A Study to Analyse the Immediate Effect of Dry Needling and Extra Corporeal Shock Wave Therapy on Hand Grip Strength

Study Overview
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Brief Summary
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An argument to analyse the Immediate effect of dry needling or extra corporeal shock wave therapy on hand grip strength in normal healthy individuals with a hypothesis of dry needling or shock wave on forearm muscles have influence on the hand grip strength.

Detailed Description
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After written consent obtained from all the participants randomization and allocation will be done with sealed non transparent envelopes and participants will be assign to two groups Dry needling(DN) and Extra corporeal shock wave therapy (ESWT).Pre and post data of hand grip strength measured with Jamar hand dynamometer.Post data shall be collected precisely after 1 hr of intervention from both groups.

Official Title
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The Immediate Effects of Dry Needling and Extra Corporeal Shockwave Therapy on Hand Grip Strength.A Randomised Controlled Trail.

Conditions
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Muscle Weakness Condition

Intervention / Treatment
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* Combination Product: Dry needling and Extra corporeal Shock wave therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: No pain on the visual analog scoring scale of 100 mm scale, Muscle power of 4+ on oxford manual muscle testing of forearm and wrist extrinsic and intrinsic muscles Full range of motion in all dominant upper extremity joints. Exclusion Criteria: History of previous fractures of the dominant upper extremity, Teno-synovitis of flexor tendons , Dequervains synovitis, Left hand dominance.

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 46 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants will be assigned to two groups in parallel for the duration of the study.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Dry Needling Group or (DN)<br>Dry needling for 5 mins on the flexor group of muscles of dominant forearm. | Combination Product: Dry needling and Extra corporeal Shock wave therapy<br>* 5 mins of dry needling and 1250 pulses of shockwave therapy on dominant forearm muscles<br>* Other names: Dry needle/Acupuncture needle.Shock wave therapy;|
| Active Comparator: Extra corporeal Shockwave therapy Group or (ESWT)<br>Delivering of Shock wave pulses of 1250 at the energy intensity of 0.58 mj/mm2 on the flexor group of muscles of dominant forearm | Combination Product: Dry needling and Extra corporeal Shock wave therapy<br>* 5 mins of dry needling and 1250 pulses of shockwave therapy on dominant forearm muscles<br>* Other names: Dry needle/Acupuncture needle.Shock wave therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand Grip Strength | Measurement of Hand Grip Strength with Jamar Dynamometer | Post 1 hours of Intervention in both groups | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dry needling, Extra corporeal Shockwave therapy, Hand Grip Strength, Post 1 hour