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

Not Applicable

Terminated

• Conditions: Pain Measurement; Ankle Fractures; Rehabilitation; Trigger Point Pain, Myofascial; Needles; Physical Therapy Modalities

• Registration Number: NCT05193695
• Lead Sponsor: Becerra, Pablo

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-08-09
• Primary Completion: 2019-04-04
• Study Completion: 2019-04-30
• Status Verified: 2022-01
• Study First Submitted: 2022-01-03
• Study First Submitted QC: 2022-01-03
• Last Update Submitted: 2022-01-15
• Study First Posted: 2022-01-18
• Last Update Posted: 2022-01-31

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 20

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
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.
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.

Secondary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Complejo Hospitalario San Jose; 🇨🇱 Santiago, Chile