RT info:eu-repo/semantics/article T1 Efficacy of quadriceps vastus medialis dry needling in a rehabilitation protocol after surgical reconstruction of complete anterior cruciate ligament rupture A1 Velázquez Saornil, Jorge A1 Ruíz Ruíz, Beatriz A1 Rodríguez Sanz, David A1 Romero Morales, Carlos A1 López López, Daniel A1 Calvo Lobo, César A2 Fisioterapia K1 Anatomía K1 Fisioterapia K1 Medicina. Salud K1 Ligamento cruzado anterior K1 Anterior cruciate ligament K1 Myofascial pain syndrome K1 Dolor miofascial K1 Physical therapy modalities K1 Rehabilitation K1 Rehabilitación K1 Trigger points K1 Puntos gatillo AB Background: Several new rehabilitation modalities have been proposed after anterior cruciate ligament (ACL) reconstruction.Among these, trigger point dry needling (TrP-DN) might be useful in the treatment of myofascial pain syndrome associated with ACLreconstruction to reduce pain intensity, increase knee flexion range and modify the mechanical properties of the quadriceps muscleduring late-stage rehabilitation. To date, this is the first randomized clinical trial to support the use of TrP-DN in the early rehabilitationprocess after ACL reconstruction. The aim of this study was to determine the pain intensity, range of motion (ROM), stability, andfunctionality improvements by adding quadriceps vastus medialis TrP-DN to the rehabilitation protocol (Rh) provided to subacuteACL reconstructed patients.Methods:This randomized, single-blinded, clinical trial (NCT02699411) included 44 subacute patients with surgical reconstructionof complete ACL rupture. The patients were randomized into 2 intervention groups: Rh (n=22) or Rh+TrP-DN (n=22). Pain intensity,ROM, stability, and functionality were measured at baseline (A0) and immediately (A1), 24hours (A2), 1 week (A3), and 5 weeks (A4)after the first treatment.Results: Comparing statistically significant differences (P .001; Eta2=0.198–0.360) between both groups, pain intensity (at A1),ROM (at A1, A2, and A3), and functionality (at A2, A3, and A4) were increased. Nevertheless, the rest of measurements did not showsignificant differences (P>.05).Conclusion: Quadriceps vastus medialis TrP-DN in conjunction with a rehabilitation protocol in subacute patients with surgicalreconstruction of complete ACL rupture increases ROM (short-term) and functionality (short- to mid-term). Although there was anincrease in pain intensity with the addition of TrP-DN, this was not detected beyond immediately after the first treatment. Furthermore,stability does not seem to be modified after TrP-DN. PB Lippincott, Williams & Wilkins YR 2018 FD 2018-04-04 LK http://hdl.handle.net/10612/7619 UL http://hdl.handle.net/10612/7619 NO Medicine, 2017, vol. 96, n. 17 NO 10 p. DS BULERIA. Repositorio Institucional de la Universidad de León RD 28-mar-2024