Effectiveness of Deep Dry Needling on Muscle Tone in Healthy Subjects

NCT02575586 | Completed DMC

• 1 other identifier: 83
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The main objective of this study is to analyze the effect of dry needling of the soleus muscle to modulate muscle tone in healthy non-injured subjects. The secondary objective is to study if effects occur due to changes in the neural or mechanical component (or both). Hypothesis: Deep Dry Needling of the latent medial Myofascial Trigger Point (MTrP) of the soleus muscle produces changes in muscle tone varying the passive resistance torque at a rate of 180º/ s.

Conditions

Muscle Tone Abnormalities

Keywords

Trigger Points; Dry needling; Torque; H-Reflex

Outcome Measures

Primary Outcomes (3)

• Change in Passive resistive torque to ankle dorsiflexion.

  Passive resistive torque to ankle dorsiflexion at slow (10º/s) and fast (180º/s) velocities.

  Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).

• Change in Dorsiflexion passive range of motion.

  Soleus muscle extensibility (Dorsiflexion angle of ankle obtained by a force of 200 N and by the maximal tolerated force applied to gastrocnemius muscles).

  Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).

• Change in Ratio Hmax/Mmax.

  Ratio between maximal H-reflex and maximal M-wave.

  Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).

Secondary Outcomes (3)

• Change in Maximal voluntary isometric force.

  Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).

• Change in H reflex.

  Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).

• Change in M response.

  Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).

Other Outcomes (2)

• Pain perception after intervention using Visual analogical scale.

  After intervention (Day 1).

• Number of Local twitch responses.

  During intervention (Day 1).

Study Arms (2)

Dry Needling into MTrPs.

EXPERIMENTAL

Intervention-Dry Needling: Deep Dry Needing into the medial Myofascial Trigger Point of the soleus muscle.

Device: Intervention-Dry Needling

Dry Needling out of MTrPs.

ACTIVE COMPARATOR

Control-Dry Needling: Deep Dry Needling distal to Myofascial Trigger Point of the soleus muscle (in the same taut band).

Device: Control-Dry Needling

Interventions

Intervention-Dry Needling DEVICE

Deep Dry Needling into the site of the latent medial Myofascial Trigger Point of the soleus muscle. 1 session in soleus muscle moving the needle up and down ten times.

Dry Needling into MTrPs.

Control-Dry Needling DEVICE

Deep Dry Needling distal to Myofascial Trigger Point but into the same taut band. 1 session in soleus muscle moving the needle up and down ten times.

Dry Needling out of MTrPs.

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age range 18-40 years.
• Healthy volunteers.
• Presence of a latent medial MTrP of the soleus muscle.
• Being able to provide written informed consent.
• Being able to follow instructions and realize clinical tests.

You may not qualify if:

• Any history of ipsilateral lower limb severe injury or intervention (e.g. fracture, surgical intervention).
• Pain or musculoskeletal injury, ligament injury, tendonitis or plantar fasciitis in the ipsilateral leg for six months previous to the intervention.
• Peripheral or central nervous system neurological disease.
• Altered sensitivity in the treatment area.
• Treatment of a myofascial trigger point in the sural triceps in the six months previous to the intervention.
• Changes in physical activity which would have affected muscle tone during the study.
• Fear of needles.
• No tolerance to pain caused by dry needling.
• No continuance commitment.

Sponsors & Collaborators

• University of Castilla-La Mancha: lead
• Hospital Nacional de Parapléjicos de Toledo: collaborator
• Universidad San Jorge: collaborator

Study Sites (1)

Toledo Hospital

Toledo, Spain

Location

Related Publications (1)

• Jimenez-Sanchez C, Gomez-Soriano J, Bravo-Esteban E, Mayoral-Del Moral O, Herrero-Gallego P, Ortiz-Lucas M. The effect of dry needling of myofascial trigger points on muscle stiffness and motoneuron excitability in healthy subjects. Acupunct Med. 2022 Feb;40(1):24-33. doi: 10.1177/09645284211027579. Epub 2021 Jul 20.

  PMID: 34284646 DERIVED

Study Officials

• Julio Gomez Soriano, PhD

  University of Castilla-La Mancha

  STUDY DIRECTOR

• Carolina Jiménez Sánchez, MSc

  Universidad San Jorge

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: BASIC SCIENCE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 9, 2015
• First Posted: October 14, 2015
• Study Start: October 1, 2015
• Primary Completion: December 1, 2015
• Study Completion: June 1, 2017
• Last Updated: October 20, 2017

Record last verified: 2015-10

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)