{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:11:21Z","timestamp":1790982681783,"version":"4.1.0"},"reference-count":48,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T00:00:00Z","timestamp":1653696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Neurolog\u00eda (English Edition)"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.nrleng.2019.09.010","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T08:21:13Z","timestamp":1654158073000},"page":"806-815","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effectiveness of dry needling for headache: A systematic review"],"prefix":"10.1016","volume":"37","author":[{"given":"D.","family":"V\u00e1zquez-Justes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Yarz\u00e1bal-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Dom\u00e9nech-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Herrero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Bellosta-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nrleng.2019.09.010_bib0005","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S1474-4422(18)30499-X","article-title":"Global, regional, and national burden of neurological disorders, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016","volume":"18","author":"Feigin","year":"2019","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0010","first-page":"1546","article-title":"[Outpatient neurological services. A descriptive analysis of a consultation clinic in Baix Llobregat] Spanish","volume":"25","author":"Batalla","year":"1997","journal-title":"Rev Neurol"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0015","first-page":"633","article-title":"[A descriptive epidemiological study of a neurological outpatient clinic] Spanish","volume":"24","author":"Gracia-Naya","year":"1996","journal-title":"Rev Neurol"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0020","first-page":"577","article-title":"Analysis of in-hospital consultations between the emergency department and the on-call neurologist due to headaches","volume":"31","author":"Matias-Guiu","year":"2016","journal-title":"Neurologia"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0025","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD001218.pub2","article-title":"Acupuncture for migraine prophylaxis","volume":"1","author":"Linde","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0030","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1111\/head.13210","article-title":"The Economic cost of patients with migraine headache referred to specialist clinics","volume":"58","author":"Osumili","year":"2018","journal-title":"Headache"},{"issue":"Suppl","key":"10.1016\/j.nrleng.2019.09.010_bib0035","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1136\/aim.24.Suppl.33","article-title":"Efficacy, effectiveness, safety and costs of acupuncture for chronic pain \u2013 Results of a large research initiative","volume":"24","author":"Witt","year":"2006","journal-title":"Acupunct Med"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0040","series-title":"Guidelines for all healthcare professionals in the diagnosis and management of migraine, tension-type headache, cluster headache and medication-overuse headache","author":"British Assoiciation for the Study of Headache (BASH)","year":"2010"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0045","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1179\/2042618613Y.0000000044","article-title":"Adverse events following trigger point dry needling: A prospective survey of chartered physiotherapists","volume":"22","author":"Brady","year":"2014","journal-title":"J Man Manip Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0050","doi-asserted-by":"crossref","first-page":"2336","DOI":"10.1093\/pm\/pny021","article-title":"Cost-effectiveness evaluation of the inclusion of dry needling into an exercise program for subacromial pain syndrome: Evidence from a randomized clinical trial","volume":"19","author":"Arias-Buria","year":"2018","journal-title":"Pain Med"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0055","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1179\/108331913X13844245102034","article-title":"Dry needling: A literature review with implications for clinical practice guidelines","volume":"19","author":"Dunning","year":"2014","journal-title":"Phys Ther Rev"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0060","series-title":"Acupuncture, trigger points and musculoskeletal pain","year":"2005"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0065","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/00002060-200203000-00010","article-title":"Endplate potentials are common to midfiber myofacial trigger points","volume":"81","author":"Simons","year":"2002","journal-title":"Am J Phys Med Rehabil"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0070","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1136\/acupmed-2015-010911","article-title":"Dry needling versus acupuncture: the ongoing debate","volume":"33","author":"Zhou","year":"2015","journal-title":"Acupunct Med"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0075","doi-asserted-by":"crossref","first-page":"70E","DOI":"10.1179\/jmt.2006.14.4.70E","article-title":"Trigger point dry needling","volume":"14","author":"Dommerholt","year":"2006","journal-title":"J Man Manip Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0080","doi-asserted-by":"crossref","first-page":"133","DOI":"10.2519\/jospt.2017.7096","article-title":"The effectiveness of trigger point dry needling for musculoskeletal conditions by physical therapists: A