Analysis of Research Trends in Ultrasound-Guided Acupuncture and Dry-Needling: A Scoping Review
Abstract
:1. Introduction
2. Materials and Methods
- What are the research trends in ultrasound-guided acupuncture and dry-needling? (Publication year, research design, etc.)
- For what specific diseases or symptoms are ultrasound-guided acupuncture and dry-needling used?
- What are the future research directions for ultrasound-guided acupuncture and dry-needling?
2.1. Database Selection and Search
2.2. Inclusion and Exclusion Criteria
- Journal articles related to ultrasound-guided acupuncture among the retrieved studies
- Articles that included ultrasound and acupuncture-related keywords in the title or abstract
- Systematic reviews, meta-analyses, randomized controlled trials (RCT), case reports, case series, non-RCTs, non-comparative studies, reviews, cohort studies, and cross-sectional studies
- Studies that used ultrasound only in the diagnostic process of a disease
- Studies that did not involve human subjects: methodological studies, literature reviews, etc. (except systematic reviews of clinical studies)
- Studies whose full text could not be verified
- Conference presentations, research protocols, commentaries, letters, and editorials
2.3. Study Selection and Data Extraction Analysis
2.4. Data Analysis, Summarization, and Reporting of Results
3. Results
3.1. Article Search and Selection Results
3.2. Research Trends
3.2.1. Year of Publication
3.2.2. Study Design
3.2.3. Disease Analysis
3.3. Analysis by Study Type
3.3.1. RCTs and Non-RCTs
3.3.2. Systematic Review and Meta-Analysis
3.3.3. Non-Comparative Study
Case Reports and Case Series
Clinical Trial
3.3.4. Prospective Cohort Study
4. Discussion
5. Limitations
6. Suggestions for Further Research
7. Conclusions
- Research on ultrasound-guided acupuncture and dry-needling has been the subject of increasing interest. Various types of studies were conducted, and non-comparative studies were the most common with a total count of 47 (43.9%) comprised of 24 clinical trials, 14 case reports, and 9 case series; RCTs were the most common, with 41 (38.3%) as a single study design.
- After categorizing diseases based on ICD-11, ultrasound-guided acupuncture and dry-needling is a reliable and effective treatment technique that can be applied to a variety of diseases. Among the total disease classifications of the papers included in the study, 48 (55.8%) were for diseases of the musculoskeletal system or connective tissue, and the most common sites were the shoulders and knees.
- The application of ultrasound-guided acupuncture and dry-needling techniques varied depending on the research objectives and the conditions being treated, either as a standalone procedure or as a combined treatment.
- Additional studies that confirm the effectiveness, statistical significance, and safety of ultrasound-guided acupuncture and dry-needling would provide a concrete evidence base for the use of ultrasound-guided acupuncture and dry-needling as stand-alone or combined treatment modalities in healthcare organizations.
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Study Design | N (%) |
---|---|
Randomized controlled trial | 41 (38.3%) |
Non-randomized controlled trial | 3 (2.8%) |
Review | 4 (3.7%) |
Systematic review | 1 (0.9%) |
Meta-analysis | 3 (2.8%) |
Non-comparative study | 47 (43.9%) |
Cross-sectional study | 4 (3.7%) |
Prospective cohort study | 2 (1.9%) |
Pilot study | 1 (0.9%) |
Reliability study | 1 (0.9%) |
Total | 107 |
Study ID | Study Type | Participant Count (Intervention/Control) | Intervention | Control | Target Disease | Outcome | Main Result |
---|---|---|---|---|---|---|---|
Ding Y (2013) [33] | RCT | n = 80 (20/20/20/20) | A: Interventional ultrasound combined with acupotomy | B: Conventional acupotomy | Shoulder joint disorder | VAS, CMC-Murley Shoulder Function Evaluation Scale | A: 51.85 ± 9.56→91.25 ± 5.75, (p < 0.01) B: 52.28 ± 7.96→75.72 ± 8.56, (p < 0.01) |
