{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:50:36Z","timestamp":1791312636973,"version":"4.3.1"},"reference-count":65,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"EUROPEAN UNION\u2014Next Generation EU","award":["INVESTIGO-068-58"],"award-info":[{"award-number":["INVESTIGO-068-58"]}]},{"name":"EUROPEAN UNION\u2014Next Generation EU","award":["B38_23R\u201d"],"award-info":[{"award-number":["B38_23R\u201d"]}]},{"name":"UNIDAD DE INVESTIGACI\u00d3N EN FISIOTERAPIA","award":["INVESTIGO-068-58"],"award-info":[{"award-number":["INVESTIGO-068-58"]}]},{"name":"UNIDAD DE INVESTIGACI\u00d3N EN FISIOTERAPIA","award":["B38_23R\u201d"],"award-info":[{"award-number":["B38_23R\u201d"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Tension-type headache is the most prevalent type of headache and is commonly associated with myofascial pain syndrome and the presence of active myofascial trigger points. This randomized controlled trial aimed to assess the impact of dry needling on the total number of active trigger points, pain intensity, and perceived clinical change in tension-type headache subjects. Thirty-two subjects were randomly assigned to the control and dry needling groups. The presence of active trigger points in 15 head and neck muscles, the headache intensity, and the perceived clinical change were evaluated. A single dry needling technique was administered at each active trigger point across three sessions. Significant differences were observed in the post-treatment measures favouring the dry needling group, including reductions in the headache intensity scores (p = 0.034) and the total number of active trigger points (p = 0.039). Moreover, significant differences in the perception of clinical change were found between the control and treatment groups (p = 0.000). Dry needling demonstrated positive effects in reducing the number of active trigger points and improving the short-term headache intensity in tension-type headache patients. A single dry needling session applied in the cranio-cervical area resulted in a self-perceived improvement compared to the control subjects.<\/jats:p>","DOI":"10.3390\/jpm14040332","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T05:10:53Z","timestamp":1711084253000},"page":"332","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Effects of Dry Needling on Active Myofascial Trigger Points and Pain Intensity in Tension-Type Headache: A Randomized Controlled Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0139-5174","authenticated-orcid":false,"given":"Sof\u00eda","family":"Monti-Ballano","sequence":"first","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"M\u00e1rquez-Gonzalvo","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9930-3903","authenticated-orcid":false,"given":"Mar\u00eda Orosia","family":"Lucha-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6604-2751","authenticated-orcid":false,"given":"Loreto","family":"Ferr\u00e1ndez-Laliena","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda","family":"Vicente-Pina","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roc\u00edo","family":"S\u00e1nchez-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9ctor Jos\u00e9","family":"Tric\u00e1s-Vidal","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Miguel","family":"Tric\u00e1s-Moreno","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n en Fisioterapia, Spin off Centro Cl\u00ednico OMT-E Fisioterapia SLP, Universidad de Zaragoza, Domingo Miral s\/n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1038\/s41572-021-00257-2","article-title":"Tension-type headache","volume":"7","author":"Ashina","year":"2021","journal-title":"Nat. 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