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Study aim: To compare the effects of dry needling and cupping therapy in hamstring mucle with active trigger points Design: This study involves the voluntary allocation of participants after they sign a consent form. Randomization is performed using the block randomization method with a block size of 4 to ensure participants are balanced between the two intervention groups (dry needling + static stretching or cupping therapy + static stretching). Within each block of 4 individuals, 2 are assigned to each group to maintain balance between the groups. Settings and conduct: The initial collection of participant demographics (age, weight, height) and all assessments will be conducted by a blinded physical therapist at the Tehran Physiotherapy Clinic and Rehabilitation School. These assessments will take place at four time points: baseline, immediately after the first session, after the final session, and two weeks post-treatment. Participants/Inclusion and exclusion criteria: Individuals aged 18 to 40 years - Patients with active trigger points in the hamstring muscle, diagnosis of active trigger points will be performed according to the Travell & Simons criteria Exclusions: - Having a history of orthopedic or neurological problems in the lower extremities - Having back pain at the time of the study Intervention groups: The group receiving static stretch and dry needling and the group receiving static stretch and cupping therapy Main outcome variables: Pain intensity - range of motion - hamstring muscle flexibility with active knee extension test - passive stretch tolerance of hamstring muscles - peak passive torque of hamstring muscles against stretch
IRCTID: IRCT20260214068853N1
  1. A comparison study on the Immediate Effects of Dry Needling and Static Stretching on Hamstring Flexibility in Healthy Subjects with shortness of hamstring.
  2. The effect of adding dry needling to muscle energy technique on flexibility and physical performance in athletes with hamstring tightness: a randomized controlled trial
  3. Comparison of the effectiveness of dry needling and myofascial release methods in improve pain, with hamstring trigger Football Playersin and ultrasonic changes of hamstring muscle functional ability points
  4. Comparison of Trigger Point Dry Needling and Thera Press Tool in Myofascial Neck Pain.
  5. Effects of dry needling plus static stretching on pain, hamstring flexibility, disability, and balance in patients with chronic non-specific low back pain
  6. Comparison of the immediate effect of dry needling and active release technique in amateur athletes with hamstring muscle shortness
  7. Comparison of Effects of Dry needling and High Power Laser Therapy on Clinical Signs in Females with Upper Trapezoid Muscle Active Trigger Points (a Single-Blind Randomized Clinical Trial)
  8. The effects of treating myofascial trigger points of neck using the techniques of dry needling and soft tissue release on the clinical feature of patients with migraine headache
  9. Effects of dry needling plus static stretching on plantar flexors spasticity, alpha motor neuron excitability, and balance in patients with chronic stroke
  10. Effects of dry needling on subscapularis and conventional physiotherapy on clinical symptom improvement in people with frozen shoulder
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