{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T05:07:56Z","timestamp":1782796076252,"version":"3.54.5"},"reference-count":26,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2014,3,12]],"date-time":"2014-03-12T00:00:00Z","timestamp":1394582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is good evidence in the literature supporting physiotherapy in the management of some forms of headache. Dry needling of myofascial trigger points is becoming an increasingly common approach despite a paucity of research evidence supporting its use. The purpose of this review was to determine the evidence supporting the use of dry needling in addition to conventional physiotherapy in the management of tension-type and cervicogenic headache.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Ten databases were searched for evidence of the effect of dry needling on the severity and frequency of tension and cervicogenic headache based ICHD classifications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three relevant studies were identified and all three showed statistically significant improvements following dry needling, but no significant differences between groups. Only one study reported on headache frequency or intensity, reporting a 45\u2009mm improvement in VAS score following the addition of dry needling to conventional physiotherapy. Two studies showed significant improvements with dry needling over 4\u20135 weeks of treatment. No adverse events were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The literature suggests that while there is insufficient evidence to strongly advocate for the use of dry needling, it may be a useful addition to conventional physiotherapy in headache management. Further research with a stronger methodological design is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102414523847","type":"journal-article","created":{"date-parts":[[2014,3,12]],"date-time":"2014-03-12T22:39:23Z","timestamp":1394663963000},"page":"994-1003","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":60,"title":["Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: A systematic review"],"prefix":"10.1177","volume":"34","author":[{"given":"Stacey","family":"France","sequence":"first","affiliation":[{"name":"Port Lincoln Health Service, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Bown","sequence":"additional","affiliation":[{"name":"Aim Physiotherapy and Work Health Solutions, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Nowosilskyj","sequence":"additional","affiliation":[{"name":"The Physio Clinic, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Mott","sequence":"additional","affiliation":[{"name":"Repatriation General Hospital, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Rand","sequence":"additional","affiliation":[{"name":"Physiotherapy Pilates Proactive, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Walters","sequence":"additional","affiliation":[{"name":"University of South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,3,12]]},"reference":[{"key":"bibr1-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-9752(10)97002-4"},{"key":"bibr2-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-9752(10)97068-1"},{"key":"bibr3-0333102414523847","first-page":"1","volume":"1","author":"World Health Organization","year":"2012","journal-title":"WHO"},{"key":"bibr4-0333102414523847","unstructured":"Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders 2nd Edition.\n                      Cephalalgia\n                      2004; 24(1 suppl); 1\u2013160."},{"key":"bibr5-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-005-0194-x"},{"key":"bibr6-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(04)00735-5"},{"key":"bibr7-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-9752(10)97029-2"},{"key":"bibr8-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.09.026"},{"key":"bibr9-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2007.07.003"},{"key":"bibr10-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00062-3"},{"key":"bibr11-0333102414523847","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2010.05.090296"},{"key":"bibr12-0333102414523847","first-page":"CD007587","author":"Linde K","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr13-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(98)90371-9"},{"key":"bibr14-0333102414523847","unstructured":"Scottish Intercollegiate Guidelines Network (SIGN). Guideline on Diagnosis and Management of Headache in Adults: A national clinical guideline. 2008, 2008."},{"key":"bibr15-0333102414523847","unstructured":"World Health Organization. Headache Disorders Fact Sheet, 2004. http:\/\/www.who.int\/mediacentre\/factsheets\/fs277\/en\/ (2004, accessed 13 July 2012)."},{"key":"bibr16-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001351.pub2"},{"key":"bibr17-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2001.218238.x"},{"key":"bibr18-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1179\/crn.2008.014"},{"key":"bibr19-0333102414523847","first-page":"9","volume":"3","author":"Sillevis R","year":"2011","journal-title":"J Physiother"},{"key":"bibr20-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2009.02017.x"},{"key":"bibr21-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1136\/emj.18.3.205"},{"key":"bibr22-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(79)90049-6"},{"key":"bibr23-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(83)90202-6"},{"key":"bibr24-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1179\/106698108790818422"},{"key":"bibr25-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2007.01288.x"},{"key":"bibr26-0333102414523847","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2006.00365.x"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102414523847","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0333102414523847","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102414523847","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:47:32Z","timestamp":1777387652000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0333102414523847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,12]]},"references-count":26,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["10.1177\/0333102414523847"],"URL":"https:\/\/doi.org\/10.1177\/0333102414523847","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,12]]}}}