Dry Needling Effectiveness of Patients on Break Anterior Cruciate Ligament.

Study Overview
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Brief Summary
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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).

Detailed Description
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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.

Official Title
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Dry Needling Effectiveness of Patients on Break Anterior Cruciate Ligament. Single-Blind Randomized Clinical Trial.

Conditions
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Anterior Cruciate Ligament Reconstruction

Intervention / Treatment
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* Device: Dry needling
* Other: Stability and propioception


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: dry needling<br>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. | Device: Dry needling<br>* dry needling Travell and Simons<br>|
| Active Comparator: Stability and propioception<br>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. | Other: Stability and propioception<br>* Start excursion balance test, WOMAC; ROM, EVA.<br>|

What is the study measuring?
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Primary Outcome Measures

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

Secondary Outcome Measures

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

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ligament anterior cruciate , dry needling, physioterapy, propioception, knee arthroplasty, vastus medialis.