According to the studies, what was the method used in the sham dry needling group?

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In studies involving sham dry needling, the method used typically involves a needle that does not penetrate the skin. This approach is designed to create a control group that experiences some aspects of the intervention without receiving the actual treatment effects associated with true dry needling. By ensuring that the needle does not break the skin, participants in the sham group can still undergo the motion and sensation of needle insertion without receiving the therapeutic benefits that come from deeper tissue activation. This helps to maintain the integrity of the research by providing a comparable experience for participants while isolating the specific effects of true dry needling.

The other methods mentioned, such as breaking the skin or applying pressure only, would not serve as effective sham procedures because they may introduce some level of therapeutic effect or tissue response that could confound the study results. Therefore, using a technique where the needle does not penetrate the skin is a commonly accepted method for establishing a sham condition in dry needling research.

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