• María Benito-de-Pedro, Ricardo Becerro-de-Bengoa-Vallejo, Elena Losa-Iglesias Marta M Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcón, Spain., David Rodríguez-Sanz, Daniel López-López, Patricia Palomo-López, Victoria Mazoteras-Pardo, and And César Calvo-Lobo.
• Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.
• Pain Med. 2020 Feb 1; 21 (2): e172-e181.

ObjectiveTo determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability.DesignA randomized simple blind clinical trial (NCT03273985).SettingAn outpatient clinic.SubjectsThirty-four triathletes with a latent MTrP in the shortened gastrocnemius.MethodsTriathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment.ResultsThere were no statistically significant differences (P > 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment.ConclusionsDDN vs ICT carried out in latent MTrPs of the shortened gastrocnemius of triathletes did not present differences in terms of dorsiflexion ROM of the tibiofibular-talar joint or in static and dynamic plantar pressure changes before and immediately after treatment.© 2019 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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