Ultrasonography Detection of Local Twitch Response During Dry Needling

NCT02824991 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 7

Last updated 2023-12-01

No results posted yet for this study

Summary

Background: One treatment of Muscle trigger points (MTrPs) is deep dry needling (DN) with the purpose of obtaining local twitch responses (LTRs), which are highly effective in releasing MTrPs. In DN procedures the mechanisms associated with LTRs and the LTR intensities required for optimal clinical results are poorly understood, especially in relation to range of motion after intervention. Therefore, evaluating the intensity of LTRs is relevant for implementing DN in different clinical settings, such as in patients with muscular or neurological dysfunctions. One way to assess muscle contractions and LTRs is through ultrasound video analysis.

The aim of this report was to evaluate the reliability of semi-automatic LTR intensities tracking during dry needling by assessing ultrasound signals with an image processing method, in addition to evaluating the relationship between LTR intensities and muscle elasticity.

Method: Young males without signs or symptoms of musculoskeletal pain were included. Primary outcome measure was the LTR intensities determined by percentage change of muscle thickness. The secondary outcome measures were the muscle elasticity of medial gastrocnemius and hamstring, previous and posterior DN in both lower limbs for each subject. Three LTRs, detected by a physical therapist and ultrasound assessment, were induced by inserting a filament needle into muscle latent trigger points in medial gastrocnemius. The intensities of LTRs were measured by assessing ultrasound images using an optical flow method and through comparisons with manual detection.

Conditions

  • Healthy Participants

Interventions

PROCEDURE

detection of local twitch response intensities during dry needling

Sponsors & Collaborators

  • University of Chile

    collaborator OTHER
  • University of Malaga

    lead OTHER

Principal Investigators

  • Antonio Cuesta-Vargas, PhD · University of Malaga

Study Design

Allocation
NA
Purpose
BASIC_SCIENCE
Masking
NONE
Model
SINGLE_GROUP

Eligibility

Min Age
18 Years
Max Age
35 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2016-01-31
Primary Completion
2016-03-31
Completion
2016-04-30

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Read the full study record

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View NCT02824991 on ClinicalTrials.gov