Knee osteoarthritis | VAS, HSS scale | A: 42.70 ± 9.19→90.40 ± 7.35, (p < 0.01) B: 43.23 ± 7.56→75.54 ± 9.21, (p < 0.01) | |||||
Lumbar disc herniation | VAS, M-JOA scoring table | No statistically significant effect on the results | |||||
Cervical disc herniation | VAS, Cervical Function Assessment Form | ||||||
Duan H (2016) [34] | RCT | n = 234, 117/117 | A: Ultrasound-guided acupotomy group | B: Traditional knife group | Plantar fasciitis (16.98 ± 8.99 months) | VAS | B > A (p < 0.05). |
Tenderness score | B > A (p < 0.05). | ||||||
AOFAS-AH score | A > B (p < 0.05). | ||||||
Chen T (2021) [49] | RCT | n = 70 (35/35) | A: Shallow-tissue thread embedding group | B: Deep-tissue thread embedding group | Obesity | Body mass, BMI, waist circumference, hip circumference | BMI and waist circumference: A > B (p < 0.05) Distention and fullness sensation and needling sensation and intensity: A > B (p < 0.05). |
Zhang WB (2019) [43] | RCT | n = 74 (37/37) | A: Treated with ultrasound-guided intrathecal injection + releasing method of needle knife | B: Treated with ultrasound-guided intrathecal injection | Trigger finger | Self-made 9-score scale | Excellent/good rate: A > B (p < 0.05) Cure rate: A: 100.0%→97.3%, B: 13.5%→10.8% |
Lan X (2023) [19] | RCT | n = 72 (42/30) | A: SNK group | B: OS group | Patients with grade 2 and above trigger digits | VAS, QG | VAS, QG of both groups decreased significantly. |
Cao XY (2019) [44] | RCT | n = 36 (18/18) | A: ESWT + USGAP | B: ESWT Group | Frozen shoulder | NRS | A: 6.5→2.7, B: 6.7→4.3, A < B (p < 0.01). |
SPADI | A: 54.9→30.4, B: 56.1→43.2, A < B (p < 0.01). | ||||||
Bubnov RV (2013) [35] | RCT | n = 133 (91/42) | A: US guidance group | B: Conventional dry-needling group (without US guidance) | Myofascial pain | VAS | A: 7.2→1.1 (pain reduced by 84%) (p < 0.001) B: 7.4→2.7 (pain reduced by 63.5%) (p < 0.001) |
Number of needles used in treatment | A: 2.6–0.54, B: 4.45–0.7 | ||||||
Number of times a muscle twitch response was induced | A: 92.26–3.8%, B: 58.8–7.5% | ||||||
Number of TrP session | A: 2.3, B: 1.7–3.6 | ||||||
Bubnov R (2019) [20] | RCT | n = 40 | A: Dry-needling under ultrasound guidance Group | B: High-energy extracorporeal shockwave therapy group | Chronic low back pain | VAS | A: 7.4→2.3, B: 7.2→5.2, but then recurred (p < 0.05). |
Liu JY (2019) [36] | RCT | n = 52 (26/26) | A: Ultrasound-guided acupoint electrical stimulation group | B: Conventional acupoint electrical stimulation group | Ventilator-induced diaphragmatic dysfunction | Mechanical ventilation time | A < B (p < 0.05). |
Intensive care unit time | A ≓ B (p > 0.05). | ||||||
Total hospitalization time | A ≓ B (p > 0.05). | ||||||
Hospital mortality rate | A ≓ B (p > 0.05). | ||||||
Reintubation rate | A < B (p < 0.05). | ||||||
Ding Y (2016) [21] | RCT | n = 60 (NA/NA) | A: Ultrasound-guided acupotomy group | B: Electro- acupuncture (EA) group | Knee osteoarthritis (KOA) | ADL | ADL: A > B (p < 0.01). |
HSS | A: 58 ± 5→86 ± 5, B: 60 ± 4→77 ± 6 A > B (p < 0.01). | ||||||
VAS | A: 5.1 ± 1.1→2.1 ± 1.7, B: 5.1 ± 1.5→3.1 ± 1.2 A < B (p < 0.01) | ||||||
Degree of infrared thermal images | A: 0.81 ± 0.21→0.32 ± 0.12, B: 0.78 ± 0.25→0.33 ± 0.14 A ≓ B (p < 0.01). | ||||||
Sun W (2015) [50] | RCT | n = 90 (30/30/30) | A: Deep-layer embedding group (multifidus muscle layer) | B: Middle-layer embedding group (semispinalis capitis muscle layer) C: Shallow-layer embedding group (subcutaneous layer), | Cervical spondylosis | Symptoms and functional score | Significantly increased in A (compared to B, C. Both p < 0.05). |
PRI, VAS, PPI | Significantly decreased after treatment in A and B compared to C (all p < 0.05). | ||||||
