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IRCT20221201056676N1 IRCT 2023-05-16 Tehran University of Medical Sciences Study of the effects of dry needling on fatigue Study of the neurophysiologic effects of dry needling on quadriceps muscle fatigue of amateur healthy men athletes immediately and one hour after dry needling 2023-05-23 anticipated 20 Complete https://irct.ir/trial/67185 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: simple randomization with sealed envelops: every participants are given a personal information form. there are written A and B on these forms to determine the intervention and placebo groups. these forms are given to participants randomly. if someone get the A form, he would be in the intervention group and if he get the B form, he would be in the placebo group, Blinding description: to blinding, tests and measurements are done by the assessor, who is unaware of the groups of people. on the other hand intervention is done by another person. Also, for intervention, people in the placebo group are set on the same position as the intervention group and they get the sham needles (plastic needles on the tube) on the same points as the intervention group. these needles are put on the skin and are pushed on it, but they do not enter into body. N/A fatigue. Intervention 1: Intervention group: An expert physical therapist qualified in DN performs the needling procedure of the Quadriceps Femoris of the dominant lower extremity. While the subject is in supine with the leg in an extended neutral position, points on the Vastus Medialis (VM), Vastus Lateralis (VL), and the Rectus Femoris (RF) muscles are randomly needled using stainless steel needles with a diameter of 0.3 mm and a length of 50 mm each for one minute using a fast in-fast out technique. The VM point is located at about 25% of the distance of a line from the medial superior border of the patella to the Anterior Superior Iliac Spine (ASIS); the VL point is located at the mid-thigh along a line from the lateral superior border of the patella to the apex of greater trochanter; the RF point is located at the mid-thigh along a line from the superior border of patella to the ASIS. Intervention 2: Control group: Cases in this group are positioned as same as the intervention group. Sham needles, plastic needles in tubes, are applied to the same points. These needles are put on the skin and are pushed, but they do not insert into it. Yes - There is a plan to make this available What will be shared: The raw data of research and its analysis will be available to the researcher if they request it. When: After the publication of articles resulting from the research. To whom: Researchers working in academic institutions. Conditions: The data are only available to other researchers to study and evaluate treatment outcomes. Where to obtain: Department of physiotherapy, School of Rehabilitation, Enghelab street; Professor Soofia Naghdi Email address: naghdi@sina.tums.ac.ir How to obtain: By sending an official Email to the corresponding author: professor Soofia Naghdi (naghdi@sina.tums.ac.ir) and requesting the data, the researcher will be answered as soon as possible. Comments:
public Melika Rostamkhani
No. 5, Hoseini Alley, 21Metrijey Street, Ostadmoein Square, Azadi Street
Tehran Iran (Islamic Republic of) 1341767177 +98 21 6619 6145 melikarostamkhani137@yahoo.com Tehran University of Medical Sciences scientific Melika Rostamkhani
No.5, Hoseini Street, 21Metrijey Street, Ostadmoein Square, Azadi Street
Tehran Iran (Islamic Republic of) 1341767177 +98 21 6619 6145 melikarostamkhani137@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) no history of lower extremity injury no vestibular disorders no cardio-vascular-pulmunary diseases no neuromusculoskeletal diseases age of 18-40 years minimum exercise of 1-hour, 3 sessions per week (at least 2 months) no pain in lower extremity in at least recent 2 months no Trypanophobia (needle phobia) no needle contradictions no history of dry needle experience 18 years 40 years Male lack of consent have pain during the study inability to continue the test have strenuous physical activity 48 hours before the test being a physical therapy student Rehabilitation Placebo Intervention group: An expert physical therapist qualified in DN performs the needling procedure of the Quadriceps Femoris of the dominant lower extremity. While the subject is in supine with the leg in an extended neutral position, points on the Vastus Medialis (VM), Vastus Lateralis (VL), and the Rectus Femoris (RF) muscles are randomly needled using stainless steel needles with a diameter of 0.3 mm and a length of 50 mm each for one minute using a fast in-fast out technique. The VM point is located at about 25% of the distance of a line from the medial superior border of the patella to the Anterior Superior Iliac Spine (ASIS); the VL point is located at the mid-thigh along a line from the lateral superior border of the patella to the apex of greater trochanter; the RF point is located at the mid-thigh along a line from the superior border of patella to the ASIS Control group: Cases in this group are positioned as same as the intervention group. Sham needles, plastic needles in tubes, are applied to the same points. These needles are put on the skin and are pushed, but they do not insert into it. Maximum isometric torque of quadriceps. Timepoint: measuring maximum isometric torque of quadriceps at the beginning of the study, after fatigue protocol, after intervention, and one hour after intervention. Method of measurement: handheld dynamometer. Function. Timepoint: measuring function at the beginning of the study, after fatigue protocol, after intervention, and one hour after intervention. Method of measurement: single leg hop test. H/M ratio. Timepoint: measuring H/M ratio at the beginning of the study, after fatigue protocol, after intervention, and one hour after intervention. Method of measurement: electromyography (EMG). Balance. Timepoint: measuring balance at the beginning of the study, after fatigue protocol, after intervention, and one hour after intervention. Method of measurement: single leg stance test. Tehran University of Medical Sciences Approved 2022-11-28 Ethics committee of Nursing and Midwifery department and Rehabilitation department of Tehran Univers No. 20, West First Golzar Ave., Majdi Blvd., Artesh Highway Tehran Tehran Iran (Islamic Republic of)