{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T08:06:40Z","timestamp":1773907600248,"version":"3.50.1"},"reference-count":52,"publisher":"Korean Academy of Rehabilitation Medicine","issue":"4","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-arm.org"],"crossmark-restriction":true},"short-container-title":["Ann Rehabil Med"],"published-print":{"date-parts":[[2025,8,31]]},"abstract":"<jats:p>Objective: To compare the Hong (GH) and sustained insertion (GS) dry needling methods in patients with myofascial neck pain, this experimental study was conducted. Methods: A randomized controlled trial included 30 participants, assigned to either the GH (n=15) or GS (n=15) group. Each group received treatment on either the right or left side, with one side receiving experimental DN and the other receiving control (sham) DN. The GS method involved a single needle insertion per myofascial trigger point for one minute, while the GH method used multiple rapid needle insertions over two minutes without needle retention. Measurements were taken before therapy, 5 minutes post-DN session (post-5min), 24 hours post-session (post-24h), and 7 days post-session (post-7d). Muscle tension (MT) and muscle stiffness (MS) were measured with a myotonometer, pressure pain threshold (PPT) with an algometer, maximum isometric strength (Fmax) with a handheld dynamometer, and transcutaneous perfusion (PU) with laser Doppler flowmetry. Power Doppler Score (PDS) and minor adverse events were also recorded.Results: Results showed that GH led to significantly higher MT and MS values at post-24h and post-7d (p&lt;0.001). In contrast, GS showed greater PPT and Fmax at post-5min, post-24h, and post-7d (p&lt;0.001). Additionally, GH exhibited higher PU values at post-5min and post-7d (p&lt;0.001), while GS showed higher PDS values at post-5min and post-24h (p&lt;0.001). Conclusion: The GH method resulted in less favorable outcomes in terms of MT and MS, while the GS method showed superior improvements in pain relief and functional recovery.<\/jats:p>","DOI":"10.5535\/arm.250052","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T07:04:45Z","timestamp":1756451085000},"page":"208-225","update-policy":"https:\/\/doi.org\/10.5535\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparing Multiple Versus Sustained Insertion Dry Needling Therapy for Myofascial Neck Pain: A Randomized Controlled Trial"],"prefix":"10.5535","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1089-7632","authenticated-orcid":true,"given":"Gracjan","family":"Olaniszyn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5685-3139","authenticated-orcid":true,"given":"Adrian","family":"Ku\u017cd\u017ca\u0142","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7840-3799","authenticated-orcid":true,"given":"Adam","family":"Kawczy\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3831-886X","authenticated-orcid":true,"given":"Filip","family":"Matuszczyk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4600-6987","authenticated-orcid":true,"given":"Kamil","family":"Ga\u0142\u0119ziok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9813-2842","authenticated-orcid":true,"given":"Filipe Manuel","family":"Clemente","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4276-4813","authenticated-orcid":true,"given":"Robert","family":"Trybulski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3481","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/8836427"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S154728"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2024.1433070"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-013-0348-5"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.34834"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-007-0219-z"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.52082\/jssm.2024.852"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1055\/a-2342-3679"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx207"},{"key":"ref10","first-page":"402","volume-title":"Dry needling for myofascial trigger point pain: a clinical commentary","author":"Unverzagt","year":"2015"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-013-0395-2"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/523924"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab188"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.17532\/jhsci.2018.610"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2017.03.008"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.7603\/s40681-014-0013-2"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3109\/10582452.2012.733804"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3182934b8d"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.5505\/agri.2016.38991"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13237032"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13041177"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0549"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1097\/phm.0b013e31804a554d"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-3402788"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.52082\/jssm.2024.136"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s00403-023-02626-1"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.3390\/s22072565"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-27742-w"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20201149"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2011.35.3.412"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2010.10.025"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2022-0444"},{"key":"ref33","volume-title":"","author":"de Almeida","year":"2023"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1113\/ep089073"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-53213-2"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1988.65.1.478"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.mvr.2006.05.006"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.10.877"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.025585"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ket136"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.044628"},{"key":"ref42","volume-title":"","author":"Mar\u00f4co","year":"2012"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e31818cb278"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.1179\/108331913x13844245102034"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1249\/jsr.0000000000000968"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2020.12.003"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.5812\/aapm.113627"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000591"},{"key":"ref49","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2019.8270"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.12.016"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2012.10.005"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031772"}],"container-title":["Annals of Rehabilitation Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.e-arm.org\/upload\/pdf\/arm-250052.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.e-arm.org\/journal\/view.php?doi=10.5535\/arm.250052","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.e-arm.org\/upload\/pdf\/arm-250052.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T07:04:51Z","timestamp":1756451091000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.e-arm.org\/journal\/view.php?doi=10.5535\/arm.250052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,31]]},"references-count":52,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"URL":"https:\/\/doi.org\/10.5535\/arm.250052","relation":{},"ISSN":["2234-0653"],"issn-type":[{"value":"2234-0653","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,31]]},"assertion":[{"value":"2025-03-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-29","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}