Dry Needling for Arthrogenic Muscle Inhibition of Quadriceps Femoris in Patients after Reconstruction of Anterior Cruciate Ligament: a Protocol for a Randomized Controlled Trial.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Acupuncture and Meridian Studies Pub Date : 2023-10-31 DOI:10.51507/j.jams.2023.16.5.193
Milad Zarrin, Noureddin Nakhostin Ansari, Soofia Naghdi, Scott Hasson, Bijan Forogh, Mehdi Rezaee
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Abstract

Background: : Dry needling (DN) is recommended as a therapeutic modality for various neuromusculoskeletal disorders. No study has been performed on the impact of DN on arthrogenic muscle inhibition (AMI) after anterior cruciate ligament reconstruction (ACLR). This study protocol is aimed to investigate the impacts of DN on AMI of quadriceps femoris, corticomotor, and spinal reflex excitability in patients with ACLR.

Methods: : A double-blind, between-subject, randomized, controlled trial will be conducted to measure changes in AMI after DN. Twenty-four subjects with ACLR will be recruited to receive a DN or a sham DN, providing that they met the inclusion criteria. Three sessions of DN on the quadriceps femoris will be applied during a one-week period. The primary outcome measures are the active motor threshold, motor evoked potential, and Hmax - Mmax ratio. The secondary outcomes are the International Knee Documentation Committee subjective knee form questionnaire score and maximum quadriceps isometric torque. Data will be collected at baseline, immediately after the first session, after the third session, and at the one-month follow-up visit.

Discussion: : The results of this study will provide preliminary evidence regarding the effects of DN on AMI of quadriceps femoris in patients with ACLR.

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干针治疗前交叉韧带重建后患者股四头肌的关节源性肌肉抑制:一项随机对照试验的方案。
背景:干针(DN)被推荐为治疗各种神经肌肉骨骼疾病的一种方法。目前还没有研究DN对前交叉韧带重建(ACLR)后关节源性肌肉抑制(AMI)的影响。本研究方案旨在研究DN对ACLR患者股四头肌AMI、皮质运动和脊髓反射兴奋性的影响。方法:进行一项双盲、受试者间、随机、对照试验,以测量DN后AMI的变化。24名患有ACLR的受试者将被招募接受DN或假DN,前提是他们符合入选标准。将在一周内对股四头肌进行三次DN治疗。主要的结果指标是活动运动阈值、运动诱发电位和Hmax-Mmax比率。次要结果是国际膝关节文献委员会主观膝关节形态问卷得分和最大股四头肌等长扭矩。数据将在基线、第一次治疗后立即、第三次治疗后和一个月随访时收集。讨论:本研究的结果将为DN对ACLR患者股四头肌AMI的影响提供初步证据。
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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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