NDI | A and B decreased after treatment (p < 0.05), A decreased significantly compared to B,C (all p < 0.05). | ||||||
Sharif F (2023) [45] | RCT | n = 96 (48/48) | A: UG-DN + CPT (conventional physical therapy) Group | B: CPT group | Jumper’s knee | VAS | A: 8 ± 0.00→3 ± 1, B: 8 ± 2→1.5 ± 1, A > B (p = 0.000). |
VISA-p questionnaire | A: 52 ± 8→83.5 ± 7, B: 51 ± 12→92 ± 2, A < B (p = 0.000). | ||||||
Lysholm scale | A: 67 ± 3→84 ± 5, B: 65 ± 8→92 ± 4, A < B (p = 0.000). | ||||||
KOOS | A: 52.5 ± 8→83.5 ± 8, B: 52 ± 12→92 ± 3, A < B (p = 0.000). | ||||||
Benito-de-Pedro AI (2023) [22] | RCT | n = 52 (26/26) | A: Deep dry-needling (DDN) group | B: Percutaneous electrolysis (PE) group | Active myofascial trigger points of the levator scapulae | Pain intensity | A: 6.80 ± 1.13→3.00 ± 2.04, B: 6.77 ± 1.03→2.77 ± 2.29 A ≓ B (p > 0.05) |
PPT (at central MTrP) | A: 2.52 ± 0.70→2.74 ± 0.81, B: 2.56 ± 0.75→2.72 ± 0.77 A ≓ B (p > 0.05). | ||||||
Cervical ROM | A: 68.79 ± 8.50→74.13 ± 4.97, B: 72.06 ± 4.04→75.13 ± 3.84 A < B (p < 0.05). | ||||||
Neck disability | A < B (p = 0.047). | ||||||
Post-needling soreness | A ≓ B (p > 0.05). | ||||||
Sharif F (2022) [46] | RCT | n = 94 (47/47) | A: Ultrasound-guided dry-needling + CPT | B: CPT group | Jumper’s knee | VAS | A: 8.20 ± 0.75→3.00 ± 1.43, B: 8.00 ± 0.64→6.40 ± 0.49 A < B ((p = 0.000). |
VISA-p | A: 43.10 ± 7.08→88.70 ± 8.59, B: 40.70 ± 6.61→78.20 ± 8.34 A > B (p = 0.000). | ||||||
Lysholm scale | A: 56.00 ± 4.05→83.40 ± 5.78, B: 55.20 ± 2.16→80.20 ± 4.54 A > B (p = 0.000). | ||||||
KOOS | A: 56.56 ± 7.12→89.29 ± 5.19, B: 51.29 ± 7.6→79.40 ± 6.19 A > B (p = 0.000). | ||||||
Qin X (2022) [23] | RCT | n = 68 (34/34) | A: Ultrasound-guided 18G-PTC puncture needle group | B: Small needle knife therapy group | Primary frozen shoulder | Overall efficacy | A: 88.23%, B: 67.64%, A > B (p < 0.05) |
UCLA scores of the shoulder joint | A: 13.61 ± 3.77→31.22 ± 3.34, B: 14.34 ± 3.89→25.43 ± 3.83 A > B (p < 0.05) | ||||||
shoulder mobility | A > B (p < 0.05) | ||||||
muscle elasticity and thickness | A > B (p < 0.05) | ||||||
VAS | A: 7.12 ± 1.44→3.41 ± 1.39, B: 7.21 ± 1.45→5.02 ± 1.76 (p > 0.05) | ||||||
Shen Y (2022) [37] | RCT | n = 59 (NA/NA) | A: Operated with US guidance | B: Operated without US guidance | De Quervain’s disease | Regarding the amount of release | A: 20 cases (87%) vs. B: 27 cases (75%) |
Wang YH (2023) [51] | RCT | n = 60 (NA/NA) | A: Received juanbi decoction 3 times daily for 2 weeks along with an acupotomy assisted by ultrasound | B: Same protocol was used with the group A, but the juanbi decoction was replaced with normal saline | Lumbar disc herniation | VAS | A: 4.87 ± 0.57→3.67 ± 0.48, B: 4.8 ± 0.61→3.43 ± 0.73 A ≓ B (p < 0.05) |
ODI | A: 66.20 ± 2.91→50.93 ± 5.79, B: 66.8 ± 4.80→47.4 ± 6.22 A > B (p < 0.05) | ||||||
LBOS | A: 24.57 ± 2.67→29.4 ± 3.94, B: 24.06 ± 2.24→30.67 ± 4.96 A ≓ B (p < 0.05) | ||||||
JOA | A: 11.23 ± 1.61→16.83 ± 2.60, B: 11.43 ± 1.65→18.67 ± 1.79 A < B (p < 0.05) | ||||||
Zhang S (2019) [47] | RCT | n = 51 (NA/NA) | A: Steroid injection combined with ultrasound-guided MSN release group | B: Steroid injection group | Carpal tunnel syndrome (CTS) | BCTQ-SSS | A: 3.10 ± 0.32→1.84 ± 0.21 (p = 0.096) B: 3.00 ± 0.25→2.06 ± 0.23 (p < 0.001) |
BCTQ-FSS | A: 3.10 ± 0.25→1.80 ± 0.35 (p = 0.112) B: 3.00 ± 0.25→2.08 ± 0.27 (p < 0.001) | ||||||
CMAP | A: 9.4 ± 1.2→12.2 ± 1.3 (p = 0.613) B: 9.5 ± 1.1→11.3 ± 1.1 (p < 0.001) | ||||||
DML | A: 5.2 ± 0.3→4.5 ± 0.4 (p = 0.002) B: 5.4 ± 0.3→4.7 ± 0.4 (p < 0.001) | ||||||
SNAP | A: 12.1 ± 1.8→16.3 ± 3.5 (p = 0.368) B: 12.0 ± 1.6→15.4 ± 2.7 (p < 0.001) | ||||||
SNCV | A: 38.6 ± 3.8→46.5 ± 2.5 (p < 0.597) B: 39.5 ± 3.2→44.7 ± 3.2 (p < 0.001) | ||||||
CSA | A: 13.3 ± 1.4→10.8 ± 1.1 (p = 0.493) B: 13.1 ± 1.5→11.6 ± 1.2 (p < 0.001) | ||||||
