A Study to Analyse the Immediate Effect of Dry Needling and Extra Corporeal Shock Wave Therapy on Hand Grip Strength

The Immediate Effects of Dry Needling and Extra Corporeal Shockwave Therapy on Hand Grip Strength.A Randomised Controlled Trail.

An argument to analyse the Immediate effect of dry needling or extra corporeal shock wave therapy on hand grip strength in normal healthy individuals with a hypothesis of dry needling or shock wave on forearm muscles have influence on the hand grip strength.

After written consent obtained from all the participants randomization and allocation will be done with sealed non transparent envelopes and participants will be assign to two groups Dry needling(DN) and Extra corporeal shock wave therapy (ESWT).Pre and post data of hand grip strength measured with Jamar hand dynamometer.Post data shall be collected precisely after 1 hr of intervention from both groups.

Inclusion Criteria:

• No pain on the visual analog scoring scale of 100 mm scale,
• Muscle power of 4+ on oxford manual muscle testing of forearm and wrist extrinsic and intrinsic muscles
• Full range of motion in all dominant upper extremity joints.

Exclusion Criteria:

• History of previous fractures of the dominant upper extremity,
• Teno-synovitis of flexor tendons ,
• Dequervains synovitis,
• Left hand dominance.