{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:33:24Z","timestamp":1792100004741,"version":"4.4.0"},"reference-count":67,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T00:00:00Z","timestamp":1660176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Fibromyalgia (FM) is a syndrome that involves chronic pain, fatigue, sleep disturbance and impaired quality of life and daily functioning. In addition to medical and psychological therapies, other therapies including acupuncture and dry needling aim to reduce pain and disability in patients with FM. The aim of this study was to investigate the efficacy of dry needling and acupuncture in patients with FM regarding pain, function and disability in both the short and the long term. MEDLINE, PubMed, SCOPUS and Web of Science databases were systematically searched for randomized controlled trial studies evaluating efficacy data of dry needling or\/and acupuncture treatments to improve pain, fatigue, sleep disturbance and impaired quality of life and\/or daily function. A qualitative analysis including the methodological quality and a systematic data synthesis was performed. A total of 25 studies addressed the selection criteria. Most studies had an acceptable methodological quality. Four studies assessed the effect of dry needling, and twenty-one studies assessed the effect of acupuncture. In general, both interventions improved pain, anxiety, depression, fatigue, stiffness, quality of sleep and quality of life. However, both techniques were not compared in any study. Acupuncture and dry needling therapies seems to be effective in patients with FM, since both reduced pain pressure thresholds, anxiety, depression, fatigue, sleep disturbances and disability in the short term. It is still required to compare both techniques and their application in the long term.<\/jats:p>","DOI":"10.3390\/ijerph19169904","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T21:15:05Z","timestamp":1660252505000},"page":"9904","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Efficacy of Dry Needling and Acupuncture in Patients with Fibromyalgia: A Systematic Review and Meta-Analysis"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3379-8392","authenticated-orcid":false,"given":"Juan Antonio","family":"Valera-Calero","sequence":"first","affiliation":[{"name":"VALTRADOFI Research Group, Department of Physiotherapy, Faculty of Health, Universidad Camilo Jos\u00e9 Cela, 28692 Villanueva de la Ca\u00f1ada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28933 Alcorc\u00f3n, Spain"},{"name":"C\u00e1tedra Institucional en Docencia, Cl\u00ednica e Investigaci\u00f3n en Fisioterapia: Terapia Manual, Punci\u00f3n Seca y Ejercicio Terap\u00e9utico, Universidad Rey Juan Carlos, 28933 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6065-9283","authenticated-orcid":false,"given":"Marcos Jos\u00e9","family":"Navarro-Santana","sequence":"additional","affiliation":[{"name":"Faculty of Health, Universidad Cat\u00f3lica de \u00c1vila (UCAV), 05005 \u00c1vila, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1596-5027","authenticated-orcid":false,"given":"Gustavo","family":"Plaza-Manzano","sequence":"additional","affiliation":[{"name":"Grupo InPhysio, Instituto de Investigaci\u00f3n Sanitaria del Hospital Cl\u00ednico San Carlos (IdISSC), 28040 Madrid, Spain"},{"name":"Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.semarthrit.2016.08.012","article-title":"2016 Revisions to the 2010\/2011 fibromyalgia diagnostic criteria","volume":"46","author":"Wolfe","year":"2016","journal-title":"Semin. Arthritis Rheum."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1001\/jama.2014.3266","article-title":"Fibromyalgia: A clinical review","volume":"311","author":"Clauw","year":"2014","journal-title":"JAMA"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1093\/rheumatology\/kep439","article-title":"Efficacy of acupuncture in fibromyalgia syndrome\u2013A systematic review with a meta-analysis of controlled clinical trials","volume":"49","author":"Langhorst","year":"2010","journal-title":"Rheumatology"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1155\/2013\/918216","article-title":"2012 Canadian Guidelines for the diagnosis and management of fibromyalgia syndrome: Executive summary","volume":"18","author":"Fitzcharles","year":"2013","journal-title":"Pain Res. Manag."