Bureau NJ (2022) [24] | RCT | n = 62 (NA/NA) | A: Dry-needling (US guieded) | B: Surgery | Chronic lateral epicondylosis | PRTEE score | B 33.4 (CI 25.2–41.5) > A 26.9 (CI 19.4–34.4) (p = 0.25). |
Proportion of successful treatment | B 83% (CI 63–95%) > A 81% (CI 63–93%) (p = 1.00). | ||||||
Bubnov R (2011) [38] | RCT | N = 133 (91/42) | A: Dry-needling (US guieded) | B: Dry-needling | MPS (myofascial pain syndrome) | Pain relief effect and level of inducing local twitch response (LTR) | Increased in A |
Average number of needling trigger points, average number of treatment sessions | Decreased in A | ||||||
Bubnov RV (2015) [52] | RCT | n = 32 (NA/NA) | A: Received dry-needling (DN) of paravertebral (“central”) MTrP under ultrasound guidance | B: Received DN under ultrasound guidance of “peripheral” MTrP in muscles | LBP (lower back pain) | VAS | A: 7.2→1.2, B: 7.3→3.5, A < B (p < 0.05) |
PainDetects (1–38) scores | A: 98% (18.3→9.2), B: 25% (18.5→11.5), A > B (p < 0.01) | ||||||
MTrP recurrence | A: 25%, B: 58% (p < 0.01) at 24 h after manipulation; outcome at 7th day was A: 7%, B: 35% (p < 0.05). | ||||||
Samiei SM (2021) [25] | RCT | n = 34 (NA/NA) | A: Ultrasound-guided dry-needling with Mulligan mobilization technique (DN with MM) | B: Only dry-needling (DN) C: Received no intervention | Lateral epicondylitis | Pain intensity, Function level | A, B had a significant improvement compared to C. Function and VAS scores: A > B |
Tendon Thickness of extensor muscles | A ≓ B | ||||||
De Boer FA (2017) [26] | RCT | n = 25 (NA/NA) | A: Dry-needling (US guieded) | B: Radial Shockwave (RSWT) | Shoulder calcific tendinitis | NRS | A: 7.5→1.9, B: 7.9→2.1 |
Oxford | A: 38.5→53.2, B: 38.5→49.1 | ||||||
Zhu Ting (2018) [61] | RCT | n = 52 (26/26) | A: Drug injection and acupotomy (US guieded) | B: Drug injection and cupotomy (under the guidance of palpation) | De Quervain’s disease | VAS, Quinnell scoring | A < B (all p < 0.05) |
Tabatabaiee A (2019) [62] | RCT | n = 32 (16/16) | A: Dry-needling (US guieded) + Advice | B: Waitlist control group (Only advice) | PMS | ODI, PPT, transverse-plane hip ROM | A < B (p = 0.007). |
Xie N (2019) [27] | RCT | n = 48 (24/24) | A: Ultrasound-guided dry-needling for myofascial trigger points + with stretching training | B: Sole non-weight-bearing plantar fascia stretching | Plantar fasciitis | NPRS, AOFAS, PCS, MCS, SF-36 | The overall differences of NPRS, AOFAS, PCS and MCS were significant before and after treatment in both two groups (all p = 0.05). |
Huang Y (2022) [28] | RCT | n = 54 (28/26) | A: Dry-needling (ultrasound-guided) | B: Pharmacotherapeutic group | Post-therpetic neuralgia mixed with myofascial pain syndrome | VAS, MPQ | Effective rate: 92.9% vs. 38.5% (A vs. B) (p < 0.01) Recurrent rate: 7.1% vs. 34.6% (A vs. B) (p = 0.02) Satisfactory rate: A > B |
Pang JCY (2022) [29] | RCT | n = 84 (28/28/28) | A: Dry-needling (ultrasound-guided) + exercise | B: Placebo ultrasound-guided DN with exercise C: exercise therapy solely | Knee osteoarthritis | VAS, | A is better compared to B and C A vs. B: MD = −15.61, 95% CI [−25.49, −5.51], (p = 0.001) A vs. C: MD = −19.90, 95% CI [−29.71, −10.08], (p < 0.001). |
KOOS-pain, | A is better compared to B and C | ||||||
KOOS-symptoms, KOOS-quality-of-life | not statistically significant between groups. | ||||||
Jin HP (2022) [30] | RCT | n = 120 (40/40/40) | A: Ultrasound-guided EA (electro-acupuncture) at suprhyoid muscle | B: EA at CV23, GB12, GB20, etc. C: suprahyoid muscle according to anatomical location | Pharyngeal dysphagia after stroke | PAS score | PAS score: A < B, C (p < 0.05) |
IF scores | A > B, C (p < 0.05). | ||||||
Forward and upward movement distance of hyoid bone and thyroid carthilage | A > B, C (p < 0.05). | ||||||
Incidence of subcutaneous hematoma | A 0% (0/40) < B 20.0% (8/40) < C 47.5% (19/40) (p < 0.05). | ||||||
