Comparison of Dry Needle and Massotherapy on Tolerance Effort and Soreness

Sponsor

Universidade Federal de Pernambuco (Other)

Overall Status

Unknown status

CT.gov ID

NCT03619928

Collaborator

(none)

Enrollment

Location

Arms

2.2

Anticipated Duration (Months)

9.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Introduction: Delayed onset muscle soreness (DOMS) is a common myogenic condition considered to be a muscle tension injury frequently observed in recreational or experienced athletes, induced in the majority of cases by eccentric and inactive exercises, the most common of which are: tension, pain and impairment muscular and have a course of typical duration of 24 hours and peak between 48 and 72 hours. Among the treatments proposed with the aim of reducing the symptoms of DOMS is massage therapy. However, dry needling is a relatively new technique that has been used in myotendinous lesions and its effects on late muscle pain have not yet been studied. Objective: To compare the impact of dry needling and massage therapy on exercise tolerance, and analgesia of sedentary individuals with late muscle pain induced by eccentric exercise. The present study is characterized as a randomized and blinded comparative study in which male sedentary individuals will be invited in which the late muscle pain will be induced through eccentric contractions and will receive different treatments: dry needling or massage therapy. The upper limb functionality, pain perception, superficial hyperemia and brachial biceps thickness will be compared through the exams: visual analogue pain scale (VAS), digital algometry, thermography, ultrasonography and isometric test.

Condition or Disease	Intervention/Treatment	Phase
Delayed Onset Muscle Soreness	Device: Dry needling Device: Massotherapy	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

20 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Double (Investigator, Outcomes Assessor)

Primary Purpose:

Treatment

Official Title:

Comparison of Dry Needle and Massotherapy on Tolerance to the Effort and Soreness of Individuals With Late Muscular Pain Induced by Exercise

Actual Study Start Date :

Jul 27, 2018

Anticipated Primary Completion Date :

Aug 27, 2018

Anticipated Study Completion Date :

Oct 1, 2018

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Dry needling Procedure in which a thin needle is used to penetrate the skin, subcutaneous tissues and muscle with the intention of mechanically stimulating the tissue without the use of an anesthetic. The physiological mechanism supporting the effects of dry needling remains to be clarified. It has been suggested that the needle works according to the pain gate control theory, indicating that one type of sensory input could be inhibited in the Central nervous system by another input	Device: Dry needling 20 minutes through a sterile, disposable Dong Bang® needle size of 0.25X30 mm. At the moment of insertion of the needle, the therapist will perform a muscular shortening around the application site, in a pincer movement performed by the index and thumb fingers, in order to isolate the muscle fibers of the biceps brachii. Five needles will be applied to the short head brachii biceps in five points: origin, insertion, center of the muscular womb (60% of the distance from the medial acromion to the cubital fossa in the elbow line) and two points equidistant from the center 2 cm.
Active Comparator: Massotherapy Among the therapeutic approaches for DOMS is massage therapy. Several authors have examined the effects of DOMS massage and indirect markers of muscle damage, such as impaired muscle function, edema and muscle changes in blood proteins.	Device: Massotherapy A 20-minute massage will be applied to the non-dominant upper limb exercised by a therapist for the massage condition. The massage will consist of: 1) surface slip; 2) deep slip; 3) kneading; 4) friction with the thumbs; 5) friction with four fingers; 6) percussions with open and alternating hands; 7) percussions with open and simultaneous hands; 8) tapping; and 9) surface slip.

Arm

Intervention/Treatment

Experimental: Dry needling

Procedure in which a thin needle is used to penetrate the skin, subcutaneous tissues and muscle with the intention of mechanically stimulating the tissue without the use of an anesthetic. The physiological mechanism supporting the effects of dry needling remains to be clarified. It has been suggested that the needle works according to the pain gate control theory, indicating that one type of sensory input could be inhibited in the Central nervous system by another input

Device: Dry needling

20 minutes through a sterile, disposable Dong Bang® needle size of 0.25X30 mm. At the moment of insertion of the needle, the therapist will perform a muscular shortening around the application site, in a pincer movement performed by the index and thumb fingers, in order to isolate the muscle fibers of the biceps brachii. Five needles will be applied to the short head brachii biceps in five points: origin, insertion, center of the muscular womb (60% of the distance from the medial acromion to the cubital fossa in the elbow line) and two points equidistant from the center 2 cm.

Active Comparator: Massotherapy

Among the therapeutic approaches for DOMS is massage therapy. Several authors have examined the effects of DOMS massage and indirect markers of muscle damage, such as impaired muscle function, edema and muscle changes in blood proteins.

Device: Massotherapy

A 20-minute massage will be applied to the non-dominant upper limb exercised by a therapist for the massage condition. The massage will consist of: 1) surface slip; 2) deep slip; 3) kneading; 4) friction with the thumbs; 5) friction with four fingers; 6) percussions with open and alternating hands; 7) percussions with open and simultaneous hands; 8) tapping; and 9) surface slip.

Outcome Measures

Primary Outcome Measures

Pressure pain threshold [48 hours]
Algometry
Delayed onset muscle soreness [48 hours]
Visual analogue scale which measures the pain and whose minimum value is zero and the maximum value is 100 millimeters. The higher value is the worse the pain.

Secondary Outcome Measures

Muscle thickness [48 hours]
Ultrassonography
Temperature [48 hours]
Thermography
Time limit [48 hours]
Isometric performance test

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 45 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

not practicing physical activity BMI greater than 18 and less than 30 members of the UFPE community

Exclusion Criteria:

making use of analgesic or anti-inflammatory medications acupuncture or dry needling or massage therapy in the last 6 months report of muscle pain orthopedic neurological problems hypertension and diabetes cardiovascular or respiratory diseases

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Romero Souza Leão de Albergaria Crasto	Recife	Pernambuco	Brazil	50670-901

Sponsors and Collaborators

Universidade Federal de Pernambuco

Investigators

Principal Investigator: Romero SL Crasto, Esp., Master student, program in physical therapy

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

ROMERO SOUZA LEÃO DE ALBERGARIA CRASTO, Principal researcher, Universidade Federal de Pernambuco

ClinicalTrials.gov Identifier:

NCT03619928

Other Study ID Numbers:

DN, massotherapy and DOMS

First Posted:

Aug 8, 2018

Last Update Posted:

Aug 8, 2018

Last Verified:

Jul 1, 2018

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

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

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

Keywords provided by ROMERO SOUZA LEÃO DE ALBERGARIA CRASTO, Principal researcher, Universidade Federal de Pernambuco

Dry needling

Massotherapy

Delayed onset muscle soreness

Additional relevant MeSH terms:

Myalgia

Study Results

No Results Posted as of Aug 8, 2018