Journal of Research in Rehabilitation Sciences

The Effectiveness of Dry Needling on Dimensions and Elastic Modulus of the Nasolabial Fold due to Aging Process: An Uncontrolled before-after Clinical Trial Study

Document Type : Original Articles

Authors

1 MSc Student, Department of Physical Therapy, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran

2 Assistant Professor, Department of Physical Therapy, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran

3 Professor, Department of Medical Physics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran

4 PhD in Physical Therapy, International Instructor, David Simon Academy, Switzerland

10.22122/jrrs.v15i1.3373

Abstract

Introduction: Biomechanical properties of the skin change with pathological conditions and aging process. Nasolabial fold (NLF) is a degenerative manifestation of the skin tissue, which facilitates biomechanical properties measurement due to its quantifiable scales. The aim of this study was to evaluate the effectiveness of dry needling on decreasing NLF dimensions and improving NLF skin biomechanical properties.Materials and methods: 11 women aged between 35-55 years with NLF class between 2-2.5 were selected for study, and received 7 sessions of dry needling treatment. Another group of young women between 20-30 years considered as control group and received no treatment. NLF depth and area, epidermis and dermis thickness, and young modulus of NLF skin were analyzed with high resolution ultrasonography and a custom-made forceguage. For reliability of sonographic data the interclass correlation coefficient, and for between and within group comparisons, independent and paired t tests were used, respectively.Results: NLF depth and area decreased significantly (P < 0.001). Moreover, epidermis and dermis thickness and young modulus increased significantly (P < 0.001).Conclusion: Dry needling induced decrease in depth and area, and improved biomechanical properties of the NLF, without any side effect.

