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This study would be the first study to assess the immediate effects of dry needling of latent trigger points of the gastrocnemius muscle on muscle stiffness, gait, range of motion, and strength. The study has the potential to demonstrate that dry needling may have immediate effects on mechanical properties of muscle and may thus guide future treatment for individuals with changes in muscle tissue secondary to pain and/or injury.
Participants will complete the following tests: muscle stiffness testing in both a relaxed and contracted position, GAITRite for spatial and temporal gait characteristics, the Ankle Lunge Test (ALT) to assess range of motion, and calf strength using a dynamometer. Subjects will then receive treatment according to which group they are randomized. Muscle stiffness, gait, motion and strength will be reassessed immediately following treatment at the first session. Four to10 days later, participants will complete the same tests and measures prior to treatment being administered a second time. Another 4-10 days after the second session, participants will complete the tests and measures one final time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dry Needling Group | Experimental | Individuals in the DN arm will receive two treatment sessions of DN to latent trigger points of the gastrocnemius muscle. |
|
| Control Group | Sham Comparator | Individuals in the control group will receive two treatment sessions of sham dry needling. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry Needling | Other | Individuals randomized to the Dry Needling Group will receive dry needling to latent trigger points of the gastrocnemius muscle |
|
| Measure | Description | Time Frame |
|---|---|---|
| MyotonPRO | Muscle stiffness will be measured in both a resting and contracted state utilizing this non-invasive device | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Knee to wall | Group by time differences will be assessed for talocrural motion (knee to wall) | 2 years |
| GAITRite | Group by time differences will be assessed for gait variables (utilizing the GAITRite 6-meter mat) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stephanie Albin, PhD | Regis University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Regis University | Denver | Colorado | 80221 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22837285 | Background | Ballyns JJ, Turo D, Otto P, Shah JP, Hammond J, Gebreab T, Gerber LH, Sikdar S. Office-based elastographic technique for quantifying mechanical properties of skeletal muscle. J Ultrasound Med. 2012 Aug;31(8):1209-19. doi: 10.7863/jum.2012.31.8.1209. | |
| 29181252 | Background | Bandy WD, Nelson R, Beamer L. COMPARISON OF DRY NEEDLING VS. SHAM ON THE PERFORMANCE OF VERTICAL JUMP. Int J Sports Phys Ther. 2017 Oct;12(5):747-751. |
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| ID | Term |
|---|---|
| D009209 | Myofascial Pain Syndromes |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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Prospective randomized controlled trial
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Participants will be blinded to group allocation. Participants in the control group will receive sham needling.
| Sham Dry Needlling | Other | Individuals randomized to the Control group will receive sham needling to the gastrocnemius muscle |
|
| 2 years |
| Handheld dynamometer | Group by time differences will be assessed for strength of the gastrosoleus complex (utilizing a handheld dynamometer) | 2 years |
| 22222143 | Background | Chuang LL, Wu CY, Lin KC. Reliability, validity, and responsiveness of myotonometric measurement of muscle tone, elasticity, and stiffness in patients with stroke. Arch Phys Med Rehabil. 2012 Mar;93(3):532-40. doi: 10.1016/j.apmr.2011.09.014. Epub 2012 Jan 4. |
| 15834340 | Background | Furlan AD, van Tulder M, Cherkin D, Tsukayama H, Lao L, Koes B, Berman B. Acupuncture and dry-needling for low back pain: an updated systematic review within the framework of the cochrane collaboration. Spine (Phila Pa 1976). 2005 Apr 15;30(8):944-63. doi: 10.1097/01.brs.0000158941.21571.01. |