Dry Needling Versus Conservative Treatment in the Rectus Femoris Muscle Approach.

Dry Needling Clinical Trial

Official title:

Application of the Deep Versus Superficial Dry Needling and Stretching Technique in the Treatment of the Quadriceps Rectus Femoris Muscle.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04968236
• Other study ID #: 06/2014
• Status: Completed
• Phase: N/A
• Start date: August 30, 2021
• Est. completion date: February 5, 2024

Study information

• Verified date: February 2024
• Source: University of Alcala
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In recent years, dry needling techniques have become widespread in the field of musculoskeletal pain treatment. Specifically, the management of myofascial trigger points has been the focus of these techniques.

One of the objectives has been to improve the flexibility of those muscles that, due to the presence of myofascial trigger points, had a decrease in this parameter.

This study aims to determine whether the application of a dry needling technique is more effective than analytical stretching of the muscle.

Description:

Hypothesis of the study Deep dry needling of latent trigger points of the rectus femoris produces greater effects on flexibility, strength and pain than superficial dry needling or stretching.

• Overall objective: To compare the differences that occur in flexibility, strength and pain threshold to pressure after the application of deep dry needling, superficial dry needling and stretching on latent trigger points of the rectus femoris.

• Specific objectives To determine the changes produced by deep dry needling on flexibility, strength and pain threshold to pressure.

To determine the changes produced by superficial dry needling on flexibility, strength and pain threshold to pressure.

To determine the changes in flexibility, strength and pain threshold to pressure produced by conventional assisted stretching.

To check if the changes remain after 7 days of the application of the techniques.

To assess the inter-rater reliability of the Goniometer APP in the study sample.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 90
• Est. completion date: February 5, 2024
• Est. primary completion date: December 15, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

1. Men and women between 18 and 65 years old.

2. To have at least 70º of knee flexion.

3. Be aware of and accept the study criteria (informed consent).

4. Healthy subjects, without previous hip or knee pathology or involved musculature.

Exclusion Criteria:

1. To have pain.

2. Having pain in the quadriceps or hip at the time of the study.

3. Currently following physiotherapy or analgesic treatment.

4. Belenophobia (fear of needles).

5. Recent surgery or trauma in the area.

6. Pregnancy.

Related Conditions & MeSH terms

• Dry Needling
• Stretch

Intervention

Other:
• Deep Dry Needling
In-and-out into different directions technique to encounter sensitive spots in an MTrP region.
• Superficial Dry Needling
This technique involves inserting a needle at a depth that is into the subcutaneous tissue and may be combined with manipulation of the needle while in situ.
• passive stretching
Type of stretching in which you stay in one position for a set time. In this case, hip extension and knee flexion.

Locations

Country	Name	City	State
Spain	Centro Investigación Fisioterapia y Dolor	Alcalá De Henares	Madrid
Spain	Physiotherapy and Pain Institute	Alcalá de Henares	Madrid

Sponsors (1)

Lead Sponsor	Collaborator
University of Alcala

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Knee joint range	Knee flexion motion assessment by using the Goniometer APP, which is a digital goniometer that has proven its reliability and validity.The overall concordance coefficient has shown very good to excellent with active measurements (range, 0.60-0.97).	Change from baseline at 7 days
Primary	Muscle strength	Force will be measured by a manual dynamometer (microFET®2, Hoggan Scientific LLC). Measurements will be taken in Newtons (N). It will be evaluated in the movements of flexion of knee. Manual dynamometry has proven to be a tool with excellent intra-examiner reliability to assess isometric force in flexion of the knee, with an intraclass correlation coefficient (ICC) of 0.96 (0.93-0.98).	Change from baseline at 7 days
Secondary	Pressure Pain Threshold (PPT)	An algometer Wagner FPI 10-WA will be used to determine the PPT in rectus femoris trigger points	Change from baseline at 7 days