None listed
Conditions
Brief summary
In scientific literature, the most widely used technique for the treatment of myofascial pain syndrome is that known as Dry needling. However, in recent years, a conservative technique called Instrument-assisted soft tissue mobilization has been used for this treatment, which avoids complications and adverse reactions that Dry needling can have. Therefore, the aim of this study is to analyse and compare the effectiveness of an invasive treatment as Dry needling with a non- invasive treatment by Instrument-assisted soft tissue mobilization in the myofascial trigger points of biceps femoris in improving of the symptomatology of the myofascial pain syndrome.
Interventions
Instrument Assited Soft Tissue Mobilization: this treatment will be applied as Graston Tecniche protocol. The treatment must be always supervised by researchers in order to assure the fidelity of the intervention. The subject will be lied in the prone position on the stretcher with a pillow under their ankles so that knees are slightly bent. By palpation, the main investigator will locate two latent or active trigger points in the long head of biceps femoris, that will be the treatment area. Fir
Instrument Assited Soft Tissue Mobilization: this treatment will be applied as Graston Tecniche protocol. The treatment must be always supervised by researchers in order to assure the fidelity of the intervention. The subject will be lied in the prone position on the stretcher with a pillow under their ankles so that knees are slightly bent. By palpation, the main investigator will locate two latent or active trigger points in the long head of biceps femoris, that will be the treatment area. First, the investigator will lubricate the treatment area with lotion in order to prevent irritation caused by the friction that may occur when the instrument come in contact with the skin. Afterwards, the handle bar instrument will be placed on the affected area at an angle of 30º to 60º and short sweeping movements will be applied using multi-directional slides. The sliding movements will be from cranial to caudal from the ischial tuberosity to the popliteal fossa. The subjects will be asked to perform isotonic contractions of the biceps femoris by flexing and extending the knee while the sliding movements will be made. Sliding movements will not perform while the biceps femoris is passive. The frequency of the treatment will be once per week and the duration of the treatment will be twice 10-minute session per subject, performing three sliding movements with the concave part and two with the convex part. The number of movements is determined by Instrument Assited Soft Tissue Mobilization Certification manual.
Sponsors
Egoitz Lazkano Juaristi
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator)
Eligibility
Sex/Gender
Male
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
Inclusion criteria will be subjects with at least two myofascial trigger points in the biceps femoris with limitations in knee range of motion in the Active Knee Extension test and in hip range of motion in the Active Straight Leg Raise test. They must be subjects who practice sports at least two days a week with an age between 18-35 years.
Exclusion criteria
Subjects presenting the following could not participate in the study: (i) prior treatment of dry needling in the hamstring musculature in the last three months, (ii) phobia treatment or metal allergy, (iii) bleeding disorders, (iv) skin diseases, (v) acute injuries with inflammation and swelling, (vi) surgery or fractures in the lumbo-pelvic region and /or lower limbs, (vii) chronic low back pain, (viii) recent musculoskeletal injury in the lower limbs, (ix) receiving drug treatment in the days before or during the conduct of the study.
Outcome results
None listed