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

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.

Authors+Show Affiliations

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain ; Cátedra de Investigación y Docencia en Fisioterapia: Terapia Manual y Punción Seca, Universidad Rey Juan Carlos, Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain ; Grupo de Excelencia Investigadora URJC-Banco de Santander: Investigación Traslacional en el Proceso de Salud-Enfermedad (ITPSE), Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain.Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain.Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain.Centro de Fisioterapia CRENE, Caunedo 24, 28037 Madrid, Spain.Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain ; Cátedra de Investigación y Docencia en Fisioterapia: Terapia Manual y Punción Seca, Universidad Rey Juan Carlos, Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain ; Grupo de Excelencia Investigadora URJC-Banco de Santander: Investigación Traslacional en el Proceso de Salud-Enfermedad (ITPSE), Avenida de Atenas s/n, Alcorcón, 28922 Madrid, Spain.Department of Physical Therapy, Universidad de Salamanca, Avenida Donante de Sangre s/n, 37007 Salamanca, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26064172

Citation

Salom-Moreno, Jaime, et al. "Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: a Randomized Clinical Trial." Evidence-based Complementary and Alternative Medicine : ECAM, vol. 2015, 2015, p. 790209.
Salom-Moreno J, Ayuso-Casado B, Tamaral-Costa B, et al. Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: A Randomized Clinical Trial. Evid Based Complement Alternat Med. 2015;2015:790209.
Salom-Moreno, J., Ayuso-Casado, B., Tamaral-Costa, B., Sánchez-Milá, Z., Fernández-de-Las-Peñas, C., & Alburquerque-Sendín, F. (2015). Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: A Randomized Clinical Trial. Evidence-based Complementary and Alternative Medicine : ECAM, 2015, p. 790209. doi:10.1155/2015/790209.
Salom-Moreno J, et al. Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: a Randomized Clinical Trial. Evid Based Complement Alternat Med. 2015;2015:790209. PubMed PMID: 26064172.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: A Randomized Clinical Trial. AU - Salom-Moreno,Jaime, AU - Ayuso-Casado,Blanca, AU - Tamaral-Costa,Beatriz, AU - Sánchez-Milá,Zacarías, AU - Fernández-de-Las-Peñas,César, AU - Alburquerque-Sendín,Francisco, Y1 - 2015/04/30/ PY - 2014/11/30/received PY - 2015/04/07/revised PY - 2015/04/09/accepted PY - 2015/6/12/entrez PY - 2015/6/13/pubmed PY - 2015/6/13/medline SP - 790209 EP - 790209 JF - Evidence-based complementary and alternative medicine : eCAM JO - Evid Based Complement Alternat Med VL - 2015 N2 - 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. SN - 1741-427X UR - https://www.unboundmedicine.com/medline/citation/26064172/Trigger_Point_Dry_Needling_and_Proprioceptive_Exercises_for_the_Management_of_Chronic_Ankle_Instability:_A_Randomized_Clinical_Trial_ L2 - https://dx.doi.org/10.1155/2015/790209 DB - PRIME DP - Unbound Medicine ER -