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1007\/s11916-003-0035-z","article-title":"Epidemiology of fibromyalgia","volume":"7","author":"Neumann","year":"2003","journal-title":"Curr. Pain Headache Rep."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2235","DOI":"10.1080\/09638288.2018.1461259","article-title":"Improvement in clinical outcomes after dry needling versus myofascial release on pain pressure thresholds, quality of life, fatigue, pain intensity, quality of sleep, anxiety, and depression in patients with fibromyalgia syndrome","volume":"41","year":"2019","journal-title":"Disabil. Rehabil."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.ejpain.2004.07.012","article-title":"Altered processing of pain-related information in patients with fibromyalgia","volume":"9","author":"Montoya","year":"2005","journal-title":"Eur. J. Pain"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1002\/art.10893","article-title":"Neurophysiologic evidence for a central sensitization in patients with fibromyalgia","volume":"48","author":"Desmeules","year":"2003","journal-title":"Arthritis Rheum."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"285","DOI":"10.2217\/pmt-2015-0002","article-title":"Pain and sex hormones: A review of current understanding","volume":"6","author":"Maurer","year":"2016","journal-title":"Pain Manag."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1124\/jpet.115.227298","article-title":"Fibromyalgia syndrome in need of effective treatments","volume":"355","author":"Theoharides","year":"2015","journal-title":"J. Pharmacol. Exp. Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"485272","DOI":"10.1155\/2013\/485272","article-title":"Treatment of fibromyalgia syndrome: Recommendations of recent evidence-based interdisciplinary guidelines with special emphasis on complementary and alternative therapies","volume":"2013","author":"Ablin","year":"2013","journal-title":"Evid. Based Complement. Altern. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1136\/annrheumdis-2016-209724","article-title":"EULAR revised recommendations for the management of fibromyalgia","volume":"76","author":"Macfarlane","year":"2017","journal-title":"Ann. Rheum. Dis."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/S0254-6272(15)30037-6","article-title":"Efficacy of acupuncture on fibromyalgia syndrome: A meta-analysis","volume":"34","author":"Yang","year":"2014","journal-title":"J. Tradit. Chin. Med."},{"key":"ref_14","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":"ref_15","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":"ref_16","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.ctim.2017.06.003","article-title":"Dry needling in the management of myofascial trigger points: A systematic review of randomized controlled trials","volume":"33","author":"Tejeda","year":"2017","journal-title":"Complement Ther. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/B978-0-12-411545-3.00001-8","article-title":"History of acupuncture research","volume":"111","author":"Zhuang","year":"2013","journal-title":"Int. Rev. Neurobiol."},{"key":"ref_18","first-page":"CD007070","article-title":"Acupuncture for treating fibromyalgia","volume":"2013","author":"Deare","year":"2013","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_19","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":"ref_20","doi-asserted-by":"crossref","first-page":"8757685","DOI":"10.1155\/2019\/8757685","article-title":"Comparing Verum and Sham Acupuncture in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis","volume":"2019","author":"Kim","year":"2019","journal-title":"Evid. Based Complement. Altern. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"527","DOI":"10.2147\/JPR.S186227","article-title":"Acupuncture therapy for fibromyalgia: A systematic review and meta-analysis of randomized controlled trials","volume":"12","author":"Zhang","year":"2019","journal-title":"J. Pain Res."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., and PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med., 6.","DOI":"10.1371\/journal.pmed.1000097"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1136\/bmj.315.7109.672","article-title":"Papers that summarise other papers (systematic reviews and meta-analyses)","volume":"315","author":"Greenhalgh","year":"1997","journal-title":"BMJ"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"209","DOI":"10.15171\/bi.2017.25","article-title":"Study-based registers of randomized controlled trials: Starting a systematic review with data extraction or meta-analysis","volume":"7","author":"Shokraneh","year":"2017","journal-title":"Bioimpacts"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0004-9514(09)70043-1","article-title":"The PEDro scale is a valid measure of the methodological quality of clinical trials: A demographic study","volume":"55","year":"2009","journal-title":"Aust. J. Physiother."