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Dry needling and muscle mechanical properties in myofascial trigger points: a systematic review and meta-analysis - PubMed

5 hours ago
  • #dry needling
  • #muscle stiffness
  • #myofascial trigger points
  • Dry needling reduces short-term stiffness in myofascial trigger points (SMD -0.37), with no immediate or mid-term effects.
  • Greater benefits in healthy participants (SMD -0.33) compared to other groups.
  • Shear-wave elastography and myotonometry show comparable results, though elastography has higher heterogeneity.
  • The certainty of evidence is very low to low, indicating need for more standardized, long-term trials.
  • Future research should link objective stiffness changes to clinical palpation and multimodal decision-making.