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Dry Needling is Effective!

Brookbush Institute sent this email to their subscribers on November 15, 2022.

 BROOKBUSHINSTITUTE.3
Hey brookbush-institute,
Dry Needling IS Effective!
(and incredibly well-researched and supported)

On this edition of “Wannabe educators not even bothering to look for research”, we tackle a myth that quite literally has nothing to do with us (kind-of). I mean, it’s about our profession, and evidence-based practice, and not being able to willfully lie in the allied health field, but, the CEO is a DPT living in NY, where dry needling by a PT is not permitted.

3 ridiculous myths are being used to support this myth:

MYTH #1. Trigger points don’t exist… if you believe that, I suppose you also believe that the osteophytes don't exist, osteochondritic lesions don't exist, fascial contractures don't exist, and neuropraxias don't exist.

MYTH #2. Systematic reviews are the highest form of evidence. We have covered this in so many posts, it is getting a little ridiculous, but… systematic reviews are critique of original research and not research itself, they are secondary sources that should reflect the body of evidence, and cannot, if done well, contradict the body of evidence. They should exist separate from the “levels of evidence” and be considered the same level of evidence as a good textbook or our courses at the Brookbush Institute (which include systematic review)

MYTH #3. “Active is better than passive”. I don’t know who came up with this quote, but they should be dragged out back, #Rocktape should be placed over their mouth, and they should be forced to spend 2 hours attempting to find any evidence of this ridiculous garbage. Again, there is literally no evidence to support this quote. In fact, we have cited several studies (in our courses) that demonstrate when done alone, dry needling, ischemic compression, mobilizations or manipulations are more effective than active exercise or conventional physiotherapy alone. Please don’t troll me on this… we have also cited studies to demonstrate and support the far more effective integrated practice. We are continually working to build the best evidence-based, systematic outcome-driven approach possible. This includes the optimal combination of effective techniques chosen on the basis of reliable assessment findings (Current model: Release, mobilize, lengthen, activate, integrate, condition)
 

So Much Research! 
Dry needling is one of the most well-supported interventions in physical rehabilitation. In the following slides more than 20 randomized controlled trials (RCTs) (the highest level of evidence) are cited. There are very few modalities in our field that have the benefit of 20+ RCTs. Additionally, we could not fit citations for the 100s of experimental and observational studies that have also been performed supporting this technique.


Randomized Control Trials have Demonstrated that Dry Needling is Effective for:
  • Neck Pain
  • Shoulder Pain
  • Low Back Pain
  • Pelvic Pain and Renal Cholic
  • Greater Trochanteric Pain
  •  Knee Osteoarthritis
  • Patellar Pain
  • Hamstring Tightness
  • Plantar Heel Pain
  • Fibromyalgia

RCTs are a form of research that is generally used to compare an intervention to sham or other interventions. Additional research also suggests that dry needling is more effective when used to treat trigger points, is likely more effective when used as part of an integrated approach, is more effective when used to address assessed impairments, and has demonstrated both short- and long-term efficacy.
 

No Bias Here!
And, before we get trolled for being biased…The CEO is a DPT in NYC and cannot legally perform dry needling, nor do we have any courses on dry needling. We have created this post for the sole purpose of continuing to support truly evidence-based practice, and to attempt to put a stop to another myth that is floating around the social media sphere (a.k.a. the hater-verse). The evidence on dry needling is so compelling it makes us angry that physical therapists are being obstructed from adding this to an integrated approach to practice in any state, much less our own.

Original Research vs. Reviews:
We must reiterate that systematic reviews are secondary sources (like textbooks). Just as we would not necessarily expect someone to use our courses (which include systematic review) as citations to trump the evidence of high-quality original research, it is always a problem to use systematic reviews to build an argument. It is essentially using the conclusion of an author, to support your own conclusions. It’s kind-of like using someone else’s opinion to support your own. Most importantly, well-done reviews and secondary sources should reflect the trends implied by high-quality studies. If a systematic review opposes the findings of a dozen RCTs, the problem is not the RCTs; the problem is absolutely the review. RCTs are mathematical analysis of data, systematic reviews are critique by an author which always has more potential for bias.

Muscle Fiber Dysfunction and Trigger Points
Upcoming Live Webinar

Case Study: Acute Variables: Sets per Exercise
  • November 23, 2022, Wednesday, 12 noon EST (4pm GMT) 

NEW Webinar Registration Page
  • Now you can register in advance, invite friends and submit questions to be answered during the webinar. Your feedback on our new registration page would be greatly appreciated. 
Webinar Registration
In-Person Workshop Schedule:

🟣 Santa, FE - Integrated Manual Therapy
• Dates: Jan 21st/22nd: 8:30am - 5:30pm

🟣 Atlanta, GA - Corrective Exercise Lab
• Dates: Feb 4th/5th: 8:30am - 5:30pm

🟣 San Clemente, CA - Corrective Exercise Lab

• Dates: Mar 25th/26th: 8:30am - 5:30pm

🟣 New York, NY - Integrated Manual Therapy
• Dates: Apr 22nd/23rd: 8:30am - 5:30pm


