Effectiveness of Dry Needling of the Gastrocnemius Muscle VS Electrolysis in Subjects With Achilles Tendinopathy

NCT06080334 | Completed

• 1 other identifier: 06/10/2023
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Achilles tendinopathy is the injury that primarily occurs in athletes and people who engage in repetitive activities that involve the calf muscles, such as running, jumping, and sudden acceleration and deceleration movements. To observe the effectiveness of dry needling in the PGM of the gastrocnemius muscle, in the short and medium term, on the intensity of pain in gastrocnemius muscle, in the short and medium term, on pain intensity in patients with patients with Achilles tendinopathy, compared to the application of ultrasound-guided percutaneous electrolysis on the tendon.

Conditions

Achilles Tendinopathy; Pain

Keywords

achilles tendon; electrolysis; tendinopathy

Outcome Measures

Primary Outcomes (1)

• Pain intensity.

  Measurement of pain intensity using the VAS scale (0 minimum pain, 10 maximum bearable pain).

  5 weeks

Secondary Outcomes (2)

• Pressure pain threshold

  5 weeks

• Range of movement

  5 weeks

Study Arms (2)

Dry needling+eccentric exercises

EXPERIMENTAL

Application of dry needling on the hyperalgesic trigger points of the gastrocnemius muscle and subsequent inclusion of eccentric exercises.

Device: Dry needling

Electrolysis+eccentric exercises

EXPERIMENTAL

Application of electrolysis to the Achilles tendon and subsequent inclusion of eccentric exercises.

Device: Electrolysis

Interventions

Dry needling DEVICE

Dry needling using the Hong technique on the most hyperalgesic trigger point in the gastrocnemius muscle.

Dry needling+eccentric exercises

Electrolysis DEVICE

Electrolysis on the Achilles tendon using ultrasound-guided technique.

Electrolysis+eccentric exercises

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Signing of informed consent both to participate in the study and to undergo invasive in the study, as well as to undergo invasive physiotherapy techniques. physiotherapy techniques.
• Presence of symptoms (swelling or pain) for at least 3 months.
• Positive Achilles tendon palpation test.
• Males and females over 18 years of age.
• Presence of MMP in the gastrocnemius muscle, meeting at least three of the following criteria diagnostic criteria described by Travell and Simons:
• Presence of palpable tight band.
• Local pain on pressure at the nodule of the tense band.
• Recognition by the patient as his usual pain after mechanical after mechanical stimulation of the sensitive nodule.
• Limitation of range of motion.

You may not qualify if:

• Any related acute or chronic musculoskeletal disease that may related chronic musculoskeletal disease, which may affect the results of the study

Sponsors & Collaborators

• Universidad Católica de Ávila: lead

Study Sites (1)

Jorge Velázquez Saornil

Ávila, 05005, Spain

Location

Related Publications (6)

• Zunko H, Vauhnik R. Reliability of the weight-bearing ankle dorsiflexion range of motion measurement using a smartphone goniometer application. PeerJ. 2021 Sep 22;9:e11977. doi: 10.7717/peerj.11977. eCollection 2021.

  PMID: 34616594 BACKGROUND

• Kedia M, Williams M, Jain L, Barron M, Bird N, Blackwell B, Richardson DR, Ishikawa S, Murphy GA. The effects of conventional physical therapy and eccentric strengthening for insertional achilles tendinopathy. Int J Sports Phys Ther. 2014 Aug;9(4):488-97.

  PMID: 25133077 RESULT

• Lucena-Anton D, Luque-Moreno C, Valencia-Medero J, Garcia-Munoz C, Moral-Munoz JA. Effectiveness of Dry Needling of Myofascial Trigger Points in the Triceps Surae Muscles: Systematic Review. Healthcare (Basel). 2022 Sep 24;10(10):1862. doi: 10.3390/healthcare10101862.

  PMID: 36292308 RESULT

• Martin-Sacristan L, Calvo-Lobo C, Pecos-Martin D, Fernandez-Carnero J, Alonso-Perez JL. Dry needling in active or latent trigger point in patients with neck pain: a randomized clinical trial. Sci Rep. 2022 Feb 24;12(1):3188. doi: 10.1038/s41598-022-07063-0.

  PMID: 35210467 RESULT

• McDevitt AW, Snodgrass SJ, Cleland JA, Leibold MBR, Krause LA, Mintken PE. Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series. Physiother Theory Pract. 2020 Mar;36(3):397-407. doi: 10.1080/09593985.2018.1488023. Epub 2018 Jun 22.

  PMID: 29932797 RESULT

• Asensio-Olea L, Leiros-Rodriguez R, Marques-Sanchez MP, de Carvalho FO, Maciel LYS. Efficacy of percutaneous electrolysis for the treatment of tendinopathies: A systematic review and meta-analysis. Clin Rehabil. 2023 Jun;37(6):747-759. doi: 10.1177/02692155221144272. Epub 2022 Dec 30.

  PMID: 36583575 RESULT

MeSH Terms

Conditions

Pain; Tendinopathy

Interventions

Dry Needling; Electrolysis

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Muscular Diseases; Musculoskeletal Diseases; Tendon Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Electrochemical Techniques; Investigative Techniques

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: October 6, 2023
• First Posted: October 12, 2023
• Study Start: December 1, 2023
• Primary Completion: April 30, 2024
• Study Completion: September 1, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Locations

ES (1)