Dry Needling Versus Conservative Treatment in the Rectus Femoris Muscle Approach.

NCT ID: NCT04968236

Last Updated: 2024-02-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-08-30
• Study Completion Date: 2024-02-05

Brief Summary

In recent years, dry needling techniques have become widespread in the field of musculoskeletal pain treatment. Specifically, the management of myofascial trigger points has been the focus of these techniques.

One of the objectives has been to improve the flexibility of those muscles that, due to the presence of myofascial trigger points, had a decrease in this parameter.

This study aims to determine whether the application of a dry needling technique is more effective than analytical stretching of the muscle.

Detailed Description

Hypothesis of the study Deep dry needling of latent trigger points of the rectus femoris produces greater effects on flexibility, strength and pain than superficial dry needling or stretching.

• Overall objective: To compare the differences that occur in flexibility, strength and pain threshold to pressure after the application of deep dry needling, superficial dry needling and stretching on latent trigger points of the rectus femoris.

• Specific objectives To determine the changes produced by deep dry needling on flexibility, strength and pain threshold to pressure.

To determine the changes produced by superficial dry needling on flexibility, strength and pain threshold to pressure.

To determine the changes in flexibility, strength and pain threshold to pressure produced by conventional assisted stretching.

To check if the changes remain after 7 days of the application of the techniques.

To assess the inter-rater reliability of the Goniometer APP in the study sample.

Conditions

Dry Needling; Stretch; Rectus Femoris Muscle

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Deep dry needling

With the subject lying supine, we will first locate a latent myofascial trigger point in the rectus femoris muscle.Subsequently, we will apply a deep dry needling technique to the latent trigger point and make 10-12 incisions.

Group Type: EXPERIMENTAL

Deep Dry Needling

Intervention Type: OTHER

In-and-out into different directions technique to encounter sensitive spots in an MTrP region.

Superficial dry needling

With the subject lying supine, we will first locate a latent myofascial trigger point in the rectus femoris muscle.Subsequently, we will apply a superficial dry needling technique to the latent trigger point. Once the needle is placed in the subcutaneous cellular tissue, we manipulate the needle by twisting it until an unpleasant response is provoked. We keep the needle for 5 minutes

Group Type: EXPERIMENTAL

Superficial Dry Needling

Intervention Type: OTHER

This technique involves inserting a needle at a depth that is into the subcutaneous tissue and may be combined with manipulation of the needle while in situ.

Passive muscle stretching

With the patient positioned in the supine position, the pelvis stabilized with a strap and the lower extremity where we are going to apply the rectus femoris muscle stretch placed outside the table, we perform a passive stretching technique, increasing hip extension and knee flexion until the patient feels the tension. The position is held for 60 seconds.

Group Type: EXPERIMENTAL

passive stretching

Intervention Type: OTHER

Type of stretching in which you stay in one position for a set time. In this case, hip extension and knee flexion.

Interventions

Deep Dry Needling

In-and-out into different directions technique to encounter sensitive spots in an MTrP region.

Intervention Type: OTHER

Superficial Dry Needling

This technique involves inserting a needle at a depth that is into the subcutaneous tissue and may be combined with manipulation of the needle while in situ.

Intervention Type: OTHER

passive stretching

Type of stretching in which you stay in one position for a set time. In this case, hip extension and knee flexion.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Men and women between 18 and 65 years old.

2. To have at least 70º of knee flexion.

3. Be aware of and accept the study criteria (informed consent).

4. Healthy subjects, without previous hip or knee pathology or involved musculature.

Exclusion Criteria

1. To have pain.

2. Having pain in the quadriceps or hip at the time of the study.

3. Currently following physiotherapy or analgesic treatment.

4. Belenophobia (fear of needles).

5. Recent surgery or trauma in the area.

6. Pregnancy.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Alcala

OTHER

Sponsor Role: lead

Responsible Party

Prof. Dr. Daniel Pecos Martín

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Centro Investigación Fisioterapia y Dolor

Alcalá de Henares, Madrid, Spain

Physiotherapy and Pain Institute

Alcalá de Henares, Madrid, Spain

Countries

Spain

Other Identifiers

06/2014

Identifier Type: -

Identifier Source: org_study_id