Research: A Case-Series of Dry Needling as an Immediate Sensory Integration Intervention • Posts by EIM | Evidence In Motion Skip To Content

Research: A Case-Series of Dry Needling as an Immediate Sensory Integration Intervention

December 23, 2021 • Research • Adriaan Louw, Kory Zimney, Jessie Podolak

A Case-Series of Dry Needling as an Immediate Sensory Integration Intervention was a study done as part of the pain fellowship at Evidence In Motion by Matt O’Neill , Adriaan Louw , Jessie Podalak, Nicholas Maiers, Terry Cox and Kory Zimney. This is the first study to explore if DN alters TPD and LRJ tasks in patients with CLBP. Results show an immediate significant positive change in TPD and LRJ tasks, as well as pain ratings and movement.

Abstract

Background: Chronic low back pain (CLBP) has been associated with altered cortical mapping in the primary somatosensory cortex. Various sensory discrimination treatments have been explored to positively influence CLBP by targeting cortical maps. 

Objectives: To determine if dry needling (DN) applied to patients with CLBP would yield changes in two-point discrimination (TPD) and left-right judgment (LRJ) tasks for the low back. Secondary measurements of pain and limited range of motion (ROM) was also assessed. 

Methods: A sample of 15 patients with CLBP were treated with DN to their low back. Prior to and immediately after DN, TPD, LRJ tasks, low back pain, spinal ROM, and straight leg raise (SLR) were measured. 

Results: Following DN, there was a significant (p < 0.005) improvement in LRJ for low back images in all measures, except accuracy for the right side. TPD significantly improved at the L3 segment with a moderate effect size. A significant improvement was found for pain and trunk ROM after DN with a large effect in changing pain of 3.33 points and improving SLR by 9.0 degrees on average, which exceeds the minimal detectable change of 5.7 degrees. 

Conclusions: This is the first study to explore if DN alters TPD and LRJ tasks in patients with CLBP. Results show an immediate significant positive change in TPD and LRJ tasks, as well as pain ratings and movement. 

Read the Full Article

Citation

Matt O’Neill, Adriaan Louw, Jessie Podalak, Nicholas Maiers, Terry Cox & Kory Zimney (2021): A Case-Series of Dry Needling as an Immediate Sensory Integration Intervention, Journal of Manual & Manipulative Therapy, DOI: 10.1080/10669817.2021.2011556 

Adriaan Louw

Adriaan earned both an undergraduate as well as a master’s degree in physiotherapy from the University of Stellenbosch in Cape Town, South Africa. He is an adjunct faculty member at St. Ambrose University, South College and the University of Nevada Las Vegas, teaching pain science. Adriaan has taught throughout the US and internationally for 20...

Kory Zimney

Kory received a Masters in Physical Therapy from the University of North Dakota in 1994.  He completed his transitional DPT from Des Moines University in 2010 and is currently enrolled and in the candidacy phase of the PhD PT program with Nova Southeastern University. His dissertation is focusing on the construct of trust as part...

Jessie Podolak

Jessie Podolak received her Master’s Degree in Physical Therapy from the College of St. Catherine, Minneapolis, in 1998. She completed her transitional Doctorate of Physical Therapy from Regis University, Denver, in 2011. She has been teaching pain neuroscience education and manual therapy techniques at continuing education courses since 2013 and now serves as the Program...

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