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

Rehabilitation Clinical Trial

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

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT05193695
• Other study ID #: Becerra
• Status: Terminated
• Phase: N/A
• Start date: August 9, 2018
• Est. completion date: April 30, 2019

Study information

• Verified date: January 2022
• Source: Becerra, Pablo
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 20
• Est. completion date: April 30, 2019
• Est. primary completion date: April 4, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

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.

Exclusion Criteria:

• Use of analgesics.
• Insurmountable fear of needles.
• Immune disease.
• Clotting disorders.
• Sensory disorders.
• Psychiatric / psychological illness.
• Cancer.
• Rheumatic diseases.

Related Conditions & MeSH terms

• Ankle Fractures
• Fractures, Bone
• Myofascial Pain Syndromes
• Pain Measurement
• Physical Therapy Modalities
• Rehabilitation
• Trigger Point Pain, Myofascial

Intervention

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)

Locations

Country	Name	City	State
Chile	Complejo Hospitalario San Jose	Santiago

Sponsors (1)

Lead Sponsor	Collaborator
Becerra, Pablo

Country where clinical trial is conducted

Chile, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Perceived pain intensity	Pain will be measured by the Visual Analog Scale for pain (VAS) from 0 to 10, where higher values represent a worse outcome.	Change from baseline (baseline and immediately after treatment)
Primary	Ankle Range of Motion (ROM)	It is the degree of angular movement allowed by the ankle joint measured by kinovea.	Change from baseline (baseline and immediately after treatment)
Secondary	Muscular strength of triceps sural	By means of the heel rise test, the patient must perform a bipodal plantiflexion measured in the maximum number of repetitions in 30 seconds.	Change from baseline (baseline and immediately after treatment)