How to Reduce Dry Needling Pain in Treatment of Trigger Points of Muscle Triceps Sural in Ankle Post Fracture Patients

Sponsor

Becerra, Pablo (Other)

Overall Status

Terminated

CT.gov ID

NCT05193695

Collaborator

(none)

Enrollment

Location

Arms

8.7

Actual Duration (Months)

2.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Ankle fractures are one of the main causes of hospitalization due to injuries in Chile, which also have a discharge and partial load time of approximately 12 weeks in the recovery process. This generates disuse and atrophy of the posterior musculature of the leg called the triceps sural, which makes it difficult to restart and perform the gait. We conducted this research because practically all patients with this type of diagnosis have trigger points in these muscles, and dry needling technique is one of the best for its treatment, but has the disadvantage that it produces post dry needling pain of 48 hours and there is not enough information, or consensus on which method is better to reduce post dry needling pain. This study aims to prove wich technique is most useful in reducing pain post dry needling for the treatment of trigger points in the triceps sural muscle in ankle post fracture patients.

Condition or Disease	Intervention/Treatment	Phase
Physical Therapy Modalities Pain Measurement Trigger Point Pain, Myofascial Ankle Fractures Rehabilitation Needles	Other: Treadmill exercise	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

20 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Outcomes Assessor)

Primary Purpose:

Treatment

Official Title:

Heat or Excesice in Treadmill as Techique to Reduce Dry Needling Pain in Treatment of Trigger Points of Muscle Triceps Sural in Ankle Post Fracture Patients

Actual Study Start Date :

Aug 9, 2018

Actual Primary Completion Date :

Apr 4, 2019

Actual Study Completion Date :

Apr 30, 2019

Arms and Interventions

Arm	Intervention/Treatment
No Intervention: Control Patients remained in the supine position for 20 minutes lying on a stretcher after dry needling.
Experimental: Treadmill The patients walked on a treadmill for 20 minutes after dry needling, with an inclination of 5 degrees and at a speed at which the perceived exertion was 5 according to the Borg CR10 scale (Chen et al., 2002).	Other: Treadmill exercise the patients walked on a treadmill for 20 minutes after dry needling, with an inclination of 5 degrees and at a speed at which the perceived exertion was 5 according to the Borg CR10 scale (Chen et al., 2002) Other Names: Treadmill after dry needling

Arm

Intervention/Treatment

No Intervention: Control

Patients remained in the supine position for 20 minutes lying on a stretcher after dry needling.

Experimental: Treadmill

The patients walked on a treadmill for 20 minutes after dry needling, with an inclination of 5 degrees and at a speed at which the perceived exertion was 5 according to the Borg CR10 scale (Chen et al., 2002).

Other: Treadmill exercise

the patients walked on a treadmill for 20 minutes after dry needling, with an inclination of 5 degrees and at a speed at which the perceived exertion was 5 according to the Borg CR10 scale (Chen et al., 2002)

Other Names:

Treadmill after dry needling

Outcome Measures

Primary Outcome Measures

Perceived pain intensity [Change from baseline (baseline and immediately after treatment)]
Pain will be measured by the Visual Analog Scale for pain (VAS) from 0 to 10, where higher values represent a worse outcome.
Ankle Range of Motion (ROM) [Change from baseline (baseline and immediately after treatment)]
It is the degree of angular movement allowed by the ankle joint measured by kinovea.

Secondary Outcome Measures

Muscular strength of triceps sural [Change from baseline (baseline and immediately after treatment)]
By means of the heel rise test, the patient must perform a bipodal plantiflexion measured in the maximum number of repetitions in 30 seconds.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Ages between 18 and 60 years of age.
Man or woman.
At least one trigger point, active or latent, in the triceps sural muscle of the fractured ankle.
Perform full load without using technical aids.