{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:50:33Z","timestamp":1777380633327,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"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":["Acupunct Med"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To determine the presence of post-needling induced pain in subjects who had suffered a stroke and received trigger point (TrP) dry needling (DN), and to investigate the effects of including TrP-DN into a rehabilitation program for shoulder pain in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A randomized clinical trial was conducted. Sixteen patients who had suffered a stroke and presented with shoulder pain were randomly assigned to receive rehabilitation alone or rehabilitation combined with DN. Both groups received a neurorehabilitation session including modulatory interventions targeting the central nervous system. Patients in the DN group also received a single session of DN over active TrPs in the shoulder musculature. A numerical pain rating scale (NPRS, 0\u201310) was used to asses post-needling induced pain at 1\u2009min, 24\u2009h, and 72\u2009h after needling. Shoulder pain (NPRS, 0\u201310) was assessed at baseline, and 3 and 7\u2009days after DN in both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five (62%) patients receiving TrP-DN reported post-needling induced pain. Post hoc analysis found that post-needling induced pain decreased significantly at 24 and 72\u2009h (both p\u2009&lt;\u20090.001) after DN. Patients receiving TrP-DN plus rehabilitation exhibited greater decreases in shoulder pain intensity at 3\u2009days (\u0394\u2009=\u2009\u22124.2, 95% confidence interval (CI)\u2009=\u2009\u22125.8 to \u22122.6) and 7\u2009days (\u0394\u2009=\u2009\u22124.3, 95% CI\u2009=\u2009\u22125.9 to \u22122.7) after the intervention compared with those receiving rehabilitation alone (all p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This trial found that 50% of stroke patients receiving DN experienced post-needling induced pain, a side effect that almost disappeared 72\u2009h after the intervention without any additional therapeutic action. In addition, the inclusion of TrP-DN into a rehabilitation session was effective at decreasing shoulder pain in these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0964528419882941","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T06:10:46Z","timestamp":1580710246000},"page":"150-157","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Post-needling soreness and trigger point dry needling for hemiplegic shoulder pain following stroke"],"prefix":"10.1177","volume":"38","author":[{"given":"Ana","family":"Mendigut\u00eda-G\u00f3mez","sequence":"first","affiliation":[{"name":"Department of Physical Therapy-Rehabilitation, Hospital Beata Mar\u00eda Ana, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda T","family":"Quintana-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy-Rehabilitation, Hospital Beata Mar\u00eda Ana, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Mart\u00edn-Sevilla","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy-Rehabilitation, Hospital Beata Mar\u00eda Ana, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"de Lorenzo-Barrientos","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Estad\u00edstica, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Rodr\u00edguez-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorc\u00f3n, Spain"},{"name":"C\u00e1tedra de Investigaci\u00f3n y Docencia en Fisioterapia: Terapia Manual y Punci\u00f3n Seca, Universidad Rey Juan Carlos, Alcorc\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3772-9690","authenticated-orcid":false,"given":"C\u00e9sar","family":"Fern\u00e1ndez-de-las-Pe\u00f1as","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorc\u00f3n, Spain"},{"name":"C\u00e1tedra de Investigaci\u00f3n y Docencia en Fisioterapia: Terapia Manual y Punci\u00f3n Seca, Universidad Rey Juan Carlos, Alcorc\u00f3n, Spain"},{"name":"Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Alcorc\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8548-4427","authenticated-orcid":false,"given":"Jos\u00e9 L","family":"Arias-Bur\u00eda","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorc\u00f3n, Spain"},{"name":"C\u00e1tedra de Investigaci\u00f3n y Docencia en Fisioterapia: Terapia Manual y Punci\u00f3n Seca, Universidad Rey Juan Carlos, Alcorc\u00f3n, 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