Xu H (2022) [48] | RCT | n = 63 (33/30) | A: Ultrasound-guided hydrodilatation of glenohumeral joint combined with acupotomy | B: Only treated with ultrasound-guided hydrodilatation of glenohumeral joint) | Frozen shoulder | Active ROM | A > B (all p< 0.05) |
CMS score | |||||||
CHL thickness | A < B (all p< 0.05) | ||||||
Rate of hypoecoic thickening in rotator cuff space | |||||||
Zheng Y (2014) [53] | RCT | n = 169 (NA/NA) | A: UG-MSN | B: UG-DN | Chronic neck pain | VAS, PCS, MCS | VAS: A < B (both p < 0.0001). A also showed significantly lower scores on the adjusted neck disability index and PCS |
Krasny C (2005) [32] | RCT | n = 80 (40/40) | A: Needling (ultrasound-guided) + high-energy shockwave therapy | B: High-energy shockwave therapy | Calcific tendonitnis | Pain | A: 6.7 ± 2.6→13.3 ± 3.7, B: 5.6 ± 2.3→10.6 ± 4.1 (p < 0.001) |
Daily activity | A: 11.0 ± 3.3→18.1 ± 4.2, B: 10.7 ± 3.0→16.0 ± 3.9 (p < 0.001) | ||||||
Movement | A: 19.1 ± 6.4→32.7 ± 9.8, B: 19.2 ± 6.4→29.7 ± 10.1 (p < 0.001) | ||||||
Power | A: 9.5 ± 4.4→12.7 ± 4.2, B: 8.7 ± 3.5→11.0 ± 5.2 (p < 0.001) | ||||||
Pan M (2019) [39] | RCT | n = 41 (20/21) | A: Needle knife (US guieded) | B: Needle knife (blind release) | Trigger finger | Clinical grade | A: Grade 0: 0→20/Grade 1: 0→0/Grade 2: 2→0/Grade 3: 10→0/Grade 4: 8→0 B: Grade 0: 0→4/Grade 1: 0→15/Grade 2: 2→0/Grade 3: 8→1/Grade 4: 11→1 |
Complications | No any complications had been happened in the A group. | ||||||
Operation time | A: 15.21 ± 0.87 min, B: 5.23 ± 0.55 min. A > B (p < 0.05) | ||||||
Zhou Q (2023) [40] | RCT | n = 100 (NA/NA) | A: Acupotomy (ultrasound-guided) | B: Acupotomy (non ultrasound-guided) | Anatomical study | Injury rate | A 0% vs. B 6%, 12%, 20% (the rate of nerve, blood vessel and tendon damage) (p < 0.05) |
Width of the transverse carpal ligament | A 86% vs. B 36% (PL < 0.05) | ||||||
Qiu Z (2022) [41] | RCT | n = 84 (28/28/28) | A: Ultrasound-guided needle knife pushing group | B: Non-ultrasound-guided needle knife pushing group C: classical needle knife operation puncture group | A1 pulley release | Relevant anatomical data | Injured cases: A 29 (20.7%)/B 36 (25.7%)/C 28 (20.0%) |
Missed release cases: A 8 (5.7%)/B 4 (2.9%)/T 13 (9.3%) | |||||||
Percentage of released A1 pulley: A 71.4% ± 30.7%/B 66.0% ± 20.3%/C 61.0% ± 30.4% | |||||||
Full release rates of the groups: A (31.4%) > B (15.7%) > C (13.6%) | |||||||
Lin S (2024) [54] | RCT | n = 100 (50/50) | A: Regular acupuncture (ultrasound-guided) | B: Shallow acupuncture (ultrasound-guided) |
C
hronic subjective dizziness (CSD) | Clinical effectiveness | A (94%) > B (80%) (p = 0.037) |
PSQI |
A: 15.37 ± 7.82→6.83± 3.65, B: 15.98 ± 10.83→8.18 ± 4.05 A < B (p < 0.05) | ||||||
DHI |
A: 51.37 ± 16.89→32.73
±
5.41,
B: 50.65
±
15.81→37.81
±
7.52 A < B (p < 0.05) | ||||||
HAMD |
A: 15.36 ± 7.18→5.87
±
3.26,
B: 15.51
±
7.82→7.84
±
3.98 A < B (p < 0.05) | ||||||
F atigue Severity Scale (FSS) |
A: 33.48 ± 13.78→14.96
±
6.98,
B: 33.92
±
14.05→18.23
±
8.62 A < B (p < 0.05) | ||||||
HAMA |
A: 21.65 ± 11.72→7.96
±
4.81,
B: 21.23
±
11.54→11.78
±
5.98 A < B (p <0.05) | ||||||
Wang (2023) [55] | RCT | n = 106 (53/53) | A: Musculoskeletal ultrasound-guided acupuncture | B: Conventional ultrasound-guided acupuncture | Osteoarthritis | VAS | A (4.3 ± 0.7) < B (p < 0.05) |
Lysholm scale | A < B (p < 0.05) support scores: not different between two groups (p > 0.05) | ||||||
Dai J (2023) [56] | RCT | n = 74 (37/37) | A: Deep acupuncture group (ultrasound-guided) | B: Shallow acupuncture group (ultrasound-guided) | N/A (bladder in controlling urine) | PSV | A: 39.96→52.55, B: 41.50→47.55 A >B (p < 0.05) |
TAMX | A: 8.63→12.54, B: 10.13→10.95 A > B (p < 0.05) | ||||||
EDV | A: 2.26→2.34, B: 1.56→1.63 A > B (p < 0.05) | ||||||
PI | A: 5.62→4.99, B: 4.59→4.57 A > B (p < 0.05) | ||||||
