How to Reduce Dry Needling Pain in Treatment of Trigger Points of Muscle Triceps Sural in Ankle Post Fracture Patients

Study Overview
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Brief Summary
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Ankle fractures are one of the main causes of hospitalization due to injuries in Chile, which also have a discharge and partial load time of approximately 12 weeks in the recovery process. This generates disuse and atrophy of the posterior musculature of the leg called the triceps sural, which makes it difficult to restart and perform the gait. We conducted this research because practically all patients with this type of diagnosis have trigger points in these muscles, and dry needling technique is one of the best for its treatment, but has the disadvantage that it produces post dry needling pain of 48 hours and there is not enough information, or consensus on which method is better to reduce post dry needling pain. This study aims to prove wich technique is most useful in reducing pain post dry needling for the treatment of trigger points in the triceps sural muscle in ankle post fracture patients.

Official Title
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Heat or Excesice in Treadmill as Techique to Reduce Dry Needling Pain in Treatment of Trigger Points of Muscle Triceps Sural in Ankle Post Fracture Patients

Conditions
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Needles, Physical Therapy Modalities, Pain Measurement, Trigger Point Pain, Myofascial, Ankle Fractures, Rehabilitation

Intervention / Treatment
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* Other: Treadmill exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ages between 18 and 60 years of age. Man or woman. At least one trigger point, active or latent, in the triceps sural muscle of the fractured ankle. Perform full load without using technical aids. Exclusion Criteria: Use of analgesics. Insurmountable fear of needles. Immune disease. Clotting disorders. Sensory disorders. Psychiatric / psychological illness. Cancer. Rheumatic diseases.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>Patients remained in the supine position for 20 minutes lying on a stretcher after dry needling. | |
| Experimental: Treadmill<br>The patients walked on a treadmill for 20 minutes after dry needling, with an inclination of 5 degrees and at a speed at which the perceived exertion was 5 according to the Borg CR10 scale (Chen et al., 2002). | Other: Treadmill exercise<br>* the patients walked on a treadmill for 20 minutes after dry needling, with an inclination of 5 degrees and at a speed at which the perceived exertion was 5 according to the Borg CR10 scale (Chen et al., 2002)<br>* Other names: Treadmill after dry needling;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceived pain intensity | Pain will be measured by the Visual Analog Scale for pain (VAS) from 0 to 10, where higher values represent a worse outcome. | Change from baseline (baseline and immediately after treatment) | 
| Ankle Range of Motion (ROM) | It is the degree of angular movement allowed by the ankle joint measured by kinovea. | Change from baseline (baseline and immediately after treatment) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Muscular strength of triceps sural | By means of the heel rise test, the patient must perform a bipodal plantiflexion measured in the maximum number of repetitions in 30 seconds. | Change from baseline (baseline and immediately after treatment) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Muscle Strength, Humans, Excercise therapy, Hot temperature, Post dry needling, Range of motion, articular