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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dry needling+eccentric exercises | Experimental | Application of dry needling on the hyperalgesic trigger points of the gastrocnemius muscle and subsequent inclusion of eccentric exercises. |
|
| Electrolysis+eccentric exercises | Experimental | Application of electrolysis to the Achilles tendon and subsequent inclusion of eccentric exercises. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry needling | Device | Dry needling using the Hong technique on the most hyperalgesic trigger point in the gastrocnemius muscle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity. | Measurement of pain intensity using the VAS scale (0 minimum pain, 10 maximum bearable pain). | 5 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure pain threshold | Pressure pain threshold measured by algometer over the most hyperalgesic point on the Achilles tendon measured in Newtons. | 5 weeks |
| Range of movement | Measurement of ankle dorsiflexion range of motion measured by digital goniometer. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jorge Velázquez Saornil | Ávila | 05005 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34616594 | Background | 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. | |
| 25133077 | Result | 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. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D052256 | Tendinopathy |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009135 | Muscular Diseases |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| D004572 | Electrolysis |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D055664 | Electrochemical Techniques |
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| Electrolysis | Device | Electrolysis on the Achilles tendon using ultrasound-guided technique. |
|
| 5 weeks |
| 36292308 | 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. |
| 35210467 | 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. |
| 29932797 | 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. |
| 36583575 | 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. |
| D009140 | Musculoskeletal Diseases |
| D013708 | Tendon Injuries |
| D014947 | Wounds and Injuries |
| D008919 | Investigative Techniques |