🟣 Colorado Springs, CO - Corrective Exercise Lab
• Dates: Apr 22nd/23rd: 8:30am - 5:30pm


🟣 Seattle, WA - Corrective Exercise Lab
• Dates: May 6th/7th: 8:30am - 5:30pm


🟣 Edmonton, AB - Integrated Manual Therapy
• Dates: May 20th/21st: 8:30am - 5:30pm


🟣 Edmonton, AB - Corrective Exercise Lab
• Dates: Sept 23rd/24th: 8:30am - 5:30pm


Live-Stream Workshop Schedule:

🟣 Corrective Exercise Lab (Live Stream)
• Dates: Dec 3rd/4th: 9:00am - 6:00pm (CST)


🟣 Integrated Manual Therapy (Live Stream)
• Dates: Mar 4th/5th: 9:00am - 6:00pm (CST)



Details for CEL Live Stream Workshop:
  • Certification: 16 credits toward the HMS Certification
  • CECs: 16 contact hours for CPTs, PTs, PTAs, DCs, ATCs, OTs, LMTs, and Group X
  • FREE Corrective Exercise Pack: Includes nylon backpack, 3 monster bands, 5 mini bands, 5 12” bands, and a self-administered release ball
  • More Information: Sample videos and a course outline on website

Details for IMT Live Stream Workshop:
Note: This workshop is a little different than our other Zoom workshops:
  1. You must be a licensed professional with manual therapy in your scope of practice.
  2. You must have a partner for this workshop.
    • We would love to have pairs or trios of practitioners signing up together, but we understand that some of you will not have this option. You can use any partner that will be available for the duration of the workshop. Anyone without a partner will be excused from the workshop and their workshop fee credited to their account.
  • Certification: 16 credits toward the Integrated Manual Therapist (IMT) Credential
  • Continuing Education Credits: 16 contact hours for Athletic Trainers, Physical Therapists, Massage Therapists, Occupational Therapists and Chiropractors

Check out our workshops page for more information!

 
Workshops
Overhead Squat Assessment Part 1: Signs of Dystunction 1733 BROOKBUSH INSTITUTE
P.S. Feel free to forward this email to your friends.
 
If you have any questions feel free to Contact Us. Happy learning! 
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Text-only version of this email

