Effectiveness of Deep Dry Needling vs Ischemic Compression in the Latent Myofascial Trigger Points of the Shortened Triceps Surae from Triathletes on Ankle Dorsiflexion, Dynamic, and Static Plantar Pressure Distribution: A Clinical Trial

Abstract Objective To determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability...

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Veröffentlicht in:Pain medicine (Malden, Mass.) Mass.), 2020-02, Vol.21 (2), p.e172-e181
Hauptverfasser: Benito-de-Pedro, María, Becerro-de-Bengoa-Vallejo, Ricardo, Elena Losa-Iglesias, Marta, Rodríguez-Sanz, David, López-López, Daniel, Palomo-López, Patricia, Mazoteras-Pardo, Victoria, Calvo-Lobo, and César
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container_title Pain medicine (Malden, Mass.)
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creator Benito-de-Pedro, María
Becerro-de-Bengoa-Vallejo, Ricardo
Elena Losa-Iglesias, Marta
Rodríguez-Sanz, David
López-López, Daniel
Palomo-López, Patricia
Mazoteras-Pardo, Victoria
Calvo-Lobo, and César
description Abstract Objective To determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability. Design A randomized simple blind clinical trial (NCT03273985). Setting An outpatient clinic. Subjects Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius. Methods Triathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment. Results There were no statistically significant differences (P > 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment. Conclusions DDN vs ICT carried out in latent MTrPs of the shortened gastrocnemius of triathletes did not present differences in terms of dorsiflexion ROM of the tibiofibular-talar joint or in static and dynamic plantar pressure changes before and immediately after treatment.
doi_str_mv 10.1093/pm/pnz222
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Design A randomized simple blind clinical trial (NCT03273985). Setting An outpatient clinic. Subjects Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius. Methods Triathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment. Results There were no statistically significant differences (P &gt; 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment. Conclusions DDN vs ICT carried out in latent MTrPs of the shortened gastrocnemius of triathletes did not present differences in terms of dorsiflexion ROM of the tibiofibular-talar joint or in static and dynamic plantar pressure changes before and immediately after treatment.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1093/pm/pnz222</identifier><identifier>PMID: 31502640</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Ankle ; Ankle Joint ; Athletes ; Care and treatment ; Clinical trials ; Compression ; Demographic aspects ; Dry Needling - methods ; Female ; Health aspects ; Humans ; Male ; Manipulative therapy ; Middle Aged ; Muscle, Skeletal ; Myofascial pain syndrome ; Myofascial Pain Syndromes - therapy ; Pain management ; Patient outcomes ; Physical Therapy Modalities ; Pressure ; Pressure distribution ; Range of Motion, Articular ; Statistical analysis ; Therapeutic applications ; Triathlon ; Trigger Points</subject><ispartof>Pain medicine (Malden, Mass.), 2020-02, Vol.21 (2), p.e172-e181</ispartof><rights>2019 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2019</rights><rights>2019 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><rights>2019 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-a2d04cf6f0132f01bccf22a10f7facbe8e61b9bc096811421587bf64436766883</citedby><cites>FETCH-LOGICAL-c444t-a2d04cf6f0132f01bccf22a10f7facbe8e61b9bc096811421587bf64436766883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31502640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benito-de-Pedro, María</creatorcontrib><creatorcontrib>Becerro-de-Bengoa-Vallejo, Ricardo</creatorcontrib><creatorcontrib>Elena Losa-Iglesias, Marta</creatorcontrib><creatorcontrib>Rodríguez-Sanz, David</creatorcontrib><creatorcontrib>López-López, Daniel</creatorcontrib><creatorcontrib>Palomo-López, Patricia</creatorcontrib><creatorcontrib>Mazoteras-Pardo, Victoria</creatorcontrib><creatorcontrib>Calvo-Lobo, and César</creatorcontrib><title>Effectiveness of Deep Dry Needling vs Ischemic Compression in the Latent Myofascial Trigger Points of the Shortened Triceps Surae from Triathletes on Ankle Dorsiflexion, Dynamic, and Static Plantar Pressure Distribution: A Clinical Trial</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract Objective To determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability. Design A randomized simple blind clinical trial (NCT03273985). Setting An outpatient clinic. Subjects Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius. Methods Triathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment. Results There were no statistically significant differences (P &gt; 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment. 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Becerro-de-Bengoa-Vallejo, Ricardo ; Elena Losa-Iglesias, Marta ; Rodríguez-Sanz, David ; López-López, Daniel ; Palomo-López, Patricia ; Mazoteras-Pardo, Victoria ; Calvo-Lobo, and César</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-a2d04cf6f0132f01bccf22a10f7facbe8e61b9bc096811421587bf64436766883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Ankle</topic><topic>Ankle Joint</topic><topic>Athletes</topic><topic>Care and treatment</topic><topic>Clinical trials</topic><topic>Compression</topic><topic>Demographic aspects</topic><topic>Dry Needling - methods</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Manipulative therapy</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal</topic><topic>Myofascial pain syndrome</topic><topic>Myofascial Pain Syndromes - therapy</topic><topic>Pain management</topic><topic>Patient outcomes</topic><topic>Physical Therapy Modalities</topic><topic>Pressure</topic><topic>Pressure distribution</topic><topic>Range of Motion, Articular</topic><topic>Statistical analysis</topic><topic>Therapeutic applications</topic><topic>Triathlon</topic><topic>Trigger Points</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benito-de-Pedro, María</creatorcontrib><creatorcontrib>Becerro-de-Bengoa-Vallejo, Ricardo</creatorcontrib><creatorcontrib>Elena Losa-Iglesias, Marta</creatorcontrib><creatorcontrib>Rodríguez-Sanz, David</creatorcontrib><creatorcontrib>López-López, Daniel</creatorcontrib><creatorcontrib>Palomo-López, Patricia</creatorcontrib><creatorcontrib>Mazoteras-Pardo, Victoria</creatorcontrib><creatorcontrib>Calvo-Lobo, and César</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Design A randomized simple blind clinical trial (NCT03273985). Setting An outpatient clinic. Subjects Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius. Methods Triathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment. Results There were no statistically significant differences (P &gt; 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment. Conclusions DDN vs ICT carried out in latent MTrPs of the shortened gastrocnemius of triathletes did not present differences in terms of dorsiflexion ROM of the tibiofibular-talar joint or in static and dynamic plantar pressure changes before and immediately after treatment.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>31502640</pmid><doi>10.1093/pm/pnz222</doi><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Adult
Ankle
Ankle Joint
Athletes
Care and treatment
Clinical trials
Compression
Demographic aspects
Dry Needling - methods
Female
Health aspects
Humans
Male
Manipulative therapy
Middle Aged
Muscle, Skeletal
Myofascial pain syndrome
Myofascial Pain Syndromes - therapy
Pain management
Patient outcomes
Physical Therapy Modalities
Pressure
Pressure distribution
Range of Motion, Articular
Statistical analysis
Therapeutic applications
Triathlon
Trigger Points
title Effectiveness of Deep Dry Needling vs Ischemic Compression in the Latent Myofascial Trigger Points of the Shortened Triceps Surae from Triathletes on Ankle Dorsiflexion, Dynamic, and Static Plantar Pressure Distribution: A Clinical Trial
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