The Effect of Dry Needling on Muscle Stiffness, Gait, Motion, and Strength in Healthy Individuals With Trigger Points

NCT ID: NCT03689283

Last Updated: 2020-01-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-25

Study Completion Date

2020-01-21

Brief Summary

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This study would be the first study to assess the immediate effects of dry needling of latent trigger points of the gastrocnemius muscle on muscle stiffness, gait, range of motion, and strength. The study has the potential to demonstrate that dry needling may have immediate effects on mechanical properties of muscle and may thus guide future treatment for individuals with changes in muscle tissue secondary to pain and/or injury.

Detailed Description

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Participants will complete the following tests: muscle stiffness testing in both a relaxed and contracted position, GAITRite for spatial and temporal gait characteristics, the Ankle Lunge Test (ALT) to assess range of motion, and calf strength using a dynamometer. Subjects will then receive treatment according to which group they are randomized. Muscle stiffness, gait, motion and strength will be reassessed immediately following treatment at the first session. Four to10 days later, participants will complete the same tests and measures prior to treatment being administered a second time. Another 4-10 days after the second session, participants will complete the tests and measures one final time.

Conditions

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Trigger Point Pain, Myofascial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Prospective randomized controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants will be blinded to group allocation. Participants in the control group will receive sham needling.

Study Groups

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Dry Needling Group

Individuals in the DN arm will receive two treatment sessions of DN to latent trigger points of the gastrocnemius muscle.

Group Type EXPERIMENTAL

Dry Needling

Intervention Type OTHER

Individuals randomized to the Dry Needling Group will receive dry needling to latent trigger points of the gastrocnemius muscle

Control Group

Individuals in the control group will receive two treatment sessions of sham dry needling.

Group Type SHAM_COMPARATOR

Sham Dry Needlling

Intervention Type OTHER

Individuals randomized to the Control group will receive sham needling to the gastrocnemius muscle

Interventions

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Dry Needling

Individuals randomized to the Dry Needling Group will receive dry needling to latent trigger points of the gastrocnemius muscle

Intervention Type OTHER

Sham Dry Needlling

Individuals randomized to the Control group will receive sham needling to the gastrocnemius muscle

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Age 18-50 years
2. Able to read and speak sufficient English to complete consent form
3. Symmetrical gait pattern demonstrated through observation
4. Presence of latent trigger point in gastrocnemius muscle

Exclusion Criteria

1. Any prior foot/ankle surgery, deformity, or injury on the which would affect strength of the gastrocnemius
2. Any prior acupuncture or dry needling within the past month
3. History of systemic disorder in which dry needling would be contraindicated (i.e. bleeding disorders or anticoagulant medication use)
4. Have fractures of the spine, hip, or knee that would likely affect their weight bearing or gait
5. Restrictions in plantar flexion range of motion which would inhibit performing a heel raise
6. No specific calf injury in the past 6 months
7. Participants known or thought to be pregnant
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Regis University

OTHER

Sponsor Role lead

Responsible Party

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Stephanie Albin

Primary Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stephanie Albin, PhD

Role: PRINCIPAL_INVESTIGATOR

Regis University

Locations

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Regis University

Denver, Colorado, United States

Site Status

Countries

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United States

References

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Ballyns JJ, Turo D, Otto P, Shah JP, Hammond J, Gebreab T, Gerber LH, Sikdar S. Office-based elastographic technique for quantifying mechanical properties of skeletal muscle. J Ultrasound Med. 2012 Aug;31(8):1209-19. doi: 10.7863/jum.2012.31.8.1209.

Reference Type BACKGROUND
PMID: 22837285 (View on PubMed)

Bandy WD, Nelson R, Beamer L. COMPARISON OF DRY NEEDLING VS. SHAM ON THE PERFORMANCE OF VERTICAL JUMP. Int J Sports Phys Ther. 2017 Oct;12(5):747-751.

Reference Type BACKGROUND
PMID: 29181252 (View on PubMed)

Chuang LL, Wu CY, Lin KC. Reliability, validity, and responsiveness of myotonometric measurement of muscle tone, elasticity, and stiffness in patients with stroke. Arch Phys Med Rehabil. 2012 Mar;93(3):532-40. doi: 10.1016/j.apmr.2011.09.014. Epub 2012 Jan 4.

Reference Type BACKGROUND
PMID: 22222143 (View on PubMed)

Furlan AD, van Tulder M, Cherkin D, Tsukayama H, Lao L, Koes B, Berman B. Acupuncture and dry-needling for low back pain: an updated systematic review within the framework of the cochrane collaboration. Spine (Phila Pa 1976). 2005 Apr 15;30(8):944-63. doi: 10.1097/01.brs.0000158941.21571.01.

Reference Type BACKGROUND
PMID: 15834340 (View on PubMed)

Other Identifiers

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RegisU

Identifier Type: -

Identifier Source: org_study_id

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