- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02952053
Can Myotonometry Quantify Dry Needling Effectiveness on Myofascial Trigger Points?
The main objective of this study is to assess effects of Dry Needling into Myofascial Trigger Point compared Dry Needling into Taut Band point based on the outcomes of myotnometric measurement in healthy subjects.
Hypothesis: Deep Dry Needling of the latent medial Myofascial Trigger Point (MTrP) of the soleus muscle will achieve changes in myotonometric measures compared to Deep Dry Needling of the Taut Band of the soleus muscle.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Methods:
It is a double-blinded randomized clinical trial where subjects are healthy volunteers from the city of Toledo older than 18 years.
There will be a MTrP Group (dry needling into the medial MTrP of soleus muscle) and a TB Group (dry needling distal to the MTrP but into the taut muscle band of soleus muscle). The intervention will be a unique session.
Intervention:
Dry needling technique will be performed by locating the taut band and the Myofascial Trigger Point. Depending on the group, a thin needle (0,32x40mm) is introduced 10 times (fast in and fast out) directly within the Myofascial Trigger Point or within the Taut Band.
Assessment:
Myoton device is a simple and portable tool to obtain quantitative and objective assessments of mechanical properties of muscle tone. Myoton has been adopted to characterize the viscoelastic properties of skeletal muscle as tissue displacement when a mechanical perturbation is applied to the muscle.
The device incorporates a probe and an acceleration sensor. The probe was kept perpendicular with its end touching the muscle belly. 10 mechanical impacts (with a duration of 15 ms, a force of 0.4 N and a local deformation in the order of a few millimetres) are delivered to MTrP and TB points.
Outcome measures:
Outcome measures will include myotonometric measurements (frecuency, stiffness and decrement) and they will be evaluated before, at 10 min and 1 week after the intervention.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Villanueva de Gállego, Spain, 50830
- Universidad San Jorge
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age range 18-40 years.
- Healthy volunteers.
- Presence of a latent medial MTrP of the soleus muscle.
- Being able to provide written informed consent.
- Being able to follow instructions and realize clinical tests.
Exclusion Criteria:
- Any history of ipsilateral lower limb severe injury or intervention (e.g. fracture, surgical intervention).
- Pain or musculoskeletal injury, ligament injury, tendonitis or plantar fasciitis in the ipsilateral leg for six months previous to the intervention.
- Peripheral or central nervous system neurological disease.
- Altered sensitivity in the treatment area.
- Treatment of a myofascial trigger point in the sural triceps in the six months previous to the intervention.
- Changes in physical activity which would have affected muscle tone during the study.
- Fear of needles.
- No tolerance to pain caused by dry needling.
- No continuance commitment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dry Needling into MTrPs.
MTrP Group: Deep Dry Needing into the medial Myofascial Trigger Point of the soleus muscle.
|
Deep Dry Needling into the site of the latent medial Myofascial Trigger Point of the soleus muscle. 1 session in soleus muscle. 10 fast in and fast out needle insertions. |
Active Comparator: Dry Needling within Taut Band
TB Group: Deep Dry Needling distal to Myofascial Trigger Point of the soleus muscle (in the same taut band; out of MTrPs).
|
Deep Dry Needling distal to Myofascial Trigger Point but into the same taut band. 1 session in soleus muscle. 10 fast in and fast out needle insertions. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Oscillation Frequency.
Time Frame: Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).
|
This outcome measure is obtained by a device named MyotonPro.
The frequency of the damped oscillations characterizes the muscle tone.
|
Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).
|
Change in Stiffness.
Time Frame: Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).
|
This outcome measure is obtained by a device named MyotonPro.
Stiffness reflects the resistance of the muscle to the force deforming the muscle.
|
Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).
|
Change in Decrement (elasticity).
Time Frame: Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).
|
This outcome measure is obtained by a device named MyotonPro.The logarithmic decrement of the damping oscillations characterizes muscle elasticity which is the ability of the muscle to restore its initial shape after contraction.
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Pre-intervention (Day 1); After intervention (Day 1); Follow up (1 week after intervention).
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain perception after intervention using Visual Analogical Scale.
Time Frame: After intervention (Day 1).
|
Pain perception after intervention using Visual Analogical Scale (VAS).
|
After intervention (Day 1).
|
Number of Local Twitch Responses.
Time Frame: During intervention (Day 1).
|
Number of local twitch responses during intervention.
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During intervention (Day 1).
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: María Ortiz Lucas, PhD, Universidad San Jorge
- Study Director: Julio Gomez Soriano, PhD, University of Castilla-La Mancha
- Principal Investigator: Carolina Jiménez Sánchez, MSc, Universidad San Jorge
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 134b
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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