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Pain Med. 2020 Feb 1;21(2):e172-e181. doi: 10.1093/pm/pnz222.

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.

Author information

1
Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.
2
Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcón, Spain.
3
Research, Health and Podiatry Unit, Department of Health Sciences. Faculty of Nursing and Podiatry, Universidade da Coruña, Coruña, Spain.
4
Department of Nursing, University Center of Plasencia, University of Extremadura, Extremadura, Spain.

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.

KEYWORDS:

Ankle; Articular; Athletes; Musculoskeletal Pain; Myofascial Pain Syndromes; Range of Motion; Trigger Points

PMID:
31502640
DOI:
10.1093/pm/pnz222

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