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

University of Alcala

Status: Completed

Conditions: Dry Needling; Stretch; Rectus Femoris Muscle

Treatments: Other: Deep Dry Needling; Other: Superficial Dry Needling; Other: passive stretching

Study type: Interventional

Funder types: Other

Identifiers

NCT04968236

06/2014

Details and patient eligibility

About

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.

Full description

Hypothesis of the study Deep dry needling of latent trigger points of the rectus femoris produces greater effects on flexibility, strength and pain than superficial dry needling or stretching.

• Overall objective: To compare the differences that occur in flexibility, strength and pain threshold to pressure after the application of deep dry needling, superficial dry needling and stretching on latent trigger points of the rectus femoris.

• Specific objectives To determine the changes produced by deep dry needling on flexibility, strength and pain threshold to pressure.

To determine the changes produced by superficial dry needling on flexibility, strength and pain threshold to pressure.

To determine the changes in flexibility, strength and pain threshold to pressure produced by conventional assisted stretching.

To check if the changes remain after 7 days of the application of the techniques.

To assess the inter-rater reliability of the Goniometer APP in the study sample.

Enrollment: 90 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 3 patient groups

Deep dry needling

Experimental group

Description:

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.

Treatment:

Other: Deep Dry Needling

Superficial dry needling

Experimental group

Description:

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

Treatment:

Other: Superficial Dry Needling

Passive muscle stretching

Experimental group

Description:

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.

Treatment:

Other: passive stretching