The Effect of Dry Needling on Muscle Stiffness, Gait, Motion, and Strength in Healthy Individuals With Trigger Points

Not Applicable

Completed

• Conditions: Trigger Point Pain, Myofascial
• Interventions: Other: Dry Needling; Other: Sham Dry Needlling

• Registration Number: NCT03689283
• Lead Sponsor: Regis University

Brief Summary

This study would be the first study to assess the immediate effects of dry needling of latent trigger points of the gastrocnemius muscle on muscle stiffness, gait, range of motion, and strength. The study has the potential to demonstrate that dry needling may have immediate effects on mechanical properties of muscle and may thus guide future treatment for individuals with changes in muscle tissue secondary to pain and/or injury.

Detailed Description

Participants will complete the following tests: muscle stiffness testing in both a relaxed and contracted position, GAITRite for spatial and temporal gait characteristics, the Ankle Lunge Test (ALT) to assess range of motion, and calf strength using a dynamometer. Subjects will then receive treatment according to which group they are randomized. Muscle stiffness, gait, motion and strength will be reassessed immediately following treatment at the first session. Four to10 days later, participants will complete the same tests and measures prior to treatment being administered a second time. Another 4-10 days after the second session, participants will complete the tests and measures one final time.

Study Timeline

• Study First Submitted: 2018-09-25
• Study First Submitted QC: 2018-09-26
• Study First Posted: 2018-09-28
• Study Start: 2018-10-25
• Primary Completion: 2019-12-31
• Status Verified: 2020-01
• Study Completion: 2020-01-21
• Last Update Submitted: 2020-01-21
• Last Update Posted: 2020-01-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 102

Inclusion Criteria

1. Age 18-50 years
2. Able to read and speak sufficient English to complete consent form
3. Symmetrical gait pattern demonstrated through observation
4. Presence of latent trigger point in gastrocnemius muscle

Exclusion Criteria

1. Any prior foot/ankle surgery, deformity, or injury on the which would affect strength of the gastrocnemius
2. Any prior acupuncture or dry needling within the past month
3. History of systemic disorder in which dry needling would be contraindicated (i.e. bleeding disorders or anticoagulant medication use)
4. Have fractures of the spine, hip, or knee that would likely affect their weight bearing or gait
5. Restrictions in plantar flexion range of motion which would inhibit performing a heel raise
6. No specific calf injury in the past 6 months
7. Participants known or thought to be pregnant

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Dry Needling Group	Dry Needling	Individuals in the DN arm will receive two treatment sessions of DN to latent trigger points of the gastrocnemius muscle.
Control Group	Sham Dry Needlling	Individuals in the control group will receive two treatment sessions of sham dry needling.

Primary Outcome Measures

Name	Time	Method
MyotonPRO	2 years	Muscle stiffness will be measured in both a resting and contracted state utilizing this non-invasive device

Secondary Outcome Measures

Name	Time	Method
Knee to wall	2 years	Group by time differences will be assessed for talocrural motion (knee to wall)
GAITRite	2 years	Group by time differences will be assessed for gait variables (utilizing the GAITRite 6-meter mat)
Handheld dynamometer	2 years	Group by time differences will be assessed for strength of the gastrosoleus complex (utilizing a handheld dynamometer)

Trial Locations

Locations (1)

Regis University; 🇺🇸 Denver, Colorado, United States