Treatment Time-frame Guideline for Dry Needling in the Lower Limb

NCT04161105 | Completed

• 1 other identifier: DomMSc
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates the impact of treating myofascial trigger points with a single session of dry needling on maximal isometric strength in the short term. Two groups will receive dry needling in separate muscle groups and a third group will receive no dry needling.

Conditions

Trigger Points

Keywords

Dry needling; Strength; Latent trigger points

Outcome Measures

Primary Outcomes (6)

• Isometric peak force during the isometric mid-thigh pull

  Measured in newtons. It is the amount of force exerted by pulling against an immovable bar. Peak force is measured as vertical ground reaction by force platforms beneath the participants feet.

  Baseline, 24 hours post intervention, 48 hours post intervention, 72 hours post intervention.

• Isometric peak rate of force development during the isometric mid-thigh pull

  Measured in newtons per second squared. It is the amount of force exerted by pulling against an immovable bar divided by the amount of time it takes to generate the force. It is measured as vertical ground reaction by force platforms beneath the participants feet.

  Baseline, 24 hours post intervention, 48 hours post intervention, 72 hours post intervention.

• Relative isometric peak force during the isometric mid-thigh pull

  Measured in newtons per kg body weight. It is the amount of force exerted by pulling against an immovable bar divided by two thirds the participants body weight. Peak force is measured as vertical ground reaction by force platforms beneath the participants feet.

  Baseline, 24 hours post intervention, 48 hours post intervention, 72 hours post intervention.

• Relative isometric peak rate of force development during the isometric mid-thigh pull

  Measured in newtons per second squared per kg. It is the amount of force exerted by pulling against an immovable bar divided by the amount of time it takes to generate the force divided by two thirds the participants body weight. It is measured as vertical ground reaction by force platforms beneath the participants feet.

  Baseline, 24 hours post intervention, 48 hours post intervention, 72 hours post intervention.

• Normalised isometric peak rate of force development during the isometric mid-thigh pull

  Measured in newtons per second squared and expressed relative to each participant peak force. It is the amount of force exerted by pulling against an immovable bar divided by the amount of time it takes to generate the force divided by the peak vertical ground reaction force produced during the trial. It is measured as vertical ground reaction by force platforms beneath the participants feet.

  Baseline, 24 hours post intervention, 48 hours post intervention, 72 hours post intervention.

• Isometric time interval rate of force development during the isometric mid-thigh pull

  Measured in newtons per second squared. It is the amount of force exerted by pulling against an immovable bar divided by the amount of time it takes to generate the force. With values expressed in specific time interval windows (0ms to 50ms, 0-100ms, 0-150ms, 0-200ms, 0-250ms) It is measured as vertical ground reaction by force platforms beneath the participants feet.

  Baseline, 24 hours post intervention, 48 hours post intervention, 72 hours post intervention.

Study Arms (3)

Rectus femoris dry needling group

EXPERIMENTAL

The rectus femoris dry needling group will have their strength assessed. They will then receive one treatment of dry needling to a trigger point in their rectus femoris muscle. They will have their strength re-assessed 24, 48 \& 72 hours after dry needling.

Procedure: Dry needling

Gluteus maximus dry needling group

EXPERIMENTAL

The gluteus maximus dry needling group will have their strength assessed. They will then receive one treatment of dry needling to trigger points in their gluteus maximus muscle only. They will have their strength re-assessed 24, 48 \& 72 hours after dry needling.

Procedure: Dry needling

Control

NO INTERVENTION

This group will receive no intervention. They will have their strength assessed at baseline and 24, 48 \& 72 hour follow-up

Interventions

Dry needling PROCEDURE

Dry needling is an invasive procedure involving inserting acupuncture needles directly into trigger points within muscles. The needle is partially withdrawn and re-inserted repeatedly to maximally stimulate the muscle and it's fibers.

Also known as: Myofascial dry needling

Gluteus maximus dry needling group; Rectus femoris dry needling group

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Must have latent trigger points in their rectus femoris and gluteus maximus

You may not qualify if:

• Active trigger points in rectus femoris or gluteus maximus
• Participants with current injuries
• History of fibromyalgia or myofascial pain syndrome
• History of blood disorder which prevents dry needling
• Needle phobia
• History of surgery in the last 6 months

Sponsors & Collaborators

• Institute of Technology, Carlow: lead

Study Sites (1)

Institute of Technology Carlow

Carlow, Leinster, Ireland

Location

MeSH Terms

Interventions

Dry Needling

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Darragh O' Meara, BSc

  Institute of Technology, Carlow

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The principal investigator will gather data using a force platform and computer software. It will be anonymised and group allocation will be concealed by a second investigator before being individually analysed by the principal investigator. The second investigator will be given the individually analysed data and he/she will sort the individual data into relevant groups for group analysis.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants with latent trigger points in rectus femoris (RF) and gluteus maximus (GM) muscles will be stratified evenly into 3 groups (RF dry needling, GM dry needling or control) based on baseline strength. Treatment, data collection and data analysis of all participants will be conducted concurrently.

Study Record Dates

• First Submitted: November 11, 2019
• First Posted: November 13, 2019
• Study Start: September 16, 2019
• Primary Completion: November 29, 2019
• Study Completion: November 29, 2019
• Last Updated: February 17, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will not share

Locations

IE (1)