systematic review and meta-analysis","volume":"47","author":"Gattie","year":"2017","journal-title":"J Orthop Sports Phys Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0085","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s11916-014-0437-0","article-title":"Dry needling for management of pain in the upper quarter and craniofacial region","volume":"18","author":"Kietrys","year":"2014","journal-title":"Curr Pain Headache Rep"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0090","first-page":"1","article-title":"Dry needling in subjects with muscular trigger points in the lower quarter: A systematic review","volume":"11","author":"Morihisa","year":"2016","journal-title":"Int J Sports Phys Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0095","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1177\/0333102414523847","article-title":"Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: A systematic review","volume":"34","author":"France","year":"2014","journal-title":"Cephalalgia"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0100","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0105","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1212\/WNL.44.5.837","article-title":"The Henry Ford Hospital Headache Disability Inventory (HDI)","volume":"44","author":"Jacobson","year":"1994","journal-title":"Neurology"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0110","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s10194-019-0965-4","article-title":"Efficacy of psychological treatment for headache disorder: A systematic review and meta-analysis","volume":"20","author":"Lee","year":"2019","journal-title":"J Headache Pain"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0115","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1093\/ptj\/83.8.713","article-title":"Reliability of the PEDro scale for rating quality of randomized controlled trials","volume":"83","author":"Maher","year":"2003","journal-title":"Phys Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0120","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1111\/j.1365-2796.1994.tb01102.x","article-title":"Acupuncture versus metoprolol in migraine prophylaxis: A randomized trial of trigger point inactivation","volume":"235","author":"Hesse","year":"1994","journal-title":"J Intern Med"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0125","doi-asserted-by":"crossref","first-page":"e14520","DOI":"10.1097\/MD.0000000000014520","article-title":"A randomized trial of trigger point dry needling versus sham needling for chronic tension-type headache","volume":"98","author":"Gildir","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0130","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/j.jbmt.2017.01.002","article-title":"Comparison of acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache","volume":"21","author":"Sedighi","year":"2017","journal-title":"J Bodyw Mov Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0135","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.jbmt.2018.01.009","article-title":"Dry needling versus friction massage to treat tension type headache: A randomized clinical trial","volume":"23","author":"Kamali","year":"2019","journal-title":"J Bodyw Mov Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0140","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1046\/j.1468-2982.2001.218238.x","article-title":"The \u2018dry-needle technique\u2019: Intramuscular stimulation in tension-type headache","volume":"21","author":"Karakurum","year":"2001","journal-title":"Cephalalgia"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0145","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1179\/crn.2009.008","article-title":"Botulinum toxin, lidocaine, and dry-needling injections in patients with myofascial pain and headaches","volume":"27","author":"Venancio Rde","year":"2009","journal-title":"Cranio"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0150","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1179\/crn.2008.014","article-title":"Different substances and dry-needling injections in patients with myofascial pain and headaches","volume":"26","author":"Venancio Rde","year":"2008","journal-title":"Cranio"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0155","doi-asserted-by":"crossref","first-page":"171","DOI":"10.22159\/ajpcr.2018.v11i1.22349","article-title":"Effectiveness of C1-C2 sustained natural apophyseal glide combined with dry needling on pressure point threshold and headache disability in cervicogenic headache","volume":"11","author":"Patra","year":"2018","journal-title":"Asian J Pharm Clin Res"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0160","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/0333102417738202","article-title":"The International Classification of Headache Disorders. 