</subject><subject>Visual thresholds</subject><issn>1741-427X</issn><issn>1741-4288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU1vEzEQhi1ERUvhxhlZ4oIEobbXu2tzQKqiFJDCh6BI3KyJP7auHDvYu6CgHvo3-Hv8km5IiIADpxlpnnk177wIPaDkGaV1fcIIYye1rGnF2lvoiLacTjgT4va-bz8forulXBLCZNu2d9BhVVeM1oQeoauZc16DXuPk8Nnw8_pHwR-HhR56iDYNBb-11gQfO5wifrNODor2EPB59l1nM36ffOwLdinjOfQ2j6PZyusUzTpA6Dw8x6f4A0STlv67NXiaYp_Tr30I99CBg1Ds_V09Rp_OZufTV5P5u5evp6fzia5a0U8o57o1vBaWaMcBSEOBSGjkwlAuGltJayhxTJBGAnGEcacNY4QKahrjdHWMXmx1V8NiaY224w0Q1Cr7JeS1SuDV35PoL1SXviohK0HqahR4vBPI6ctgS6-WvmgbwvZJijXjxyVvGjmij_5BL9OQ42hvQ1WCcib5SD3dUjqnUrJ1-2MoUZtY1SZWtYt1xB_-aWAP_85xBJ5sgQsfDXzz_5e7AToVrEc</recordid><startdate>20220314</startdate><enddate>20220314</enddate><creator>Huang, Ching-Hsuan</creator><creator>Lin, Chun-Yen</creator><creator>Sun, Mao-Feng</creator><creator>Fu, Zhonghua</creator><creator>Chou, Li-Wei</creator><general>Hindawi</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3540-6225</orcidid></search><sort><creationdate>20220314</creationdate><title>Efficacy of Fu’s Subcutaneous Needling on Myofascial Trigger Points for Lateral Epicondylalgia: A Randomized Control Trial</title><author>Huang, Ching-Hsuan ; 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Fu’s subcutaneous needling (FSN), a newly invented subtype of acupuncture and dry needling, is a new trend and potential treatment of LE by targeting the myofascial trigger points (MTrPs). However, no scientific evidence is available to support this method. This study aims to evaluate the distal FSN treatment on the LE by measuring pain-related scales, such as visual analog scale (VAS), pressure pain threshold (PPT), muscle tissue hardness (TH), pain-free grip (PFG), and the functional outcome by a patient-rated tennis elbow evaluation (PRTEE) questionnaire study. A total of 60 LE patients were randomly divided into FSN (n = 30) and transcutaneous electrical nerve stimulation (TENS, n = 30) as the control group. Every subject was treated with three regimens and followed up for 15 days. Results showed that FSN has an immediate effect on VAS, PPT, TH, and PFG. Moreover, sustained effects on pain relief were followed up to 15 days. Pain remission was consistent with long-term PRTEE results. Overall, FSN is a safe and efficient therapy option for LE, significantly improving pain relief and activity difficulty with immediate, short-term, and long-term effectiveness. This trial is registered with ClinicalTrials.gov NCT03605563.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>35321501</pmid><doi>10.1155/2022/5951327</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3540-6225</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Evidence-based complementary and alternative medicine, 2022-03, Vol.2022, p.5951327-10 |
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| source | PubMed Central Open Access; Wiley Online Library Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Acupuncture Elbow Pain Patients Questionnaires Remission Tendons Transcutaneous electrical nerve stimulation-TENS Variance analysis Visual thresholds |
| title | Efficacy of Fu’s Subcutaneous Needling on Myofascial Trigger Points for Lateral Epicondylalgia: A Randomized Control Trial |
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