• PM R · Oct 2015

    Randomized Controlled Trial

    Ischemic Compression After Dry Needling of a Latent Myofascial Trigger Point Reduces Postneedling Soreness Intensity and Duration.

    • Aitor Martín-Pintado-Zugasti, Daniel Pecos-Martin, Ángel Luis Rodríguez-Fernández, Isabel María Alguacil-Diego, Alicia Portillo-Aceituno, Tomás Gallego-Izquierdo, and Josue Fernandez-Carnero.
    • Department of Physical Therapy, CEU-San Pablo University, Carretera Boadilla del Monte, Km 5,300, Urbanización Montepríncipe, 28668 Boadilla del Monte, Madrid, Spain.
    • PM R. 2015 Oct 1; 7 (10): 1026-1034.

    ObjectiveTo investigate the effect of ischemic compression (IC) versus placebo and control on reducing postneedling soreness of 1 latent myofascial trigger point and on improving cervical range of motion (CROM) in asymptomatic subjects.DesignA randomized, double-blind, placebo-controlled trial with 72-hour follow-up.SettingA university community.ParticipantsAsymptomatic volunteers (N = 90: 40 men and 50 women) aged 18 to 39 years (mean ± standard deviation [SD]: 22 ± 3 years).InterventionAll subjects received a dry needling application over the upper trapezius muscle. Participants were then randomly divided into 3 groups: a treatment group who received IC over the needled trapezius muscle, a placebo group who received sham IC, and a control group who did not receive any treatment after needling.Main Outcome MeasuresVisual analog scale (VAS; during needling, at posttreatment and 6, 12, 24, 48, and 72 hours) and CROM (at preneedling, postneedling, and 24 and 72 hours).ResultsSubjects in the IC group showed significantly lower postneedling soreness than the placebo and the control group subjects immediately after treatment (mean ± standard deviation [SD]: IC, 20.1 ± 4.8; placebo, 36.7 ± 4.8; control, 34.8 ± 3.6) and at 48 hours (mean ± SD: IC, 0.6 ± 1; placebo, 4.8 ± 1; control, 3.8 ± 0.7). In addition, subjects in the dry needling+IC group showed significantly lower postneedling soreness duration (P = .026). All subjects significantly improved CROM in contralateral lateroflexion and both homolateral and contralateral rotations, but only the improvements found in the IC group reached the minimal detectable change.ConclusionsIC can potentially be added immediately after dry needling of myofascial trigger point in the upper trapezius muscle because it has the effect of reducing postneedling soreness intensity and duration. The combination of dry needling and IC seems to improve CROM in homolateral and contralateral cervical rotation movements.Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

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