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IRCT20160424027562N9 IRCT 2019-05-25 Semnan University of Medical Sciences The effect of dry needling on jumping and pain Comparison of the Immediate and Delayed Effects of Two Methods of Fast in fast out and Winding Dry needling in Gastrocnemius Muscle Trigger Points on Lower Extremity Function and Pain in Non-professional Athletes 2019-05-22 anticipated 60 Complete https://irct.ir/trial/38292 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: To ensure that two groups are matched in terms of sex as well as to achieve a complete randomized and balanced assignment, we will use stratified randomization method (layered) by stratified permuted block randomization. So individuals are divided into two stratum of male and female and for each stratum, a separate random assignment is continued until the optimal sample size is reached. For a random assignment in each stratum based on the sequences of the two methods A and B, six blocks are defined as follows and numbered from 1 to 6 respectively: AABB- BBAA- ABAB- ABBA- BABA- BAAB Then, blocks of random numbers are randomly selected by numbers 1 to 6. (numbers 0 and 7 to 9 are not the criteria for the decision). Thus, the type of intervention for each five people is determined respectively. Random allocation software will be used to construct the encryption tag, and then we will use the enclosed packet to hide it randomly, Blinding description: In order to blind the participants, the details of technique will not be explained for them and only the explanation of trigger points treatment by needling will be clarified. Also the individuals of each group will not be informed of the existence of the other group, to achieve this purpose, two groups will be visited on different days to get treatment and record jumping. N/A Myofascial trigger point. Intervention 1: Control group: This group receives the usual dry needling method. Dry needling is applied to the trigger points of the Gastrocnemius muscle by means of a piston method. In this group, initial evaluations and the jumping base are recorded. The next day, the patient finds a dry needling at a depth of 3 cm on trigger points. In this method, the needle is 0.25 mm in diameter and 5 cm in length, and the needle enters the trigger point after passing through the skin, then it is removed to close the skin and then into a slightly spaced fan shape applied on trigger points, This will continue until muscle twitching is seen. After the twitch muscle is visible, it remains in the trigger point for ten minutes.Then the needle is removed and three jumps are taken from the participant, jump height is recorded by the motion analyzer. This device is a Qualysis brand and is made in the sweden country. The vertical jump is recorded by two cameras and the recording frequency is 100 Hz . Average jumps will be compared with the second intervention group. Intervention 2: Intervention group: This group receives the dry needle rotation method. In this group, initially, initial evaluations and the jump base are recorded. The next day, the patient finds a dry needle at a depth of 3 cm on trigger points. In this method, the needle is 0.25 mm in diameter and 5 cm in length. The needle passes through the skin and enters the trigger points. After insertion of the needle with a frequency of two Hz for 30 seconds in the opposite direction We turn the clock and rest for thirty seconds. It will be repeated for ten minutes. Then the needle is removed and three jumps are taken from the participants, jump height is recorded by the motion analyzer. This device is a Qualysis brand and is made in the sweden country. The vertical jump is recorded by two cameras an The recording frequency is 100 Hz . Average jumps will be compared with the second intervention group. Yes - There is a plan to make this available What will be shared: All data can be shared after being unidentified. When: The beginning of the access period is one month after the results are published. To whom: All those who need research results can receive the study documentation. Conditions: All people who use the information are required to mention the source Where to obtain: To receive the information, they can contact the research author at the Faculty of Rehabilitation, Semnan University of Medical Sciences. How to obtain: After receiving the email from the applicant, the applicant will be sent a document within two weeks Comments:
public Roghayeh Mohammadi
Rehabilitation Faculty, Semnan University of Medical Sciences, 5 kilometer of Damghan Road, Semnan
Semnan Iran (Islamic Republic of) 3514799442 +98 23 3365 4180 mohamadipt@gmail.com Semnan University of Medical Sciences scientific Roghayeh Mohammadi
Rehabilitation Faculty, Semnan University of Medical Sciences, 5 kilometer of Damghan Road, Semnan
Semnan Iran (Islamic Republic of) 3514799442 +98 23 3365 4180 mohamadipt@gmail.com Semnan University of Medical Sciences Iran (Islamic Republic of) The presence of fibrous bundle Touch sensitivity The presence of local or visible muscle fasciculation in palpation The presence of pain in the posterior region of leg muscles during walking or running without morning symptoms that can be radicular or constant Individuals should be athlete and running, jumping, sudden redirect and fast running should be the main components of their sports. They should practice at least two days a week Squatting should be part of their training program The participants should have moderate pain intensity and a VAS of between 3 and 6 16 years 40 years Male Hypothyroidism Connective tissue tumor Anticoagulant drugs Blood disorders Local or diffuse infection Skin lesions, swelling, immune system disorders, vascular dysfunction and fear of dry needling History of any damage and treatment of vertebral column and lower extremity in the past three months The presence of 11 to 13 sensitive points that are indicative of fibromyalgia The presence of painful and sensitive points in other regions of lower extremity and trunk Rehabilitation Rehabilitation Control group: This group receives the usual dry needling method. Dry needling is applied to the trigger points of the Gastrocnemius muscle by means of a piston method. In this group, initial evaluations and the jumping base are recorded. The next day, the patient finds a dry needling at a depth of 3 cm on trigger points. In this method, the needle is 0.25 mm in diameter and 5 cm in length, and the needle enters the trigger point after passing through the skin, then it is removed to close the skin and then into a slightly spaced fan shape applied on trigger points, This will continue until muscle twitching is seen. After the twitch muscle is visible, it remains in the trigger point for ten minutes.Then the needle is removed and three jumps are taken from the participant, jump height is recorded by the motion analyzer. This device is a Qualysis brand and is made in the sweden country. The vertical jump is recorded by two cameras and the recording frequency is 100 Hz . Average jumps will be compared with the second intervention group. Intervention group: This group receives the dry needle rotation method. In this group, initially, initial evaluations and the jump base are recorded. The next day, the patient finds a dry needle at a depth of 3 cm on trigger points. In this method, the needle is 0.25 mm in diameter and 5 cm in length. The needle passes through the skin and enters the trigger points. After insertion of the needle with a frequency of two Hz for 30 seconds in the opposite direction We turn the clock and rest for thirty seconds. It will be repeated for ten minutes. Then the needle is removed and three jumps are taken from the participants, jump height is recorded by the motion analyzer. This device is a Qualysis brand and is made in the sweden country. The vertical jump is recorded by two cameras an The recording frequency is 100 Hz . Average jumps will be compared with the second intervention group. Vertical jumping. Timepoint: At the beginning of the study, 24, 48, and 72 hours, also four weeks after applying the needle dry technique. Method of measurement: Motion analysis system. Pain. Timepoint: At the beginning of the study, 24, 48, 72, and four weeks after applying the needle dry technique. Method of measurement: Visual analogue scale. Semnan University of Medical Sciences Approved 2019-03-16 Ethics committee of Semnan University of Medical Sciences Semnan University of Medical Sciences, Basij Blvd, Semnan Semnan Semnan Iran (Islamic Republic of)