Effectiveness of Dry Needling of the Gastrocnemius Muscle VS Electrolysis in Subjects With Achilles Tendinopathy

Sponsor

Universidad Católica de Ávila (Other)

Overall Status

Recruiting

CT.gov ID

NCT06080334

Collaborator

(none)

Enrollment

Location

Arms

Anticipated Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Achilles Tendinopathy Pain	Device: Dry needling Device: Electrolysis	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

80 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Investigator)

Primary Purpose:

Health Services Research

Official Title:

Effectiveness of Dry Needling of the Gastrocnemius Muscle vs. Electrolysis in Subjects With Achilles Tendinopathy: a Randomised Single-blind Clinical Trial

Anticipated Study Start Date :

Nov 1, 2023

Anticipated Primary Completion Date :

Apr 30, 2024

Anticipated Study Completion Date :

Sep 1, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Dry needling+eccentric exercises Application of dry needling on the hyperalgesic trigger points of the gastrocnemius muscle and subsequent inclusion of eccentric exercises.	Device: Dry needling Dry needling using the Hong technique on the most hyperalgesic trigger point in the gastrocnemius muscle.
Experimental: Electrolysis+eccentric exercises Application of electrolysis to the Achilles tendon and subsequent inclusion of eccentric exercises.	Device: Electrolysis Electrolysis on the Achilles tendon using ultrasound-guided technique.

Arm

Intervention/Treatment

Experimental: Dry needling+eccentric exercises

Application of dry needling on the hyperalgesic trigger points of the gastrocnemius muscle and subsequent inclusion of eccentric exercises.

Device: Dry needling

Dry needling using the Hong technique on the most hyperalgesic trigger point in the gastrocnemius muscle.

Experimental: Electrolysis+eccentric exercises

Application of electrolysis to the Achilles tendon and subsequent inclusion of eccentric exercises.

Device: Electrolysis

Electrolysis on the Achilles tendon using ultrasound-guided technique.

Outcome Measures

Primary Outcome Measures

Pain intensity. [5 weeks]
Measurement of pain intensity using the VAS scale (0 minimum pain, 10 maximum bearable pain).

Secondary Outcome Measures

Pressure pain threshold [5 weeks]
Pressure pain threshold measured by algometer over the most hyperalgesic point on the Achilles tendon measured in Newtons.
Range of movement [5 weeks]
Measurement of ankle dorsiflexion range of motion measured by digital goniometer.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 65 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Signing of informed consent both to participate in the study and to undergo invasive in the study, as well as to undergo invasive physiotherapy techniques. physiotherapy techniques.
Presence of symptoms (swelling or pain) for at least 3 months.
Positive Achilles tendon palpation test.
Males and females over 18 years of age.
Presence of MMP in the gastrocnemius muscle, meeting at least three of the following criteria diagnostic criteria described by Travell and Simons:
Presence of palpable tight band.
Local pain on pressure at the nodule of the tense band.
Recognition by the patient as his usual pain after mechanical after mechanical stimulation of the sensitive nodule.
Limitation of range of motion.

Exclusion Criteria:

Any related acute or chronic musculoskeletal disease that may related chronic musculoskeletal disease, which may affect the results of the study

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Jorge Velázquez Saornil	Ávila		Spain	05005

Sponsors and Collaborators

Universidad Católica de Ávila

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

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.

Responsible Party:

JORGE VELAZQUEZ SAORNIL, Principal investigator, Universidad Católica de Ávila

ClinicalTrials.gov Identifier:

NCT06080334

Other Study ID Numbers:

06/10/2023

First Posted:

Oct 12, 2023

Last Update Posted:

Oct 12, 2023

Last Verified:

Oct 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Undecided

Plan to Share IPD:

Undecided

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by JORGE VELAZQUEZ SAORNIL, Principal investigator, Universidad Católica de Ávila

achilles tendon

electrolysis

tendinopathy

Additional relevant MeSH terms:

Tendinopathy

Study Results

No Results Posted as of Oct 12, 2023