BROOKBUSHINSTITUTE.3 Hey brookbush-institute, Dry Needling IS Effective! (and incredibly well-researched and supported) On this edition of “Wannabe educators not even bothering to look for research”, we tackle a myth that quite literally has nothing to do with us (kind-of). I mean, it’s about our profession, and evidence-based practice, and not being able to willfully lie in the allied health field, but, the CEO is a DPT living in NY, where dry needling by a PT is not permitted. 3 ridiculous myths are being used to support this myth: MYTH #1. Trigger points don’t exist… if you believe that, I suppose you also believe that the osteophytes don't exist, osteochondritic lesions don't exist, fascial contractures don't exist, and neuropraxias don't exist. MYTH #2. Systematic reviews are the highest form of evidence. We have covered this in so many posts, it is getting a little ridiculous, but… systematic reviews are critique of original research and not research itself, they are secondary sources that should reflect the body of evidence, and cannot, if done well, contradict the body of evidence. They should exist separate from the “levels of evidence” and be considered the same level of evidence as a good textbook or our courses at the Brookbush Institute (which include systematic review) MYTH #3. “Active is better than passive”. I don’t know who came up with this quote, but they should be dragged out back, #Rocktape should be placed over their mouth, and they should be forced to spend 2 hours attempting to find any evidence of this ridiculous garbage. Again, there is literally no evidence to support this quote. In fact, we have cited several studies (in our courses) that demonstrate when done alone, dry needling, ischemic compression, mobilizations or manipulations are more effective than active exercise or conventional physiotherapy alone. Please don’t troll me on this… we have also cited studies to demonstrate and support the far more effective integrated practice. We are continually working to build the best evidence-based, systematic outcome-driven approach possible. This includes the optimal combination of effective techniques chosen on the basis of reliable assessment findings (Current model: Release, mobilize, lengthen, activate, integrate, condition) So Much Research!  Dry needling is one of the most well-supported interventions in physical rehabilitation. In the following slides more than 20 randomized controlled trials (RCTs) (the highest level of evidence) are cited. There are very few modalities in our field that have the benefit of 20+ RCTs. Additionally, we could not fit citations for the 100s of experimental and observational studies that have also been performed supporting this technique. Randomized Control Trials have Demonstrated that Dry Needling is Effective for: * Neck Pain * Shoulder Pain * Low Back Pain * Pelvic Pain and Renal Cholic * Greater Trochanteric Pain *  Knee Osteoarthritis * Patellar Pain * Hamstring Tightness * Plantar Heel Pain * Fibromyalgia RCTs are a form of research that is generally used to compare an intervention to sham or other interventions. Additional research also suggests that dry needling is more effective when used to treat trigger points, is likely more effective when used as part of an integrated approach, is more effective when used to address assessed impairments, and has demonstrated both short- and long-term efficacy. No Bias Here! And, before we get trolled for being biased…The CEO is a DPT in NYC and cannot legally perform dry needling, nor do we have any courses on dry needling. We have created this post for the sole purpose of continuing to support truly evidence-based practice, and to attempt to put a stop to another myth that is floating around the social media sphere (a.k.a. the hater-verse). The evidence on dry needling is so compelling it makes us angry that physical therapists are being obstructed from adding this to an integrated approach to practice in any state, much less our own. Original Research vs. Reviews: We must reiterate that systematic reviews are secondary sources (like textbooks). Just as we would not necessarily expect someone to use our courses (which include systematic review) as citations to trump the evidence of high-quality original research, it is always a problem to use systematic reviews to build an argument. It is essentially using the conclusion of an author, to support your own conclusions. It’s kind-of like using someone else’s opinion to support your own. Most importantly, well-done reviews and secondary sources should reflect the trends implied by high-quality studies. If a systematic review opposes the findings of a dozen RCTs, the problem is not the RCTs; the problem is absolutely the review. RCTs are mathematical analysis of data, systematic reviews are critique by an author which always has more potential for bias. Muscle Fiber Dysfunction and Trigger Points Upcoming Live Webinar Case Study: Acute Variables: Sets per Exercise * November 23, 2022, Wednesday, 12 noon EST (4pm GMT)  NEW Webinar Registration Page * Now you can register in advance, invite friends and submit questions to be answered during the webinar. Your feedback on our new registration page would be greatly appreciated.  Webinar Registration In-Person Workshop Schedule: 🟣 Santa, FE - Integrated Manual Therapy • Dates: Jan 21st/22nd: 8:30am - 5:30pm 🟣 Atlanta, GA - Corrective Exercise Lab • Dates: Feb 4th/5th: 8:30am - 5:30pm 🟣 San Clemente, CA - Corrective Exercise Lab • Dates: Mar 25th/26th: 8:30am - 5:30pm 🟣 New York, NY - Integrated Manual Therapy • Dates: Apr 22nd/23rd: 8:30am - 5:30pm 🟣 Colorado Springs, CO - Corrective Exercise Lab • Dates: Apr 22nd/23rd: 8:30am - 5:30pm 🟣 Seattle, WA - Corrective Exercise Lab • Dates: May 6th/7th: 8:30am - 5:30pm 🟣 Edmonton, AB - Integrated Manual Therapy • Dates: May 20th/21st: 8:30am - 5:30pm 🟣 Edmonton, AB - Corrective Exercise Lab • Dates: Sept 23rd/24th: 8:30am - 5:30pm Live-Stream Workshop Schedule: 🟣 Corrective Exercise Lab (Live Stream) • Dates: Dec 3rd/4th: 9:00am - 6:00pm (CST) 🟣 Integrated Manual Therapy (Live Stream) • Dates: Mar 4th/5th: 9:00am - 6:00pm (CST) Details for CEL Live Stream Workshop: * Certification: 16 credits toward the HMS Certification * CECs: 16 contact hours for CPTs, PTs, PTAs, DCs, ATCs, OTs, LMTs, and Group X * FREE Corrective Exercise Pack: Includes nylon backpack, 3 monster bands, 5 mini bands, 5 12” bands, and a self-administered release ball * More Information: Sample videos and a course outline on website Details for IMT Live Stream Workshop: Note: This workshop is a little different than our other Zoom workshops: 1. You must be a licensed professional with manual therapy in your scope of practice. 2. You must have a partner for this workshop. * We would love to have pairs or trios of practitioners signing up together, but we understand that some of you will not have this option. You can use any partner that will be available for the duration of the workshop. Anyone without a partner will be excused from the workshop and their workshop fee credited to their account. * Certification: 16 credits toward the Integrated Manual Therapist (IMT) Credential * Continuing Education Credits: 16 contact hours for Athletic Trainers, Physical Therapists, Massage Therapists, Occupational Therapists and Chiropractors Check out our workshops page for more information! Workshops Overhead Squat Assessment Part 1: Signs of Dystunction 1733 BROOKBUSH INSTITUTE P.S. Feel free to forward this email to your friends. If you have any questions feel free to Contact Us. Happy learning!  Twitter Facebook Website Instagram LinkedIn YouTube Email Copyright © 2022 Brookbush Institute, All rights reserved. You are receiving this email because you opted in via our website. Our mailing address is: Brookbush Institute 201 E 36th St Apt 4F New York, NY 10016-3607 Add us to your address book Want to change how you receive these emails? You can or . Email Marketing Powered by Mailchimp Grow your business with mailchimp
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