Effectiveness of Dry Needling of the Gastrocnemius Muscle VS Electrolysis in Subjects With Achilles Tendinopathy

Study Overview
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Brief Summary
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Achilles tendinopathy is the injury that primarily occurs in athletes and people who engage in repetitive activities that involve the calf muscles, such as running, jumping, and sudden acceleration and deceleration movements. To observe the effectiveness of dry needling in the PGM of the gastrocnemius muscle, in the short and medium term, on the intensity of pain in gastrocnemius muscle, in the short and medium term, on pain intensity in patients with patients with Achilles tendinopathy, compared to the application of ultrasound-guided percutaneous electrolysis on the tendon.

Official Title
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Effectiveness of Dry Needling of the Gastrocnemius Muscle vs. Electrolysis in Subjects With Achilles Tendinopathy: a Randomised Single-blind Clinical Trial

Conditions
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Achilles Tendinopathy, Pain

Intervention / Treatment
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* Device: Dry needling
* Device: Electrolysis


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Signing of informed consent both to participate in the study and to undergo invasive in the study, as well as to undergo invasive physiotherapy techniques. physiotherapy techniques. Presence of symptoms (swelling or pain) for at least 3 months. Positive Achilles tendon palpation test. Males and females over 18 years of age. Presence of MMP in the gastrocnemius muscle, meeting at least three of the following criteria diagnostic criteria described by Travell and Simons: Presence of palpable tight band. Local pain on pressure at the nodule of the tense band. Recognition by the patient as his usual pain after mechanical after mechanical stimulation of the sensitive nodule. Limitation of range of motion. Exclusion Criteria: Any related acute or chronic musculoskeletal disease that may related chronic musculoskeletal disease, which may affect the results of the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dry needling+eccentric exercises<br>Application of dry needling on the hyperalgesic trigger points of the gastrocnemius muscle and subsequent inclusion of eccentric exercises. | Device: Dry needling<br>* Dry needling using the Hong technique on the most hyperalgesic trigger point in the gastrocnemius muscle.<br>|
| Experimental: Electrolysis+eccentric exercises<br>Application of electrolysis to the Achilles tendon and subsequent inclusion of eccentric exercises. | Device: Electrolysis<br>* Electrolysis on the Achilles tendon using ultrasound-guided technique.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity. | Measurement of pain intensity using the VAS scale (0 minimum pain, 10 maximum bearable pain). | 5 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pressure pain threshold | Pressure pain threshold measured by algometer over the most hyperalgesic point on the Achilles tendon measured in Newtons. | 5 weeks | 
| Range of movement | Measurement of ankle dorsiflexion range of motion measured by digital goniometer. | 5 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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achilles tendon, electrolysis, tendinopathy