PHYSIOTHERAPIST'S OPINION ON THE EFFECTIVENESS OF DRY NEEDLING THERAPY IN THE REHABILITATION OF LUMBAR PAIN SYNDROME

Dry needling (DN) uključuje umetanje tankih igala u trigger točke u mišićima, s ciljem oslobađanja napetosti, smanjenja boli i poboljšanja funkcije mišića. Predloženi mehanizmi djelovanja DN-a uključuju: lokalni trzajni odgovor, učinke na krvotok, neurofiziološke učinke, daljinske učinke te placebo učinak. Najčešći i najbolje podržani DN pristup cilja na miofascijalne trigger točke i ima za cilj izazvati periferne i središnje fiziološke i kliničke učinke. Miofascijalne trigger točke definiraju se kao hiperiritabilne točke u zategnutim mišićnim snopovima koje uzrokuju prenesenu bol na udaljenom mjestu ili bol lokalno u samoj točci, te su lako napipljive. Lumbalni bolni sindrom (LBS), koji se često naziva bol u donjem dijelu leđa, prevladavajuće je i višestruko stanje mišićno-koštanog sustava koje pogađa milijune pojedinaca diljem svijeta. Jedan od načina na koje se može tretirati je upravo DN. DN se u većini istraživanja pokazao kao učinkovit tretman, ali njegova superiornost nad drugim tehnikama nije jasno utvrđena. Svejedno, literatura nalaže da je bolji od nikakvog ili lažnog tretmana.Dry needling (DN) involves inserting thin needles into trigger points in the muscles, with the aim of releasing tension, reducing pain and improving muscle function. Proposed mechanisms of action of DN include: local twitch response, blood flow effects, neurophysiological effects, remote effects, and placebo effect. The most common and best supported DN approach targets myofascial trigger points and aims to induce peripheral and central physiological and clinical effects. Myofascial trigger points are defined as hyperirritable points in tight muscle bundles that cause referred pain at a distant location or local pain at the point itself and are easily palpable. Lumbar pain syndrome, often referred to as low back pain, is a prevalent and multifaceted musculoskeletal condition that affects millions of individuals worldwide. One of the ways in which it can be treated is DN. DN has been shown to be an effective treatment in most studies, but its superiority over other techniques has not been clearly established. However, the literature suggests that it is better than no or sham treatment