60 Participants Needed

Dry Needling for Physical Therapy

NR
EP
Overseen ByEric Parent, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Alberta
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if reviewing anatomy with cadavers helps physiotherapists improve their dry needling skills. The focus is on enhancing accuracy and safety in needling. Participants will either attend a cadaver anatomy class or complete an unrelated online course. They will then test their needling accuracy using ultrasound. Licensed physiotherapists in good standing who practice dry needling are well-suited for this study. As an unphased trial, this study offers physiotherapists a unique opportunity to enhance their skills and contribute to advancing the field of dry needling.

Will I have to stop taking my current medications?

The trial protocol does not specify whether participants need to stop taking their current medications.

What prior data suggests that this educational intervention is safe for physiotherapists?

Research has shown that studying dry needling on cadavers is generally safe. One study examined 21 cadaver-based studies and found that using dry needling without ultrasound guidance did not significantly harm important body structures.

Another study supported the safety of invasive physiotherapy methods, such as dry needling, when tested on cadavers. These studies help ensure that the procedure does not damage critical parts of the body. However, different methods of practicing dry needling might affect safety.

Overall, learning on cadavers has improved safety and accuracy, which can benefit physiotherapists. This trial explores whether hands-on learning with cadavers can make dry needling safer and more precise for real patients.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores the potential enhancements in dry needling practice through innovative educational methods. Unlike traditional training, which often relies on theoretical knowledge alone, this trial offers a unique approach with a cadaver anatomy review, focusing on high-risk areas for dry needling. This hands-on experience could significantly improve practitioners' understanding of anatomy, leading to more precise and safer techniques. By emphasizing real-life anatomy exploration, this trial aims to elevate the standard of care in physical therapy, potentially leading to better patient outcomes.

What evidence suggests that this cadaver anatomy review is effective for improving dry needling accuracy and safety?

Research shows that dry needling effectively reduces pain and increases pain tolerance compared to placebo treatments or no treatment. Studies have found that dry needling provides short-term pain relief comparable to other methods. Additionally, it surpasses doing nothing or using a placebo in reducing pain and disability in the short term. In this trial, one group will receive education focused on dry needling theory, while another group will participate in a cadaver anatomy review. Training that includes studying human anatomy on cadavers may help physiotherapists perform dry needling more accurately and safely, leading to better treatment results and improved patient outcomes.45678

Who Is on the Research Team?

EP

Eric Parent, PhD

Principal Investigator

University of Alberta

Are You a Good Fit for This Trial?

This trial is for physiotherapists who practice dry needling. Participants should be willing to undergo educational sessions and demonstrate their needling skills on three specific muscles using ultrasound imaging. There are no specific inclusion or exclusion criteria provided.

Inclusion Criteria

Physiotherapy volunteers must be in good standing with their regulatory College and licensed to practice dry needling
Needling volunteers must be able to provide informed consent

Exclusion Criteria

I do not have conditions that prevent dry needling and my BMI is normal.
I am a licensed physiotherapist, allowed to practice dry needling, and have taken a cadaver review class after graduation.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants complete a baseline survey and initial knowledge exam, and initial dry needling accuracy measurements are taken using ultrasound imaging.

1 week
1 visit (in-person)

Intervention

Participants are randomized into control or intervention groups. The control group receives an online educational session not related to anatomy, while the intervention group receives a cadaver anatomy review class.

2 hours
1 visit (in-person or virtual)

Post-Intervention Assessment

Participants retake a knowledge exam and dry needling accuracy measurements are reassessed using ultrasound imaging.

Within 2 weeks post-intervention
1 visit (in-person)

Follow-up

Participants are monitored for changes in knowledge and confidence in needle placement.

2 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cadaver Anatomy Review
Trial Overview The study aims to determine if a cadaver anatomy review class can improve the accuracy and perceived safety of dry needling by physiotherapists, compared to a control group receiving unrelated online education.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Education: Cadaver anatomy reviewExperimental Treatment1 Intervention
Group II: Education: dry needling theoryPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Alberta

Lead Sponsor

Trials
957
Recruited
437,000+

Published Research Related to This Trial

Dry needling is generally safe and well tolerated for treating myofascial pain, but there is a risk of severe complications, such as an acute spinal epidural hematoma, as highlighted in this case report.
Healthcare providers should exercise caution when performing dry needling near the spine, and any sudden neuropathic pain following the procedure should be evaluated immediately with advanced imaging to ensure spinal cord integrity.
Acute Spinal Epidural Hematoma as a Complication of Dry Needling: A Case Report.Berrigan, WA., Whitehair, CL., Zorowitz, RD.[2020]
In a study involving 39 physiotherapists and 7629 treatments, trigger point dry needling (TrP-DN) was found to have a high incidence of mild adverse events (AEs), with 1463 reported cases, but no significant AEs occurred, indicating a very low risk of serious complications (≤ 0.04%).
Common mild AEs included bruising (7.55%) and bleeding (4.65%), but the overall safety profile suggests that TrP-DN is a safe treatment option for myofascial pain when performed by trained physiotherapists.
Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists.Brady, S., McEvoy, J., Dommerholt, J., et al.[2022]
Dry needling is an effective treatment used by physical therapists to relieve pain and muscle tension, but it carries some risks, with adverse effects occurring in about 10% of cases, ranging from mild to severe.
A thorough understanding of anatomy is crucial for safely performing dry needling, as it helps minimize risks such as pneumothorax and infection, and informed consent is essential to communicate these risks to patients.
PERTINENT DRY NEEDLING CONSIDERATIONS FOR MINIMIZING ADVERSE EFFECTS - PART ONE.Halle, JS., Halle, RJ.[2022]

Citations

Clinical Effectiveness of Dry Needling in Patients with ...Overall, DN is superior to sham/no intervention and equally effective to other interventions for pain reduction at short-term regardless of the body region.
The Effectiveness of Trigger Point Dry Needling for ...Studies provided evidence that dry needling may decrease pain and increase pressure pain threshold when compared to control/sham or other treatment.
A survey of American physical therapists' current practice of ...Half of physical therapists surveyed performed dry needling. Practice patterns were consistent with expert opinion.
Physiotherapy Dry Needling Accuracy | Clinical Research ...Researchers will compare the effects of an anatomy review using cadaver material to that of an educational intervention not related to anatomy ...
Navigating the layers of concern for safe dry needling ...In addition, DN has been reported as more effective at relieving pain and disability than no treatment, sham needling, and placebo in the short ...
Safety and Anatomical Accuracy of Dry Needling of the ...The present study aims to evaluate the safety and accuracy of a standardized, non-ultrasound-guided deep dry needling approach to the quadratus ...
Safety and anatomical accuracy of dry needling ...This systematic review synthesizes anatomical safety data from 21 cadaveric studies on non-ultrasound-guided dry needling techniques, revealing significant ...
8.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40702406/
Safety and anatomical accuracy of dry needling ...The current evidence supports the anatomical safety of invasive physiotherapy techniques applied to cadavers. Nevertheless, the development ...
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