Fear of needles does not influence pain tolerance and sympathetic responses among patients during a therapeutic needling

Leonard Joseph, Katijahbe Mohd Ali, Ayiesah Ramli, Sarauanan Rajadurai, Vikrani Mohan, Maria Justine, Hanif Farhan Mohd Rasdi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Dry needling is one of the therapies employed in pain medicine to reduce pain. However, no clear understanding exists as to whether there are differences in pain tolerance levels and sympathetic responses among individuals who have a fear of needles when compared to those who do not fear needling during dry needling treatment. Aim: The main aim of this study was to investigate the differences in the pain pressure threshold and sympathetic changes among individuals who fear needling and those who do not fear needling during a sham dry needling procedure over a latent trigger point on the upper trapezius. Material and methods: A cross sectional study was conducted in the Physiotherapy Outpatient Clinic at the University Teaching Hospital among 27 healthy subjects (12 subjects with needle phobia and 15 subjects with no fear of needles). Pain pressure threshold, blood pressure and heart rate were measured before and after the sham needling. The differences in the study variables between and within the groups were analyzed using a 2-way ANOVA. Results: The results indicated no significant differences in pain pressure threshold (P >05), blood pressure (P>.05) and heart rate (P>.05) between and within the two groups. However, the mean (-SD) value of pain pressure threshold showed an increased trend among those subjects with a fear of needles when compared to subjects who do not fear needling, 3.12 (1.20) and 2.97 (-0.86), respectively.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalPolish Annals of Medicine
Volume20
Issue number1
DOIs
Publication statusPublished - Sep 2013

Fingerprint

Fear
Needles
Pain Threshold
Pain
Pressure
Blood Pressure
Therapeutics
Heart Rate
Trigger Points
Superficial Back Muscles
Phobic Disorders
Ambulatory Care Facilities
Teaching Hospitals
Analysis of Variance
Healthy Volunteers
Cross-Sectional Studies
Medicine

Keywords

  • Blood pressure
  • Fear
  • Heart rate
  • Needling
  • Pain tolerance
  • Trapezius
  • Trigger point

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Fear of needles does not influence pain tolerance and sympathetic responses among patients during a therapeutic needling. / Joseph, Leonard; Mohd Ali, Katijahbe; Ramli, Ayiesah; Rajadurai, Sarauanan; Mohan, Vikrani; Justine, Maria; Mohd Rasdi, Hanif Farhan.

In: Polish Annals of Medicine, Vol. 20, No. 1, 09.2013, p. 1-7.

Research output: Contribution to journalArticle

Joseph, Leonard ; Mohd Ali, Katijahbe ; Ramli, Ayiesah ; Rajadurai, Sarauanan ; Mohan, Vikrani ; Justine, Maria ; Mohd Rasdi, Hanif Farhan. / Fear of needles does not influence pain tolerance and sympathetic responses among patients during a therapeutic needling. In: Polish Annals of Medicine. 2013 ; Vol. 20, No. 1. pp. 1-7.
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