Keywords

  1. Boissieux L, Kiss G, Thalmann NM, Kalra P. Simulation of skin aging and wrinkles with cosmetics insight. Vienna, Austria: Springer Vienna; 2000 p. 15-27.
  2. (2) Boyer G, Laquieze L, Le BA, Laquieze S, Zahouani H. Dynamic indentation on human skin in vivo: ageing effects. Skin Res Technol 2009; 15(1): 55-67.
  3. (3) Liang X, Boppart SA. Biomechanical properties of in vivo human skin from dynamic optical coherence elastography. IEEE Trans Biomed Eng 2010; 57(4): 953-9.
  4. (4) Oikarinen A. Aging of the skin connective tissue: How to measure the biochemical and mechanical properties of aging dermis. Photodermatol Photoimmunol Photomed 1994; 10(2): 47-52.
  5. (5) Luebberding S, Krueger N, Kerscher M. Quantification of age-related facial wrinkles in men and women using a three-dimensional fringe projection method and validated assessment scales. Dermatol Surg 2014; 40(1): 22-32.
  6. (6) Uitto J. The role of elastin and collagen in cutaneous aging: Intrinsic aging versus photoexposure. J Drugs Dermatol 2008; 7(2 Suppl): s12-s16.
  7. (7) Pawlaczyk M, Lelonkiewicz M, Wieczorowski M. Age-dependent biomechanical properties of the skin. Postepy Dermatol Alergol 2013; 30(5): 302-6.
  8. (8) Saurat JH. Dermatoporosis. The functional side of skin aging. Dermatology 2007; 215(4): 271-2.
  9. (9) Manssor NA, Radzi Z, Yahya NA, Mohamad YL, Hariri F, Khairuddin NH, et al. Characteristics and young's modulus of collagen fibrils from expanded skin using anisotropic controlled rate self-inflating tissue expander. Skin Pharmacol Physiol 2016; 29(2): 55-62.
  10. (10) Saad MN. Facial rejuvenative surgery. Br J Plas. Surg 1988; 41(5): 561-2.
  11. (11) Lemperle G, Holmes RE, Cohen SR, Lemperle SM. A classification of facial wrinkles. Plast Reconstr Surg 2001; 108(6): 1735-50.
  12. (12) Pugliese LS, Medrado AP, Reis SR, Andrade ZA. The influence of low-level laser therapy on biomodulation of collagen and elastic fibers. Pesqui Odontol Bras 2003; 17(4): 307-13.
  13. (13) Avci P, Gupta A, Sadasivam M, Vecchio D, Pam Z, Pam N, et al. Low-level laser (light) therapy (LLLT) in skin: Stimulating, healing, restoring. Semin Cutan Med Surg 2013; 32(1): 41-52.
  14. (14) Diaz Lopez AM, Guzman CP. Effectiveness of different physical therapy in conservative treatment of plantar fasciitis: Systematic review. Rev Esp Salud Publica 2014; 88(1): 157-78. [In Spanish].
  15. (15) Minor MA, Sanford MK. The role of physical therapy and physical modalities in pain management. Rheum Dis Clin North Am 1999; 25(1): 233-48.
  16. (16) Cagnie B, Dewitte V, Barbe T, Timmermans F, Delrue N, Meeus M. Physiologic effects of dry needling. Curr Pain Headache Rep 2013; 17(8): 348.
  17. (17) Matsumoto T, Ikuta N, Mori M, Nagayama K. Mechanics of wrinkle formation: Micromechanical analysis of skin deformation during wrinkle formation in ultraviolet-irradiated mice. Skin Res Technol 2010; 16(2): 179-89.
  18. (18) Cotofana S, Fratila AA, Schenck TL, Redka-Swoboda W, Zilinsky I, Pavicic T. The anatomy of the aging face: A review. Facial Plast Surg 2016; 32(3): 253-60.
  19. (19) Sikdar S, Shah JP, Gebreab T, Yen RH, Gilliams E, Danoff J, et al. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Arch Phys Med Rehabil 2009; 90(11): 1829-38.
  20. (20) Pessa JE, Brown F. Independent effect of various facial mimetic muscles on the nasolabial fold. Aesthetic Plast Surg 1992; 16(2): 167-71.
  21. (21) Shoshani D, Markovitz E, Monstrey SJ, Narins DJ. The modified Fitzpatrick Wrinkle Scale: a clinical validated measurement tool for nasolabial wrinkle severity assessment. Dermatol Surg 2008; 34(Suppl 1): S85-S91.
  22. (22) Mandava A, Ravuri PR, Konathan R. High-resolution ultrasound imaging of cutaneous lesions. Indian J Radiol Imaging 2013; 23(3): 269-77.
  23. (23) Waller BM, Parr LA, Gothard KM, Burrows AM, Fuglevand AJ. Mapping the contribution of single muscles to facial movements in the rhesus macaque. Physiol Behav 2008; 95(1-2): 93-100.
  24. (24) Liu Y. Diagrams of acupuncture manipulation. Trans. Nikandish, F. Tehran, Iran: Babazadeh: Eshraghieh; 2015. [In Persian].
  25. (25) Yun Y, Kim S, Kim M, Kim K, Park JS, Choi I. Effect of facial cosmetic acupuncture on facial elasticity: An open-label, single-arm pilot study. Evid Based Complement Alternat Med 2013; 2013: 424313.
  26. (26) Cho JH, Lee HJ Chung KJ, Park BC, Chang MS, Park SK. Effects of Jae-Seng acupuncture treatment on the improvement of nasolabial folds and eye wrinkles. Evid Based Complement Alternat Med 2015, 2015: 273909.
  27. (27) Tsukahara K, Tamatsu Y, Sugawara Y, Shimada K. The relationship between wrinkle depth and dermal thickness in the forehead and lateral canthal region. Arch Dermatol 2011; 147(7): 822-8.
  28. (28) Fujimura T, Haketa K, Hotta M, Kitahara T. Global and systematic demonstration for the practical usage of a direct in vivo measurement system to evaluate wrinkles. Int J Cosmet Sci 2007; 29(6): 423-36.
  29. (29) Hatzis J. The wrinkle and its measurement--a skin surface Profilometric method. Micron 2004; 35(3): 201-19.
  30. (30) Calvo S, Quintero I, Herrero P. Effects of dry needling (DNHS technique) on the contractile properties of spastic muscles in a patient with stroke: A case report. Int J Rehabil Res 2016; 39(4): 372-6.
  31. (31) Yajima H, Takayama M, Kawase A, Takakura N, Izumizaki M, Homma I. Inhibitory effect of acupuncture on vibration-induced finger flexion reflex in humans: comparisons among radial, median, and ulnar nerve stimulation. Med Acupunct 2013; 25(4): 269-74.
  32. (32) Pellacani G, Seidenari S. Variations in facial skin thickness and echogenicity with site and age. Acta Derm Venereol 1999; 79(5): 366-9.
  33. (33) Kruglikov IL. Influence of the dermis thickness on the results of the skin treatment with monopolar and bipolar radiofrequency currents. Biomed Res Int 2016; 2016: 1953203.
  34. (34) Hsieh YL, Yang SA, Yang CC, Chou LW. Dry needling at myofascial trigger spots of rabbit skeletal muscles modulates the biochemicals associated with pain, inflammation, and hypoxia. Evid Based Complement Alternat Med 2012; 2012: 342165.
  35. (35) Akhtar R, Sherratt MJ, Cruickshank JK, Derby B. Characterizing the elastic properties of tissues. Mater Today (Kidlington) 2011; 14(3): 96-105.
  36. (36) Alexander H, Cook T. Variations with age in the mechanical properties of human skin in vivo. J Tissue Viability 2006; 16(3): 6-11.
Journal of Research in Rehabilitation Sciences
Volume 15, Issue 1 - Serial Number 1
March 2019
Pages 20-27