Evidence and expert opinions: Dry needling versus acupuncture (II)
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In the United States and other Western countries, dry needling has been a topic in academic and legal fields. This White Paper is to provide the authoritative information of dry needling versus acupuncture to academic scholars, healthcare professionals, administrators, policymakers, and the general public by providing the authoritative evidence and expertise regarding critical issues of dry needling and reaching a consensus. We conclude that Dr. Travell, Dr. Gunn, Dr. Baldry and others who have promoted dry needling by simply rebranding (1) acupuncture as dry needling and (2) acupuncture points as trigger points (dry needling points). Dry needling simply using English biomedical terms (especially using "fascia" hypothesis) in replace of their equivalent Chinese medical terms. Dry needling is an over-simplified version of acupuncture derived from traditional Chinese acupuncture except for emphasis on biomedical language when treating neuromuscularskeletal pain (dry needling promoters redefined it as "myofascial pain"). Trigger points belong to the category of Ashi acupuncture points in traditional Chinese acupuncture, and they are not a new discovery. By applying acupuncture points, dry needling is actually trigger point acupuncture, an invasive therapy (a surgical procedure) instead of manual therapy. Dr. Travell admitted to the general public that dry needling is acupuncture, and acupuncture professionals practice dry needling as acupuncture therapy and there are several criteria in acupuncture profession to locate trigger points as acupuncture points. Among acupuncture schools, dry needling practitioners emphasize acupuncture's local responses while other acupuncturists pay attention to the responses of both local, distal, and whole body responses. For patients' safety, dry needling practitioners should meet standards required for licensed acupuncturists and physicians.
Keywordsdry needling acupuncture trigger points acupuncture points invasive therapy evidence expertise consensus
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This White Paper reflects the official view of AAPAS. The authors would like to thank Drs. JIN Guan-yuan, Jerome Jiang, YANG Guan-hu, WANG Shao-bai and WANG Xiao-ping for the valuable discussions and assistance during the drafting process.
- 37.Nichols HW. Ancient pain-killing method works, while US scientists don't know why. Albany Democrat-Herald (Albany), March 21, 1947. Available at http://www. newspapers.com. Accessed October 3, 2016.Google Scholar
- 41.Dorsher PT, Fleckenstein J. Trigger points and classical acupuncture points: Part 1. Qualitative and quantitative anatomic correspondences. Ger J Acupunct Relat Tech 2008;51:15–24.Google Scholar
- 42.Dorsher PT, Fleckenstein J. Trigger points and classical acupuncture points: Part 2. Clinical correspondences in treating pain and somatovisceral disorders. Ger J Acupunct Relat Tech 2008;51:6–11.Google Scholar
- 44.Fan AY, Yang G, Zheng L. Response to Dommerholt and Stanborough re: ''Evidence that dry needling is the intent to bypass regulation to practice acupuncture in the United States''. J Altern Complem Med 2017. DOI: 10.1089/acm.2016.0394.Google Scholar
- 47.Hao JK, ed. Atlas of Extro-meridian acupuncture points. Revised Ed. Beijing: People's Military Medicine Press; 2011.Google Scholar
- 52.Federation of State Boards of Physical Therapy. FSBPT dry needling resource paper (Intramuscular Manual Therapy). 4th ed. Available at: http://www.fsbpt.org/download/dryneed lingresourcepaper_4thedition.pdf Accessed Dec 10, 2016.Google Scholar
- 53.Kinetacare. Intramuscular manual therapy (AKA Trigger Point Needling). Available at: http://www.kinetacare.com/physicaltherapy/Intramuscular-Manual-Therapy-AKA-Trigger-Point-Needling/page27.html Accessed Dec 10. 2016.Google Scholar
- 54.Sportscare Physical Therapy. What is intramuscular manual therapy? Available at: http://www.sportscarephysicaltherapy. com/intramuscular-manual-therapy/ Accessed Dec 10, 2016.Google Scholar
- 55.Attorney General of Washington, Ferguson RW. Scope of practice of physical therapy: the practice of dry needling does not fall within the scope of practice of a licensed physical therapist. Available at: https://static1.squarespace.com/static/5771d62c59cc685163c0ac79/t/57a970f0ff7c503 7a8bc85ea/1470722293467/Washington+Attorney+General%E2%80%99s+Opinion.pdf Accessed Dec 10, 2016.Google Scholar
- 56.National Center for Acupuncture Safety and Integrity. Thirteen facts you need to know about dry needling. Available at: https://www.acupuncturesafety.org/. Accessed Dec 10, 2016.Google Scholar
- 57.International Veterinary Acupuncture Society. What is veterinary acupuncture? Available at: https://www.ivas.org/ about-ivas/what-is-veterinary-acupuncture/. Accessed Dec 19, 2016.Google Scholar
- 58.California medical association. AMA Policy states H-475.983 definition of surgery. In: 2012 AMA Interim Meeting Highlights (as of 11/13/12). Available at: http://www.cmanet. org/files/assets/news/2012/11/ama-highlights-111312.pdf. Accessed Dec 19, 2016.Google Scholar
- 59.The American Academy of Physical Medicine and Rehabilitation. AAPM&R position on dry needling. Available at: https://www.aapmr.org/docs/default-source/protectedadvocacy/ Position-Statements/aapmr-position-on-dryneedling. pdf?sfvrsn=2. Accessed Dec 19, 2016.Google Scholar
- 60.American Medical Association. Physicians take on timely public health issues. AMA Wire. Jun 15, 2016. Available at http://www.ama-assn.org/ama/ama-wire/post/physicianstimely-public-health-issues. Accessed Dec 19, 2016.Google Scholar