Dry Needling Effectiveness of Patients on Break Anterior Cruciate Ligament. (ACL)

European University Spain

Status: Unknown

Conditions: Anterior Cruciate Ligament Reconstruction

Treatments: Other: Stability and propioception; Device: Dry needling

Study type: Interventional

Funder types: Other

Identifiers

NCT02699411

European University

Details and patient eligibility

About

We will conduct a randomized clinical trial observing forty patients divided into two groups: one group composed of twenty individuals undergoing surgery for ruptured ACL, which perform dry needling of myofascial trigger (PGM) point of the vastus muscle and then perform techniques proprioception (group a); and twenty patients not be treated with dry needling after ACL surgery, using only proprioceptive exercises to the joint (group B).

Full description

It carries out a last fifteen days ECA surgical reconstruction of the anterior cruciate ligament. Twenty individuals in a group to be subjected to a technique of physiotherapy, dry needling were included. (Group A). Another group of twenty patients treated with conservative treatment performed a stability exercises and proprioception (Group B). Forty-six patients will be examined s. None had been previously operated by joint instability and all subjects were previously subjected to a diagnostic study by nuclear magnetic resonance before surgery and the diagnosis was confirmed by additional diagnostic testing. All patients will be evaluated by a physical therapist and Myofascial Trigger Point (PGM) of the vastus muscle will be evaluated.

patients using the following variables are evaluated:

• Pain: Visual Analog Scale (VAS) was used.
• Stiffness and physical function using the WOMAC scale (The Western Ontario and McMaster Universities Arthritis Index.).
• Range of motion of the knee joint: Scale ROM.
• Muscular strength, balance and propiocepción: Star Excursion by Balance Scale Test.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• over eighteen and anatomically mature surgically break LCA and valued above using MRI and functional tests to confirm the rupture of the ligament.

Exclusion criteria

• Patients who did not reach 18 years of age and those over 55,
• postoperative complications
• cause myofascial or neuropathic pain in the lower limb, as lumba-sacral radiculopathy, neuropraxia, neurotmesis, axonotmesis or meralgia paresthetica;
• fibromyalgia.
• hypothyroidism
• iron deficiencies and patients who had a fear of needles (fear of needles).
• Lower limb differences.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

dry needling

Active Comparator group

Description:

Dry needling on the vastus is performed in patients undergoing ACL fortnight after the intervention and then evaluated. REL dry needling while supplies last twenty insertions before treatment, at midnight, a week and five weeks.

Treatment:

Device: Dry needling

Stability and propioception

Active Comparator group

Description:

Proprioception and stability exercises in patients undergoing ACL fortnight after the intervention and then evaluates performed before treatment, at midnight, a week and five weeks.

Treatment:

Other: Stability and propioception