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1136\/ebm.13.6.162-a","article-title":"GRADE: Assessing the quality of evidence for diagnostic recommendations","volume":"13","author":"Oxman","year":"2008","journal-title":"BMJ Evid. Based Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.2522\/ptj.20130627","article-title":"Introduction to the GRADE approach for guideline development: Considerations for physical therapist practice","volume":"94","author":"Austin","year":"2014","journal-title":"Phys. Ther."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.1177\/0962280216669183","article-title":"Optimally estimating the sample mean from the sample size, median, mid-range, and\/or mid-quartile range","volume":"27","author":"Luo","year":"2018","journal-title":"Stat. Methods Med. Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4300\/JGME-D-12-00156.1","article-title":"Using Effect Size\u2014Or Why the P Value Is Not Enough","volume":"4","author":"Sullivan","year":"2012","journal-title":"J. Grad. Med. Educ."},{"key":"ref_30","unstructured":"Higgins, J.P.T., Churchill, R., Chandler, J., and Cumpston, M.S. (2017). Analyzing data and undertaking metanalyses. Cochrane Handbook for Systematic Reviews of Interventions Version 5.2.0 (Updated June 2017), Cochrane."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1037\/1082-989X.11.2.193","article-title":"Assessing heterogeneity in meta-analysis: Q statistic or I2 index?","volume":"11","author":"Botella","year":"2006","journal-title":"Psychol. Methods"},{"key":"ref_32","first-page":"52","article-title":"Effectiveness of acupuncture therapy for pain relief in patients with fibromyalgia","volume":"4","year":"2010","journal-title":"Rev. Int. Acupunt."},{"key":"ref_33","first-page":"94","article-title":"Acupuncture and traditional Chinese dietary therapy in the treatment of patients with fibromyalgia. A randomized prospective study","volume":"6","year":"2012","journal-title":"Rev. Int. Acupunt."},{"key":"ref_34","first-page":"112","article-title":"Complementary treatment in fibromyalgia: Combination of somatic and abdominal acupuncture","volume":"30","author":"Iannuccelli","year":"2012","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_35","first-page":"6","article-title":"Scalp acupuncture and acupuncture for treatment of patients with fibromyalgia. Prospective randomized study","volume":"7","year":"2013","journal-title":"Rev. Int. Acupunt."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1007\/s00296-013-2759-3","article-title":"Short-term improvement following dry needle stimulation of tender points in fibromyalgia","volume":"34","author":"Casanueva","year":"2014","journal-title":"Rheumatol. Int."},{"key":"ref_37","first-page":"121","article-title":"Randomized prospective study to assess the effectiveness of several therapeutic procedures of traditional Chinese medicine in alleviation of pain and improvement in the standard of living in patients with fibromyalgia","volume":"8","year":"2014","journal-title":"Rev. Int. Acupunt."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.rbr.2014.06.001","article-title":"Acupuntura na fibromialgia: Um estudo randomizado-controlado abordando a resposta imediata da dor [Acupuncture in fibromyalgia: A randomized, controlled study addressing the immediate pain response]","volume":"54","author":"Stival","year":"2014","journal-title":"Rev. Bras. Reumatol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1089\/acm.2014.0199","article-title":"Effects of music in combination with vibration in acupuncture points on the treatment of fibromyalgia","volume":"21","author":"Weber","year":"2015","journal-title":"J. Altern. Complement. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S2095-4964(16)60235-2","article-title":"Short-term complementary and alternative medicine on quality of life in women with fibromyalgia","volume":"14","author":"Cavalcante","year":"2016","journal-title":"J. Integr. Med."