Dry Needling Effectiveness of Patients on Break Anterior Cruciate Ligament.

Overview

We will conduct a randomized clinical trial observing forty patients divided into two groups: one group composed of twenty individuals undergoing surgery for ruptured ACL, which perform dry needling of myofascial trigger (PGM) point of the vastus muscle and then perform techniques proprioception (group a); and twenty patients not be treated with dry needling after ACL surgery, using only proprioceptive exercises to the joint (group B).

Full Title of Study: “Dry Needling Effectiveness of Patients on Break Anterior Cruciate Ligament. Single-Blind Randomized Clinical Trial.”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Investigator)
  • Study Primary Completion Date: June 2016

Detailed Description

It carries out a last fifteen days ECA surgical reconstruction of the anterior cruciate ligament. Twenty individuals in a group to be subjected to a technique of physiotherapy, dry needling were included. (Group A). Another group of twenty patients treated with conservative treatment performed a stability exercises and proprioception (Group B). Forty-six patients will be examined s. None had been previously operated by joint instability and all subjects were previously subjected to a diagnostic study by nuclear magnetic resonance before surgery and the diagnosis was confirmed by additional diagnostic testing. All patients will be evaluated by a physical therapist and Myofascial Trigger Point (PGM) of the vastus muscle will be evaluated.

patients using the following variables are evaluated:

- Pain: Visual Analog Scale (VAS) was used.

- Stiffness and physical function using the WOMAC scale (The Western Ontario and McMaster Universities Arthritis Index.).

- Range of motion of the knee joint: Scale ROM.

- Muscular strength, balance and propiocepción: Star Excursion by Balance Scale Test.

Interventions

  • Device: Dry needling
    • dry needling Travell and Simons
  • Other: Stability and propioception
    • Start excursion balance test, WOMAC; ROM, EVA.

Arms, Groups and Cohorts

  • Active Comparator: dry needling
    • Dry needling on the vastus is performed in patients undergoing ACL fortnight after the intervention and then evaluated. REL dry needling while supplies last twenty insertions before treatment, at midnight, a week and five weeks.
  • Active Comparator: Stability and propioception
    • Proprioception and stability exercises in patients undergoing ACL fortnight after the intervention and then evaluates performed before treatment, at midnight, a week and five weeks.

Clinical Trial Outcome Measures

Primary Measures

  • Degree range of motion (ROM)
    • Time Frame: 24 hours
  • Scores ofThe Western Ontario and McMaster Universities Arthritis Index (WOMAC)
    • Time Frame: 24 hours
  • Pain scores visual analog scale (EVA)
    • Time Frame: 24 hours
  • Scores of STAR BALANCE TEST
    • Time Frame: 24

Secondary Measures

  • Degree range of motion (ROM)
    • Time Frame: 1 week
  • Degree range of motion (ROM)
    • Time Frame: 5 weeks
  • Scores ofThe Western Ontario and McMaster Universities Arthritis Index (WOMAC)
    • Time Frame: 1 week
  • Scores ofThe Western Ontario and McMaster Universities Arthritis Index (WOMAC)
    • Time Frame: 5 weeks
  • Pain scores visual analog scale (EVA)
    • Time Frame: 1 week
  • Pain scores visual analog scale (EVA)
    • Time Frame: 5 weeks
  • Scores STAR BALANCE TEST
    • Time Frame: 1week
  • Scores STAR BALANCE TEST
    • Time Frame: 5 weeks

Participating in This Clinical Trial

Inclusion Criteria

  • over eighteen and anatomically mature surgically break LCA and valued above using MRI and functional tests to confirm the rupture of the ligament.

Exclusion Criteria

  • Patients who did not reach 18 years of age and those over 55,
  • postoperative complications
  • cause myofascial or neuropathic pain in the lower limb, as lumba-sacral radiculopathy, neuropraxia, neurotmesis, axonotmesis or meralgia paresthetica;
  • fibromyalgia.
  • hypothyroidism
  • iron deficiencies and patients who had a fear of needles (fear of needles).
  • Lower limb differences.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 55 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • European University Spain
  • Provider of Information About this Clinical Study
    • Principal Investigator: Jorge Velázquez Saornil, Physiotherapist – European University Spain
  • Overall Official(s)
    • Jorge Velázquez, Sr, Principal Investigator, European University
  • Overall Contact(s)
    • Jorge Velázquez, sr, +34655909940, jorgevelasa@yahoo.es

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