RI | A: 0.95→0.95, B: 0.97→0.95 A ≓ B (p < 0.05) | ||||||
Bladder volume | A: 25.27→50.70, B: 30.56→40.48 A > B (p < 0.05) | ||||||
C-MASS | A: 42.30, B: 9.03, A > B (p < 0.01) | ||||||
Guner D (2023) [31] | RCT | n = 44 (22/22) | A: Ultrasound-guided dry-needling group | B: Physical exercise treatment group | PMS | VAS | A: 7.6 ± 1.6→2.5 ± 2.1, B: 7.8 ± 0.7→2.6 ± 1.1 A ≓ B (p > 0.05) |
ODI | A: 20.9 ± 8.5→7.4 ± 5.7, B: 32.6 ± 6.7→9.9 ± 7.7 A ≓ B (p > 0.05) | ||||||
LEFS | A: 41.7 ± 15.9→69.4 ± 12.9, B: 42.4 ± 15.8→71.3 ± 8.2 A ≓ B (p > 0.05) | ||||||
DN4 | A: 3.5 ± 2.1→0.9 ± 1.2, B: 4.1 ± 2.6→1.3 ± 1.4 A ≓ B (p > 0.05) | ||||||
Zhu (2024) [42] | RCT | n = 70 (35/35) | A: Ultrasound-guided group | B: Without ultrasound guiding group | Lumbar disc herniation | VAS | A: 5.49 ± 1.01→0.57 ± 0.61, B: 5.23 ± 1.03→1.86 ±1.03 A < B (p < 0.01) |
ODI) | A: 43.91 ± 10.02→5.71 ± 8.40, B: 41.17 ± 13.00→24.86 ± 14.35 A < B (p < 0.01) | ||||||
JOA | A: 15.43 ± 2.21→25.37 ± 2.95, B: 16.74 ± 2.65→22.86 ± 2.52 A > B (p < 0.01) | ||||||
MOS SF-36 | A: 75.54 ± 8.22→83.97 ± 11.79, B: 71.83 ± 8.07→79.31 ± 12.12 A > B (p > 0.05) | ||||||
Pu J (2023) [57] | RCT | n = 160 (80/80) | A: Ultrasound-guided injection acupotomy | B: Ultrasound-guided SNRB | Cervical spondylotic radiculopathy (CSR) | Odom’s criteria clinical curative effect | A: 93.6% vs. B: 81.0%, A > B (p = 0.018) |
VAS | A: 6.1→1.0, B: 6.3→1.8 A < B (p = 0.03) | ||||||
NDI | A: 51.4 ± 13.3→15.4 ± 12.8, B: 51.8 ± 13.0→21.9 ± 16.2 A > B (p = 0.006) | ||||||
SF-36 | A: 43.3 ± 17.5→80.1 ± 12.6, B: 44.0 ± 16.5→72.6 ± 19.1 A > B (p = 0.004) | ||||||
Lin Q (2005) [58] | nRCT | NA | A: Treatment group (electro-acupuncture with strong stimulation) | B: Medication C: Conventional acupuncture | Upper segment ureterolithiasis | Cure rate | A > B, C (p < 0.05) |
Total effective rate | A > B, C (p < 0.01) | ||||||
Arias-Buría JL (2023) [59] | nRCT | n = 100 (50/50) | A: Ultrasound-guided group | B: Palpation-guided group | Anatomical study | Distance to the targeted | A: 0.25 ± 0.65 mm, B: 2.5 ± 1.9 mm A < B (p < 0.001) |
Time of the procedure | A: 54.8 ± 26.8 s, B: 23.75 ± 15.4 s A > B (p < 0.001) | ||||||
Accuraterate of insertions | A: 100%, B: 80% A > B | ||||||
Tissue number of passes | A: 2.55 ± 1.9, B: 1.5 ± 0.95, A > B (p = 0.001) | ||||||
Unintentional puncture structures | A: 16%, B: 52% A < B (p < 0.001) | ||||||
Malo-Urriés M (2024) [60] | nRCT | n = 100 (50/50) | A: Ultrasound-guided group | B: Palpation-guided group | Anatomical study | Distance to interface | A: 0.2 ± 0.7, B: 3.5 ± 2.2 A < B (p < 0.001) |
Longitudinal contact of the needle | A: 5.3 ± 2.2, B: 0.6 ± 1.8 A > B (p < 0.001) | ||||||
Time required | A: 53.8 ± 18.9, B: 19.1 ± 6.5 A > B (p < 0.001) | ||||||
Tissue number of passes | A: 2.8 ± 1.5, B: 1.7± 0.9 A > B (p < 0.001) | ||||||
Unintentional puncture structures | A: 5 (10%)mB: 9 (18%) A < B (p = 0.249) |
Study ID | Intervention Method | Number of Case (Male/Female) | Target Disease | Treatment Point | Outcome | Main Result | ||||
---|---|---|---|---|---|---|---|---|---|---|
Bağcıer F (2020) [63] | Dry-needling (ultrasound-guided, 0.60 × 60 mm) | 1/0 | PMS | Piriformis MTrP | VAS | 7→2 | ||||
ODI | 78→35 | |||||||||
Zenita Y (2018) [64] | Dry-needling (ultrasound-guided fascia release DN) | 1/0 | Mandibular numbness | 1 cm bone margin anterior to mandibular angle | VAS | 80/100→0/100 | ||||
US image’s intensity | Decreased | |||||||||
Mouth opening (dental arch width) | 3 cm→5 cm | |||||||||
Fusco P (2021) [65] | Dry-needling (ultrasound-guided, size n° 8,) | 1/NA | Adductor injury (mofascial pain) | Left thigh adductor | VAS | VAS 6→2→0 | ||||
Elastosonography sign | restored to blue→red | |||||||||
