<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s9affdf92-34ff-4be0-8ed7-a887a5214175P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s9affdf92-34ff-4be0-8ed7-a887a5214175C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9affdf92-34ff-4be0-8ed7-a887a5214175000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:66:04:02"><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000">20</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000">:</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000">66</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000">:</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000">04</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000">:</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000000">02</span></a><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000001">.  Dry needling course of study.</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> The </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">State Board of Physical Therapy</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> may approve a course of study in dry</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">needling that meets the following criteria:</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175000002"> </span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    (</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">1</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">The course of study </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">covers</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">:</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175000002"> </span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (a)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Surface anatomy as it relates to underlying tissues</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">,</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> organs</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">,</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> and other structures,</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">including variations in form, proportion, and anatomical landmarks;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (b)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  E</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">mergency preparedness and response procedures related to secondary</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">physiological effects or complications with dry needling;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (c)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  E</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">mergency preparedness and response procedures related to secondary</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">emotional effects or complications associated with dry needling;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (d)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Standards for dry needle handling;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (e)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Factors influencing safety and injury prevention;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (f)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Personal protection procedures and techniques as related to dry needling;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (g)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">T</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">he t</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">heoretical basis for dry needling;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (h)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">T</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">he t</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">heoretical basis for combining dry needling with other interventions;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (i)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Secondary effects or complications associated with dry needling on other systems</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> of the human body</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">(j</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">T</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">he t</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">heoretical basis of pain sciences, including anatomy, physiology,</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">pathophysiology, and relation to body structures and function;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (k)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Indications, contraindications, and precautions related to dry needling;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">l</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Palpation techniques as related to dry needling;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (m)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Needle insertion techniques;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (n)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Needle manipulation techniques;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (o)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Physiological responses to dry needling; and</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">        (p)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">Solid filament needles;</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175000002"> </span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    (2)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  </span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">The majority of the course of study </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">is</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> in-person; and</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175000002"> </span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    (3)</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">  The course is evaluated through a practical, hands-on evaluation and a written examination.</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175000002"> </span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    A</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> physical therapist may only perform dry needling on the parts of the body </span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">addressed </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">in the course of study.</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175000002"> </span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000001">Source:</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> 45 SDR 9, effective August 1, 2018</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">; 50 SDR 66, effective December 3, 2023</span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">.</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000001">General Authority:</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-10-52"><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000003">36-10-52</span></a><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">.</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">    </span><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000001">Law Implemented:</span><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-10-52"><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0-000003">36-10-52</span></a><span class="s9affdf92-34ff-4be0-8ed7-a887a5214175C0">.</span></p><p dir="ltr" class="s9affdf92-34ff-4be0-8ed7-a887a5214175P0"><span xml:space="preserve" class="s9affdf92-34ff-4be0-8ed7-a887a5214175000002"> </span></p></div></body></html>