1. A. In this chapter, the following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Board” means the State Board of Chiropractic Examiners.

   2. (2) “Dry needling” means a chiropractic intervention, also known as intramuscular manual therapy, that:

      1. (a) Is performed only by chiropractors with physical therapy privileges;
      2. (b) Involves the insertion of one or more solid needles, a mechanical device, into the muscle and related tissues to affect change in muscle and related tissues;
      3. (c) Requires ongoing evaluation, assessment, and re-evaluation of the impairments;
      4. (d) Is only utilized in parts of the body with neuromuscular or musculoskeletal links to the impairments; and

      5. (e) Is not performed for:

         1. (i) The purposes of acupuncture as defined in Health Occupations Article, §1A-101, Annotated Code of Maryland; or
         2. (ii) Any purpose outside the scope of chiropractic.

Authority: Health Occupations Article, §§3-101, 3-205(a), 3-307, 3-403, and 13-101, Annotated Code of Maryland

Effective date: May 18, 2020 (47:10 Md. R. 519)

Regulation .03A, C amended effective April 4, 2022 (49:7 Md. R. 467)

Regulation .04 amended effective April 4, 2022 (49:7 Md. R. 467)

Regulation .05A amended effective April 4, 2022 (49:7 Md. R. 467)