Anterior Cruciate Ligament Reconstruction
Conditions
Keywords
Knee, Anterior cruciate ligament, Neuromuscular control, Electromyography
Brief summary
This single-blind, randomized controlled trial aims to investigate the effects of dry needling on neuromuscular control in individuals with anterior cruciate ligament reconstruction during a single-leg vertical drop landing task. Participants in the intervention group will receive dry needling, while those in the control group will not receive any therapeutic intervention. The main research question is: • Can dry needling induce changes in muscle activation, co-contraction magnitude, and biomechanical parameters during landing?
Interventions
The dry needling intervention will follow the fast-in and fast-out technique using disposable stainless-steel needles (0.35 × 40 mm). After insertion with a quick thrust, the needle will be manipulated in multiple directions to elicit at least one local twitch response (LTR). Once the first LTR is obtained, the needle will be moved vertically within a range of 3-5 mm, without rotation, until a total of three LTRs are elicited. The intervention is expected to last approximately 25-30 seconds.
Sponsors
Study design
Eligibility
Inclusion criteria
* Individuals who have undergone anterior cruciate ligament reconstruction * Successful return to recreational sports participation * For the experimental group, participants must present at least one active or latent trigger point in the vastus medialis (VM) and/or vastus lateralis (VL) muscles on the side ipsilateral to the ligament reconstruction.
Exclusion criteria
* Peripheral or central neurological disorders * Systemic or degenerative diseases * Fibromyalgia * Iron deficiency * Hypothyroidism * Belonephobia * Contraindications to dry needling * History of dry needling treatment in the lower limbs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Co-contraction Index | Outcome measures will be assessed at baseline and 10 minutes post-intervention |
Countries
Portugal