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

NCT04968236 | Completed

• 1 other identifier: 06/2014
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 2

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.

Conditions

Dry Needling; Stretch; Rectus Femoris Muscle

Keywords

Deep Dry needling; Superficial dry needling; muscle stretching; rectus femoris

Outcome Measures

Primary Outcomes (2)

• Knee joint range

  Knee flexion motion assessment by using the Goniometer APP, which is a digital goniometer that has proven its reliability and validity.The overall concordance coefficient has shown very good to excellent with active measurements (range, 0.60-0.97).

  Change from baseline at 7 days

• Muscle strength

  Force will be measured by a manual dynamometer (microFET®2, Hoggan Scientific LLC). Measurements will be taken in Newtons (N). It will be evaluated in the movements of flexion of knee. Manual dynamometry has proven to be a tool with excellent intra-examiner reliability to assess isometric force in flexion of the knee, with an intraclass correlation coefficient (ICC) of 0.96 (0.93-0.98).

  Change from baseline at 7 days

Secondary Outcomes (1)

• Pressure Pain Threshold (PPT)

  Change from baseline at 7 days

Study Arms (3)

Deep dry needling

EXPERIMENTAL

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.

Other: Deep Dry Needling

Superficial dry needling

EXPERIMENTAL

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

Other: Superficial Dry Needling

Passive muscle stretching

EXPERIMENTAL

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.

Other: passive stretching

Interventions

Deep Dry Needling OTHER

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

Deep dry needling

Superficial Dry Needling 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.

Superficial dry needling

passive stretching OTHER

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

Passive muscle stretching

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Men and women between 18 and 65 years old.
• To have at least 70º of knee flexion.
• Be aware of and accept the study criteria (informed consent).
• Healthy subjects, without previous hip or knee pathology or involved musculature.

You may not qualify if:

• To have pain.
• Having pain in the quadriceps or hip at the time of the study.
• Currently following physiotherapy or analgesic treatment.
• Belenophobia (fear of needles).
• Recent surgery or trauma in the area.
• Pregnancy.

Sponsors & Collaborators

• University of Alcala: lead

Study Sites (2)

Centro Investigación Fisioterapia y Dolor

Alcalá de Henares, Madrid, 28805, Spain

Location

Physiotherapy and Pain Institute

Alcalá de Henares, Madrid, 28805, Spain

Location

MeSH Terms

Interventions

Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 9, 2021
• First Posted: July 20, 2021
• Study Start: August 30, 2021
• Primary Completion: December 15, 2023
• Study Completion: February 5, 2024
• Last Updated: February 6, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

ES (2)