Investigating the Effect of Dry Needling on Myofascial Trigger Point in Soleus Muscle of Soccer Players with Medial Tibial Stress Syndrome
Abstract
Introduction: This study investigates the impact of dry needling on myofascial trigger points in the soleus muscles among soccer players with medial tibial stress syndrome (MTSS).
Materials and Methods: Soccer players diagnosed with MTSS were enlisted and randomly divided into two groups (11 participants in the experimental group [Group 1] and 11 participants in the control group [Group 2]). Pre-intervention measurements included repeated shuttle sprint ability, MTSS score, and pain pressure threshold (PPT) for both groups. In the experimental group, dry needling was performed on the soleus muscle, followed by active stretching and cryotherapy. The control group underwent active stretching of the soleus muscle and cryotherapy exclusively. Post-intervention measurements of repeated shuttle sprint ability, MTSS score, and PPT were taken for both groups after 2 days.
Results: The experimental group exhibited a statistically significant improvement in PPT, MTSS score, and repeated shuttle sprint ability. Conversely, within the control group, statistically significant changes were observed only in PPT values through paired t-test assessment. Between-group analysis using an independent t-test revealed significant enhancement in PPT (P=0.000) and MTSS score (P=0.01) within the experimental group compared to the control group.
Conclusion: Addressing myofascial trigger points in the soleus muscle through dry needling offers a more effective approach to treating MTSS than relying solely on muscle stretching.
Reinking MF. Exercise Related Leg Pain (ERLP): a Review of The Literature. N Am J Sports Phys Ther. 2007 Aug;2(3):170-80.
Galbraith RM, Lavallee ME. Medial tibial stress syndrome: conservative treatment options. Curr Rev Musculoskelet Med. 2009 Oct 7;2(3):127-33. doi: 10.1007/s12178-009-9055-6.
Bond RP, Snyckers CH. Management of sports overuse injuries of the lower limb: an evidence-based review of the literature. SA Orthopaedic Journal. 2010 Jan;9(2):48-58.
Deshmukh NS, Phansopkar P. Medial Tibial Stress Syndrome: A Review Article. Cureus. 2022 Jul 7;14(7):e26641. doi: 10.7759/cureus.26641.
Newman P, Witchalls J, Waddington G, Adams R. Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med. 2013 Nov 13;4:229-41. doi: 10.2147/OAJSM.S39331
Naderi A, Moen MH, Degens H. Is high soleus muscle activity during the stance phase of the running cycle a potential risk factor for the development of medial tibial stress syndrome? A prospective study. J Sports Sci. 2020 Oct;38(20):2350-2358. doi: 10.1080/02640414.2020.1785186.
Brown AA. Medial Tibial Stress Syndrome: Muscles Located at the Site of Pain. Scientifica (Cairo). 2016;2016:7097489. doi: 10.1155/2016/7097489.
Mattock, J.P.M., Steele, J.R. & Mickle, K.J. Are Leg Muscle, Tendon and Functional Characteristics Associated with Medial Tibial Stress Syndrome? A Systematic Review. Sports Med - Open 7, 71 (2021). https://doi.org/10.1186/s40798-021-00362-2
Sobhani V, Shakibaee A, Khatibi Aghda A, Emami Meybodi MK, Delavari A, Jahandideh D. Studying the Relation Between Medial Tibial Stress Syndrome and Anatomic and Anthropometric Characteristics of Military Male Personnel. Asian J Sports Med. 2015 Jun;6(2):e23811. doi: 10.5812/asjsm.23811.
Thacker SB, Gilchrist J, Stroup DF, Kimsey CD. The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc. 2002 Jan;34(1):32-40. doi: 10.1097/00005768-200201000-00006.
Bron C, Dommerholt JD. Etiology of myofascial trigger points. Curr Pain Headache Rep. 2012 Oct;16(5):439-44. doi: 10.1007/s11916-012-0289-4.
Yeganeh Lari A, Okhovatian F, Naimi Ss, Baghban AA. The effect of the combination of dry needling and MET on latent trigger point upper trapezius in females. Man Ther. 2016 Feb;21:204-9. doi: 10.1016/j.math.2015.08.004.
American Physical Therapy Association. Description of dry needling in clinical practice: an educational resource paper [document on the Internet]. Public Policy, Practice and Professional Affairs Unit. 2013;2013.
American Physical Therapy Association. Physical therapists & the performance of dry needling: an educational resource paper. Alexandria, VA: APTA Department of Practice and APTA State Government Affairs. 2012.
Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.
Garcia SG, Rona SR, Tinoco MC, Rodriguez MB, Ruiz DM, Letrado FP, Ruiz ÁL, Garcia JM. Shockwave treatment for medial tibial stress syndrome in military cadets: A single-blind randomized controlled trial. International Journal of Surgery. 2017 Oct 1;46:102-9.
Irish Society of Chartered Physiotherapists (ISCP). Guidelines for Dry Needling Practice. Dublin, Ireland: Irish Society of Chartered Physiotherapists (ISCP); 2012. p. 11.
Grieve R, Clark J, Pearson E, Bullock S, Boyer C, Jarrett A. The immediate effect of soleus trigger point pressure release on restricted ankle joint dorsiflexion: A pilot randomised controlled trial. J Bodyw Mov Ther. 2011 Jan;15(1):42-9. doi: 10.1016/j.jbmt.2010.02.005..
Lake AD, Myers H, Aefsky B, Butler R. IMMEDIATE AND SHORT TERM EFFECT OF DRY NEEDLING ON TRICEPS SURAE RANGE OF MOTION AND FUNCTIONAL MOVEMENT: A RANDOMIZED TRIAL. Int J Sports Phys Ther. 2018 Apr;13(2):185-195.
Impellizzeri FM, Rampinini E, Castagna C, Bishop D, Ferrari Bravo D, Tibaudi A, Wisloff U. Validity of a repeated-sprint test for football. Int J Sports Med. 2008 Nov;29(11):899-905. doi: 10.1055/s-2008-1038491.
Winters M, Moen MH, Zimmermann WO, Lindeboom R, Weir A, Backx FJ, Bakker EW. The medial tibial stress syndrome score: a new patient-reported outcome measure. Br J Sports Med. 2016 Oct;50(19):1192-9. doi: 10.1136/bjsports-2015-095060.
Aweid O, Gallie R, Morrissey D, Crisp T, Maffulli N, Malliaras P, Padhiar N. Medial tibial pain pressure threshold algometry in runners. Knee Surg Sports Traumatol Arthrosc. 2014 Jul;22(7):1549-55. doi: 10.1007/s00167-013-2558-0.
Srbely JZ, Dickey JP, Lee D, Lowerison M. Dry needle stimulation of myofascial trigger points evokes segmental anti-nociceptive effects. J Rehabil Med. 2010 May;42(5):463-8. doi: 10.2340/16501977-0535.
Edwards J, Knowles N. Superficial dry needling and active stretching in the treatment of myofascial pain--a randomised controlled trial. Acupunct Med. 2003 Sep;21(3):80-6. doi: 10.1136/aim.21.3.80.
Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Lippincott Williams & Wilkins; 1992.
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Issue | Vol 18 No 4 (2024) | |
Section | Research Article(s) | |
DOI | https://doi.org/10.18502/jmr.v18i4.16910 | |
Keywords | ||
Dry needling Muscle stretching exercises Trigger points Medial tibial stress syndrome |
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