Unveiling the Potential of Trigger Point Therapy Exploring its Efficacy in Managing Muscular Spasticity – A Scoping Review

Background. Dry needling is a therapeutic technique that involves the insertion of fine needles into specific trigger points to alleviate muscle pain and improve function. This review aims to summarize the evidence on the effectiveness of dry needling in the treatment of neurological conditions, with a specific focus on trigger point targeting. Methods. A comprehensive literature search was conducted to identify relevant studies investigating the use of dry needling for neurological conditions. Studies examining the effects of dry needling on trigger points in conditions such as post-stroke spasticity, shoulder pain, and finger flexor spasticity were included. Results. The reviewed studies consistently demonstrated positive outcomes regarding the efficacy of dry needling in targeting trigger points for neurological conditions. Dry needling at specific trigger points, including the infraspinatus, teres minor, posterior deltoid, pectoralis major, and flexor digitorum superficialis muscles, resulted in significant improvements in spasticity and range of motion. Conclusions. The evidence suggests that dry needling targeted at trigger points can be an effective intervention for improving muscle tone and function in neurological conditions. This technique holds promise as an adjunctive treatment option, offering targeted relief and improved outcomes. However, further research is needed to optimize treatment protocols, investigate long-term effects, and compare dry needling with other interventions. Integration of trigger point-focused dry needling into clinical practice has the potential to enhance the management and rehabilitation of neurological conditions, providing patients with improved symptom control and functional outcomes.