AcuTrials

Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: A Randomized Clinical Trial

Item

Title

Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: A Randomized Clinical Trial

Author(s)

Tamaral-Costa, B.
Fernandez-de-Las-Penas, C.
Alburquerque-Sendin, F.

Journal Publication

Evid Based Complement Alternat Med

Date

2015

volume

2015

Research Type

RCT

Keywords

Joint Instability
Musculoskeletal Diseases
Acu + Usual Care Versus Usual Care
Dry Needling, With Acupuncture Needle
Semi-Individualized Acupuncture Protocol
Restricted Modalities, Acupuncture Only
Symptom-Based Point Selection
Usual Care Control, Physical

Abstract

Objective. To compare the effects of combined trigger point dry needling (TrP-DN) and proprioceptive/strengthening exercises to proprioceptive/strengthening exercises on pain and function in ankle instability. Methods. Twenty-seven (44% female, mean age: 33 +/- 3 years) individuals with unilateral ankle instability were randomly assigned to an experimental group who received proprioceptive/strengthening exercises combined with TrP-DN into the lateral peroneus muscle and a comparison group receiving the same proprioceptive/strengthening exercise program alone. Outcome included function assessed with the Foot and Ankle Ability Measure (FAAM) and ankle pain intensity assessed with a numerical pain rate scale (NPRS). They were captured at baseline and 1-month follow-up after the intervention. Results. The ANOVAs found significant Group * Time Interactions for both subscales of the FAAM (ADL: F = 8.211; P = 0.008; SPORTS: F = 13.943; P < 0.001) and for pain (F = 44.420; P < 0.001): patients receiving TrP-DN plus proprioceptive/strengthening exercises experienced greater improvements in function and pain than those receiving the exercise program alone. Between-groups effect sizes were large in all outcomes (SMD > 2.1) in favor of the TrP-DN group. Conclusions. This study provides evidence that the inclusion of TrP-DN within the lateral peroneus muscle into a proprioceptive/strengthening exercise program resulted in better outcomes in pain and function 1 month after the therapy in ankle instability.

doi

10.1155/2015/790209

pmid

Date of Input: 6/23/2015; Date Modified: 6/30/2015; Availability: --In File--; Priority: Normal; Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Avenida de Atenas s/n, Alcorcon, 28922 Madrid, Spain; eng; Web: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=26064172

Frequency of Treatment

1/WK

Time in Treatment

12 Weeks

has health condition studied

Sprains and Strains

has study population number

27

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