},{"key":"ref_41","first-page":"147","article-title":"Fibromyalgia syndrome treated with acupuncture at the acupoints of the affected meridians and heavy moxibustion at painful points: A randomized controlled trial","volume":"36","author":"Li","year":"2016","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1136\/acupmed-2015-010950","article-title":"Acupuncture for fibromyalgia in primary care: A randomised controlled trial","volume":"34","author":"Vas","year":"2016","journal-title":"Acupunct. Med."},{"key":"ref_43","first-page":"37","article-title":"Effects of Dry Needling on Spinal Mobility and Trigger Points in Patients with Fibromyalgia Syndrome","volume":"20","year":"2017","journal-title":"Pain Physician"},{"key":"ref_44","first-page":"81","article-title":"Pain modulation in patients with fibromyalgia undergoing acupuncture treatment is associated with fluctuations in serum neuropeptide Y levels","volume":"35","author":"Iannuccelli","year":"2017","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_45","first-page":"32","article-title":"The effects of acupuncture versus sham acupuncture in the treatment of fibromyalgia: A randomized controlled clinical trial","volume":"42","author":"Sezer","year":"2017","journal-title":"Acta Reumatol. Port."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1093\/pm\/pnx001","article-title":"Evoked Pressure Pain Sensitivity Is Associated with Differential Analgesic Response to Verum and Sham Acupuncture in Fibromyalgia","volume":"18","author":"Zucker","year":"2017","journal-title":"Pain Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1093\/pm\/pnx263","article-title":"Effects of Acupuncture Treatment on Fibromyalgia Symptoms, Serotonin, and Substance P Levels: A Randomized Sham and Placebo-Controlled Clinical Trial","volume":"19","author":"Karatay","year":"2018","journal-title":"Pain Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.1093\/pm\/pnx322","article-title":"Randomized Controlled Trial of Acupuncture for Women with Fibromyalgia: Group Acupuncture with Traditional Chinese Medicine Diagnosis-Based Point Selection","volume":"19","author":"Mist","year":"2018","journal-title":"Pain Med."},{"key":"ref_49","first-page":"9684649","article-title":"Quantitative Data for Transcutaneous Electrical Nerve Stimulation and Acupuncture Effectiveness in Treatment of Fibromyalgia Syndrome","volume":"2019","year":"2019","journal-title":"Evid. Based Complement. Altern. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1089\/acm.2018.0330","article-title":"A Comparison of Physical Therapy Modalities Versus Acupuncture in the Treatment of Fibromyalgia Syndrome: A Pilot Study","volume":"25","author":"Ozen","year":"2019","journal-title":"J. Altern. Complement. Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1136\/acupmed-2017-011504","article-title":"Benefits of dry needling of myofascial trigger points on autonomic function and photoelectric plethysmography in patients with fibromyalgia syndrome","volume":"38","author":"Leonard","year":"2020","journal-title":"Acupunct. Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"9869250","DOI":"10.1155\/2020\/9869250","article-title":"Acupuncture for Fibromyalgia: An Open-Label Pragmatic Study on Effects on Disease Severity, Neuropathic Pain Features, and Pain Catastrophizing","volume":"2020","author":"Beci","year":"2020","journal-title":"Evid Based Complement Alternat. Med."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1177\/0269215520911992","article-title":"Effectiveness of acupuncture vs. core stability training in balance and functional capacity of women with fibromyalgia: A randomized controlled trial","volume":"34","year":"2020","journal-title":"Clin. Rehabil."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Schweiger, V., Secchettin, E., Castellani, C., Martini, A., Mazzocchi, E., Picelli, A., Polati, E., Donadello, K., Valenti, M.T., and Dalle Carbonare, L. (2020). Comparison between Acupuncture and Nutraceutical Treatment with Migratens\u00ae in Patients with Fibromyalgia Syndrome: A Prospective Randomized Clinical Trial. Nutrients, 12.","DOI":"10.3390\/nu12030821"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Garrido-Ardila, E.M., Gonz\u00e1lez-L\u00f3pez-Arza, M.V., Jim\u00e9nez-Palomares, M., Garc\u00eda-Nogales, A., and Rodr\u00edguez-Mansilla, J. (2021). Effects of Physiotherapy vs. Acupuncture in Quality of Life, Pain, Stiffness, Difficulty to Work and Depression of Women with Fibromyalgia: