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

Pain Clinical Trial

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06080334
• Other study ID #: 06/10/2023
• Status: Recruiting
• Phase: N/A
• Start date: December 1, 2023
• Est. completion date: September 1, 2024

Study information

• Verified date: December 2023
• Source: Universidad Católica de Ávila
• Contact: Jorge Velázquez Saornil, PhD.
• Phone: +34920251020
• Email: jorge.velazquezsaornil[@]ucavila.es
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 80
• Est. completion date: September 1, 2024
• Est. primary completion date: April 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

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

Related Conditions & MeSH terms

• Achilles Tendinopathy
• Pain
• Tendinopathy

Intervention

Device:
• Dry needling
Dry needling using the Hong technique on the most hyperalgesic trigger point in the gastrocnemius muscle.
• Electrolysis
Electrolysis on the Achilles tendon using ultrasound-guided technique.

Locations

Country	Name	City	State
Spain	Jorge Velázquez Saornil	Ávila

Sponsors (1)

Lead Sponsor	Collaborator
Universidad Católica de Ávila

Country where clinical trial is conducted

Spain, 

References & Publications (6)

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: 10.1177/026921 — View Citation

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. — View Citation

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/health — View Citation

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- — View Citation

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 — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity.	Measurement of pain intensity using the VAS scale (0 minimum pain, 10 maximum bearable pain).	5 weeks
Secondary	Pressure pain threshold	Pressure pain threshold measured by algometer over the most hyperalgesic point on the Achilles tendon measured in Newtons.	5 weeks
Secondary	Range of movement	Measurement of ankle dorsiflexion range of motion measured by digital goniometer.	5 weeks