Song XZ (2022) [80] | Electroacupuncture (ultrasound-guided, 30 × 40 mm) + training (spinal joint loosening training, respiratory training, lumbar comprehensive sports training, paraplegic limbs comprehensive training) + manipulative treatment | 0/1 | SPI | Sacral nerve: Both S3, S4 foramen (30 × 75 mm, 20 Hz, 220 ms wave width, 100–120 mV. 1 h) | ASIA scale (motor, sensory score) | Before sacral stimulation: 58→after sacral stimulation: 64→after addition of spinal and cranial stimulation: 73 sensory score increased to 150→160→186 | ||||
Spinal cord: 2 between T12 and L1, 2 on the left and right nerve roots of L1, 2 between L1 and 2 (30 × 40 mm, 50 Hz, 220 ms wave width, 1 h) | FIM | 67→81 (After sacral stimulation)→114 (After spinal cord and skull stimulation) | ||||||||
Head: in front of the central sulcus and extended along with the skull to the front of the forehead (1.5 cm) | All symptoms | Symptoms of functional remission (decreased urinary retention) were observed. | ||||||||
Rao Y (2022) [84] | Perineural injection (ultrasound-guided, 0.4% lidocaine) + Acupotomy (0.4 × 40 mm) | 1/0 | IBSN as a complication of ACLR | NA | VAS | 10 to 1 | ||||
diameter of the IBSN | Smaller | |||||||||
peripheral soft tissue signal | Hypoechoic on ultrasound | |||||||||
Settergren R (2013) [66] | Dry-needling (ultrasound-guided, 0.50 × 75 mm) + Therapeutic exercise | 0/1 | Supraspinatus tendinopathy | Pathologic tissue of supraspinatus tendon | Symptom | Full resolution of symptoms. | ||||
ROM | Eliminate ROM limitations | |||||||||
Jia Y (2020) [67] | Dry-needling (ultrasound-guided, 0.35 × 60 mm) | 1/0 | Vasomotor rhinitis (VMR) | Sphenopalatine ganglion | Symptom | Frequency of sneezing episodes was reduced in the morning, the nasal congestion and runny nose were relieved | ||||
Kurosawa A (2019) [68] | Dry-needling (ultrasound-guided) | 0/1 | Right shoulder pain | Fascia between the deltoid muscle and the supraspinatus tendon | NRS | 8→2 | ||||
active-ROM | Abduction: 70→120 degrees Extension: 30→45 degrees | |||||||||
Afonso J (2023) [81] | Electroacupuncture (ultrasound-guided, 4 Hz, 100 ms, 20 min) | 1/0 | Thoracic myofascial pain syndrome | Palpable painful and taut band (muscle layers along the medial border of the scapula, specifically the trapezius, rhomboid, and erector spinae muscles) | NRS | 7→3 | ||||
ROM, Sleep | Improved ROM and sleep | |||||||||
Mood | Mood does not improved | |||||||||
Pai RS (2018) [69] | Dry-needling (ultrasound-guided, 32 gauge needle) | 0/1 | CRPS-1(right upper limb)—pronation deformity and myofascial issues around the shoulder | Muscles of the neck, shoulders, arms, forearms, and hands | DASH score | 88.8→33.5 (3 months)→10.3 (1 year) | ||||
Pain Detect score | 10→2 (3 months)→1 (1 year) | |||||||||
PHQ-9 | 15→100% recovery (3 months)→Maintenance (1 year) | |||||||||
ROM | Shoulders, hands: Limited→Almost complete (3 months)→Complete (1 year) | |||||||||
ROM | No improvement (radio-ulnar and humero-radial joint) | |||||||||
Ou YY (2024) [85] | Ultrasound-guided acupotomy | 1/0 | CPNES | Peroneus longus muscle | Heaviness and numbness | greatly relieved | ||||
Two-point discrimination | 0→25 mm | |||||||||
Stewman CG (2023) [82] | Ultrasound-guided electroacupuncture | 1/0 | Rotator cuff (RTC) tendinopathy | Areas of RTC tendon injury | Patient states | 85% improvement in symptoms, “minimal” residual discomfort with one stretching movement | ||||
Temel MH (2024) [70] | Ultrasound-guided dry-needling | 1/0 | Chronic lower back pain (CLBP) | Quadratus lumborum (QL) muscle | VAS | 7→3 | ||||
Hemani (2022) [71] | Ultrasound-guided dry-needling | 0/1 | Post laminectomy infective spondylodiscitis | Muscles of the back, thigh, calf, foot, and sole | VAS | 8→2 | ||||
Limit of standing | 5~10 min→150 min | |||||||||
ESR | 95→25 | |||||||||
CRP | 40→22.5 | |||||||||
ODI | 42→11 | |||||||||
PFWD | 0→70 | |||||||||