3rd edition","volume":"38","author":"Headache Classification Committee of the International Headache Society (IHS)","year":"2018","journal-title":"Cephalalgia"},{"issue":"2 Suppl 19","key":"10.1016\/j.nrleng.2019.09.010_bib0165","first-page":"S3","article-title":"Cervicogenic headache: Criteria, classification and epidemiology","volume":"18","author":"Sjaastad","year":"2000","journal-title":"Clin Exp Rheumatol"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0170","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/0304-3959(79)90142-8","article-title":"The needle effect in the relief of myofascial pain","volume":"6","author":"Lewit","year":"1979","journal-title":"Pain"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0175","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1007\/s11916-013-0348-5","article-title":"Physiologic effects of dry needling","volume":"17","author":"Cagnie","year":"2013","journal-title":"Curr Pain Headache Rep"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0180","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1080\/24708593.2017.1291550","article-title":"Electroencephalographic changes after application of dry needling [DNHS\u00a9 Technique] in two patients with chronic stroke","volume":"23","author":"Calvo","year":"2015","journal-title":"Myopain"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0185","doi-asserted-by":"crossref","first-page":"342165","DOI":"10.1155\/2012\/342165","article-title":"Dry needling at myofascial trigger spots of rabbit skeletal muscles modulates the biochemicals associated with pain, inflammation, and hypoxia","volume":"2012","author":"Hsieh","year":"2012","journal-title":"Evid Based Complement Alternat Med"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0190","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.apmr.2010.11.018","article-title":"Spinal cord mechanism involving the remote effects of dry needling on the irritability of myofascial trigger spots in rabbit skeletal muscle","volume":"92","author":"Hsieh","year":"2011","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0195","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1097\/PHM.0b013e3181a5b1bc","article-title":"Remote effects of dry needling on the irritability of the myofascial trigger point in the upper trapezius muscle","volume":"89","author":"Tsai","year":"2010","journal-title":"Am J Phys Med Rehabil"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0200","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/AJP.0b013e318058accb","article-title":"Central modulation of pain evoked from myofascial trigger point","volume":"23","author":"Niddam","year":"2007","journal-title":"Clin J Pain"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0205","doi-asserted-by":"crossref","first-page":"982121","DOI":"10.1155\/2014\/982121","article-title":"Remote dose-dependent effects of dry needling at distant myofascial trigger spots of rabbit skeletal muscles on reduction of substance P levels of proximal muscle and spinal cords","volume":"2014","author":"Hsieh","year":"2014","journal-title":"BioMed Res Int"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0210","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1586\/14737175.2016.1152889","article-title":"Dry needling for headaches presenting active trigger points","volume":"16","author":"Fernandez-De-Las-Penas","year":"2016","journal-title":"Expert Rev Neurother"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0215","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.nbd.2015.04.011","article-title":"Botulinum toxin in migraine: Role of transport in trigemino-somatic and trigemino-vascular afferents","volume":"79","author":"Ramachandran","year":"2015","journal-title":"Neurobiol Dis"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0220","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/j.1526-4637.2006.00151.x","article-title":"Postherpetic pain: More than sensory neuralgia?","volume":"7","author":"Weiner","year":"2006","journal-title":"Pain Med"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0225","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1179\/2042618614Y.0000000085","article-title":"The flexion-rotation test performed actively and passively: A comparison of range of motion in patients with cervicogenic headache","volume":"23","author":"Bravo Petersen","year":"2015","journal-title":"J Man Manip Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0230","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.jbmt.2015.05.003","article-title":"A critical overview of the current myofascial pain literature - July 2015","volume":"19","author":"Dommerholt","year":"2015","journal-title":"J Bodyw Mov Ther"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0235","doi-asserted-by":"crossref","first-page":"E891","DOI":"10.1097\/BRS.0b013e3181fc1e38","article-title":"An acute cervical epidural hematoma as a complication of dry needling","volume":"36","author":"Lee","year":"2011","journal-title":"Spine"},{"key":"10.1016\/j.nrleng.2019.09.010_bib0240","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1177\/0333102419828967","article-title":"Guidelines of the International Headache Society for controlled trials of acute treatment of migraine attacks in adults: Fourth edition","volume":"39","author":"Diener","year":"2019","journal-title":"Cephalalgia"}],"container-title":["Neurolog\u00eda (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173580822000621?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173580822000621?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T03:35:46Z","timestamp":1761881746000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2173580822000621"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["S2173580822000621"],"URL":"https:\/\/doi.org\/10.1016\/j.nrleng.2019.09.010","relation":{},"ISSN":["2173-5808"],"issn-type":[{"value":"2173-5808","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effectiveness of dry needling for headache: A systematic review","name":"articletitle","label":"Article Title"},{"value":"Neurolog\u00eda (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nrleng.2019.09.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.nrl.2019.09.010","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Sociedad Espa\u00f1ola de Neurolog\u00eda. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}]}}