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ORTHOPEDICS AND TRAUMATOLOGY / CLINICAL RESEARCH
Effects of dry needling of the gluteus medius muscle in individuals with chronic ankle instability: a randomized, single-blinded controlled clinical trial
1
Department of Physiotherapy, University of Seville, Seville, Spain
2
Faculty of Medicine, Health and Sport, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain
3
Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Spain
4
Frailty Research Organized Group (FROG), Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, Spain
5
Department of Physical Therapy, University of Alcalá, Alcalá de Henares, Spain
Submission date: 2021-09-11
Final revision date: 2021-10-19
Acceptance date: 2021-11-28
Online publication date: 2021-12-14
Corresponding author
Carlos Romero-Morales
Faculty of Medicine, Health and Sport Universidad Europea de Madrid Villaviciosa de Odón Madrid, Spain
Faculty of Medicine, Health and Sport Universidad Europea de Madrid Villaviciosa de Odón Madrid, Spain
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Lateral ankle sprain (LAS) is one of the most common musculoskeletal injuries in sports and the general population. The goal of the present study was to evaluate the effectiveness of dry needling (DN) of the gluteus medius muscle in patients with chronic ankle instability (CAI).
Material and methods:
A two-arm (1 : 1), single-blinded (participants), randomized clinical trial was performed in 40 subjects with CAI who were divided into two groups: an intervention group that received one session of DN in the most hyperalgesic gluteus medius myofascial trigger point (MTrP), (n = 20) and a control group (n = 20). Dynamic balance, pain intensity, pain pressure threshold (PPT) in the anterior talofibular ligament (ATL) and ankle dorsiflexion range of motion (ROM) were assessed at baseline, post-intervention, and a 1-week follow up.
Results:
The intervention group showed significantly greater improvements than the control group in anterior and medial dynamic balance (p = 0.001), PPT at the ATL (p = 0.002) and ankle dorsiflexion ROM (p = 0.001).
Conclusions:
The findings of the present study suggest that DN at the most hyperalgesic MTrP of the gluteus medius may increase the anterior and medial dynamic balance, ankle ROM and PPT at the ATL in individuals with CAI in the short term. Pain intensity improved in both groups. Future studies should investigate DN as a potential adjunct to a physical therapy program for individuals with CAI.
Lateral ankle sprain (LAS) is one of the most common musculoskeletal injuries in sports and the general population. The goal of the present study was to evaluate the effectiveness of dry needling (DN) of the gluteus medius muscle in patients with chronic ankle instability (CAI).
Material and methods:
A two-arm (1 : 1), single-blinded (participants), randomized clinical trial was performed in 40 subjects with CAI who were divided into two groups: an intervention group that received one session of DN in the most hyperalgesic gluteus medius myofascial trigger point (MTrP), (n = 20) and a control group (n = 20). Dynamic balance, pain intensity, pain pressure threshold (PPT) in the anterior talofibular ligament (ATL) and ankle dorsiflexion range of motion (ROM) were assessed at baseline, post-intervention, and a 1-week follow up.
Results:
The intervention group showed significantly greater improvements than the control group in anterior and medial dynamic balance (p = 0.001), PPT at the ATL (p = 0.002) and ankle dorsiflexion ROM (p = 0.001).
Conclusions:
The findings of the present study suggest that DN at the most hyperalgesic MTrP of the gluteus medius may increase the anterior and medial dynamic balance, ankle ROM and PPT at the ATL in individuals with CAI in the short term. Pain intensity improved in both groups. Future studies should investigate DN as a potential adjunct to a physical therapy program for individuals with CAI.
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