Malik D (2016) [72] | Dry-needling (ultrasound-guided) | 120 (NA) | Achilles tendonitis, plantar fasciitis, and lateral epicondylitis | Affected site | Symptom (pain) | Showed symptom improvement in 80% of cases. | ||||
Vas L (2023) [73] | Dry-needling (ultrasound-guided) | 35 (13/22) | 23 | Trigeminal neuralgia | Masticatory muscles, facial muscles, neck muscles | NRS, medication discontinuition and dose | NRS 8.9→0.6 (after DN) | 18 people discontinued medication, carbamazepine dose reducing from 716.7 mg/day to 113.0 mg/day. | ||
Dry-needling (ultrasound-guided) + PRF (pulsed radiofrequency) | Trigemnal gangalion (TG) | 12 | 6 | NRS 8.8→5.7 (after PRF)→1.0 (after DN) | ||||||
mandibular nerve | 6 | |||||||||
Fusco P (2018) [74] | Dry-needling (ultrasound-guided, 0.30 × 60 mm) | 3 (1/2) | PMS | Piriformis muscle; gluteus minimus, medius, maximus | Symptom | Resolved. | ||||
Parthasarathy S (2022) [83] | Electroacupuncture (ultrasound-guided) | 2 | 1/0 | Wrist drop | DU20/LI6,7,8/TW 6,7,8 | Motor power of the extensors of the wrist | Improved from 1/5→3/5 to 4/5. | |||
0/1 | Tennis elbow | DU20/LI 4,10,11,12/Ashi points | VAS | 7–8/10→2–3/10 | ||||||
Vas L (2019) [75] | Dry-needling (ultrasound-guided) | 4 | PMPS | Muscles contributing to myofascial pain (neck, shoulder, chest wall and limb girdle, upper arm, forearm) | NRS | 7.8→1.3 | ||||
PD | 20.0→6.6 | |||||||||
DASH | 61.0→22.5 | |||||||||
PHQ-9 | no improvement | |||||||||
opioid use | ||||||||||
Dry-needling (ultrasound-guided) after neural interventions (NIs) | 16 | NRS | 9.6→5.2 (after Nis)→2.3 (after DNs) | |||||||
PD | 28.3→16.1 (after Nis)→6.6 (after DN) | |||||||||
DASH | 80.9→71.1 (after Nis)→34.6 (after DN) | |||||||||
PHQ-9 | 12 mild, 5 moderate, 3 severe→12 mild, 6 moderate after NIs→6 mild, 4 moderate, 10 No depression after DN | |||||||||
Medication | Morphine: 12→8 people discontinued, 2 people took only half dose Fentanyl patch: 9→2 people discontinued, 3 people took only half dose | |||||||||
Bubnov RV (2010) [76] | Dry-needling (ultrasound-guided) | 91 | MPS | NA | NA | The use of US examination significantly improve the effectiveness and safety of DDN as an optimal method of inactivation of the trigger points. | ||||
Kamble (2024) [77] | Ultrasound-guided dry-needling | 30 (NA) | Soleus muscle spasticity in stroke survivors | Spastic soleus muscle | Thickness of the soleus muscle | 8.88 ± 2.38→11.55 ± 2.60 (mm) (p < 0.001) | ||||
MMAS | 3.0→1.53 (p < 0.001) | |||||||||
MTS | 15.76 ± 2.22→18.46 ± 2.31 (p < 0.001) | |||||||||
H-reflex | 2.74 ± 3.20→1.34 ±1.92 (p < 0.001) | |||||||||
R. Bubnov (2023) [78] | Ultrasound-guided dry-needling | 20 (NA) | Myofascial trigger points (MTrP) | Multifidus muscles | Muscle thickness | 23.5–33.3% decreased | ||||
Muscle width | Not statistically significant | |||||||||
CSA | 1.8 mm→0.9 mm | |||||||||
PA | 17.2 degrees→8.7 degrees | |||||||||
R. Bubnov (2023) [79] | Ultrasound-guided dry-needling | 20 (20/0) | Combat injuries (myofascial and neuropathic pain) | Myofascial trigger points | VAS | Decreased | ||||
Fascicle diameter | 2→0.9 |
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Shin, H.; Woo, H.; Han, Y.; Choi, S.; Jo, J.; Jeon, S.; Ha, W.; Lee, J. Analysis of Research Trends in Ultrasound-Guided Acupuncture and Dry-Needling: A Scoping Review. J. Clin. Med. 2024, 13, 4962. https://doi.org/10.3390/jcm13164962
Shin H, Woo H, Han Y, Choi S, Jo J, Jeon S, Ha W, Lee J. Analysis of Research Trends in Ultrasound-Guided Acupuncture and Dry-Needling: A Scoping Review. Journal of Clinical Medicine. 2024; 13(16):4962. https://doi.org/10.3390/jcm13164962
Chicago/Turabian StyleShin, Hyunwook, Hyeonjun Woo, Yunhee Han, Seungkwan Choi, Jungho Jo, Seojae Jeon, Wonbae Ha, and Junghan Lee. 2024. "Analysis of Research Trends in Ultrasound-Guided Acupuncture and Dry-Needling: A Scoping Review" Journal of Clinical Medicine 13, no. 16: 4962. https://doi.org/10.3390/jcm13164962