A Randomized Controlled Trial. J. Clin. Med., 10.","DOI":"10.3390\/jcm10173765"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"\u00dabeda-D\u2019Ocasar, E., Jim\u00e9nez D\u00edaz-Benito, V., Gallego-Sendarrubias, G.M., Valera-Calero, J.A., Vicario-Merino, \u00c1., and Herv\u00e1s-P\u00e9rez, J.P. (2020). Pain and Cortisol in Patients with Fibromyalgia: Systematic Review and Meta-Analysis. Diagnostics, 10.","DOI":"10.3390\/diagnostics10110922"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"\u00dabeda-D\u2019Ocasar, E., Valera-Calero, J.A., Herv\u00e1s-P\u00e9rez, J.P., Caballero-Corella, M., Ojedo-Mart\u00edn, C., and Gallego-Sendarrubias, G.M. (2021). Pain Intensity and Sensory Perception of Tender Points in Female Patients with Fibromyalgia: A Pilot Study. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041461"},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Cigar\u00e1n-M\u00e9ndez, M.I., Pellicer-Valero, O.J., Mart\u00edn-Guerrero, J.D., Varol, U., Fern\u00e1ndez-de-las-Pe\u00f1as, C., Navarro-Pardo, E., and Valera-Calero, J.A. (2022). Bayesian Linear Regressions Applied to Fibromyalgia Syndrome for Understanding the Complexity of This Disorder. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19084682"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Liew, B.X.W., Valera-Calero, J.A., Varol, U., Nijs, J., Arendt-Nielsen, L., Plaza-Manzano, G., and Fern\u00e1ndez-de-Las-Pe\u00f1as, C. (2022). Distress and Sensitization as Main Mediators of Severity in Women with Fibromyalgia: A Structural Equation Model. Biomedicines, 10.","DOI":"10.3390\/biomedicines10051188"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"3414","DOI":"10.1038\/s41598-022-07480-1","article-title":"The hand grip force test as a measure of physical function in women with fibromyalgia","volume":"12","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"\u00dabeda-D\u2019Ocasar, E., Valera-Calero, J.A., Gallego-Sendarrubias, G.M., Fern\u00e1ndez-de-las-Pe\u00f1as, C., Jos\u00e9 Luis Arias-Bur\u00eda, J.L., Matilde Morales-Cabezas, M., Lars Arendt-Nielsen, L., and Margarita Cigar\u00e1n-M\u00e9ndez, M. (2022). Association of Neuropathic Pain Symptoms with Sensitization Related Symptomatology in Women with Fibromyalgia. Biomedicines, 10.","DOI":"10.3390\/biomedicines10030612"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1093\/pm\/pnab297","article-title":"Cervical Multifidus Morphology and Quality Are Not Associated with Clinical Variables in Women with Fibromyalgia: An Observational Study","volume":"23","author":"Sendarrubias","year":"2022","journal-title":"Pain Med."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Cigar\u00e1n-M\u00e9ndez, M., \u00dabeda-D\u2019Ocasar, E., Arias-Bur\u00eda, J.L., Fern\u00e1ndez-de-Las-Pe\u00f1as, C., Barbero, M., Gallego-Sendarrubias, G.M., and Valera-Calero, J.A. (2022). Pain extent is associated with Central Sensitization Inventory but not widespread pressure pain sensitivity or psychological variables in women with fibromyalgia. Scand. J. Rheumatol., 1\u20138.","DOI":"10.1080\/03009742.2022.2050503"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"3499","DOI":"10.1093\/pm\/pnaa321","article-title":"Effectiveness of Invasive Techniques in Patients with Fibromyalgia: Systematic Review and Meta-Analysis","volume":"21","year":"2020","journal-title":"Pain Med."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1093\/pm\/pnx207","article-title":"International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study","volume":"19","author":"Dommerholt","year":"2018","journal-title":"Pain Med."},{"key":"ref_66","first-page":"21004","article-title":"Percutaneous Electrolysis: A Potential Tool for Myofascial Pain Syndrome Treatment?","volume":"27","year":"2020","journal-title":"Biomed. J. Sci. Tech. Res."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity","volume":"62","author":"Wolfe","year":"2010","journal-title":"Arthritis Care Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/16\/9904\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:07:14Z","timestamp":1760141234000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/16\/9904"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,11]]},"references-count":67,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["ijerph19169904"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19169904","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,11]]}}}