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Ceballos-Laita L, Medrano-de-la-Fuente R, Estébanez-De-Miguel E, Moreno-Cerviño J, Mingo-Gómez MT, Hernando-Garijo I, Jiménez-del-Barrio S. Effects of Dry Needling in Teres Major Muscle in Elite Handball Athletes. A Randomised Controlled Trial. J Clin Med 2021; 10:4260. [PMID: 34575371 PMCID: PMC8466529 DOI: 10.3390/jcm10184260] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 09/17/2021] [Accepted: 09/17/2021] [Indexed: 11/16/2022] Open
Abstract
Objective: To determine the effects of dry needling (DN) in active myofascial trigger points in the teres major muscle compared to an untreated control group in pain during throwing actions, shoulder range of motion (ROM), strength, and extensibility of the tissues in professional handball (HB) athletes. Methods: A randomised, single-blinded, controlled clinical trial was designed. Thirty HB athletes with shoulder pain were randomly assigned to the DN group (n = 15) or control group (n = 15). The DN group received a single session of ultrasound-guided DN technique in the teres major muscle. The control group received no intervention. Pain intensity during throwing actions (Numeric Pain Rating Score), shoulder ROM (inclinometer), isometric strength (hand-held dynamometer), and extensibility (inclinometer) were measured before and after treatment. Results: DN group showed statistically significant improvements with large effect sizes for pain intensity (p < 0.001; E.S: 1.3), internal rotation ROM (p < 0.001; E.S: 3.0) and extensibility (p < 0.001; E.S: 2.9) compared to the control group. No statistically significant differences were found for isometric strength (p > 0.05). Conclusion: A single session of DN in the teres major muscle was effective for improving pain intensity during throwing actions, internal rotation ROM and extensibility in HB athletes with shoulder pain.
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Affiliation(s)
- Luis Ceballos-Laita
- Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain; (R.M.-d.-l.-F.); (J.M.-C.); (M.T.M.-G.); (I.H.-G.); (S.J.-d.-B.)
| | - Ricardo Medrano-de-la-Fuente
- Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain; (R.M.-d.-l.-F.); (J.M.-C.); (M.T.M.-G.); (I.H.-G.); (S.J.-d.-B.)
| | - Elena Estébanez-De-Miguel
- Department of Physiatrist and Nursey, Faculty of Health Sciences, University of Zaragoza, 50010 Zaragoza, Spain;
| | - Jorge Moreno-Cerviño
- Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain; (R.M.-d.-l.-F.); (J.M.-C.); (M.T.M.-G.); (I.H.-G.); (S.J.-d.-B.)
| | - María Teresa Mingo-Gómez
- Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain; (R.M.-d.-l.-F.); (J.M.-C.); (M.T.M.-G.); (I.H.-G.); (S.J.-d.-B.)
| | - Ignacio Hernando-Garijo
- Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain; (R.M.-d.-l.-F.); (J.M.-C.); (M.T.M.-G.); (I.H.-G.); (S.J.-d.-B.)
| | - Sandra Jiménez-del-Barrio
- Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain; (R.M.-d.-l.-F.); (J.M.-C.); (M.T.M.-G.); (I.H.-G.); (S.J.-d.-B.)
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