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SPINAL AND PERIPHERAL DRY NEEDLING VERSUS PERIPHERAL DRY NEEDLING ALONE AMONG INDIVIDUALS WITH A HISTORY OF LATERAL ANKLE SPRAIN: A RANDOMIZED CONTROLLED TRIAL.

Dr. Frank Gargano | December 15, 2017 |

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SPINAL AND PERIPHERAL DRY NEEDLING VERSUS PERIPHERAL DRY NEEDLING ALONE AMONG INDIVIDUALS WITH A HISTORY OF LATERAL ANKLE SPRAIN: A RANDOMIZED CONTROLLED TRIAL.

Int J Sports Phys Ther. 2017 Dec;12(7):1034-1047

Authors: Rossi A, Blaustein S, Brown J, Dieffenderfer K, Ervin E, Griffin S, Frierson E, Geist K, Johanson M

Abstract
Background: In addition to established interventions, dry needling may reduce impairments leading to greater functional abilities for individuals following ankle sprain.
Hypothesis/Purpose: The purpose of this study was to compare effects of spinal and peripheral dry needling (DN) with peripheral DN alone on impairments and functional performance among individuals with a history of lateral ankle sprain.
Study Design: Randomized controlled trial.
Methods: Twenty individuals with a history of lateral ankle sprain (18 bilateral, 2 unilateral) participated in this study (4 males, 16 females; mean age 28.9 + /- 9.2 years). During the first of two sessions, participants completed the Foot and Ankle Disability Index (FADI) and the Cumberland Ankle Instability Tool (CAIT) and their strength, unilateral balance, and unilateral hop test performance was assessed. Participants were randomly assigned to a spinal and peripheral DN group (SPDN), or a peripheral only DN group (PDN). Participants in the SPDN site group received DN to bilateral L5 multifidi and fibularis longus and brevis muscles on the involved lower extremity. Participants in the PDN group received DN to the fibularis muscles alone. Participants’ strength, balance and hop test performance were reassessed immediately following the intervention, and at follow-up 6-7 days later, all outcome measures were reassessed. Three-way mixed model ANOVAs and Mann-Whitney U tests assessed between group differences for outcome variables with normal distributions and non-normal distributions, respectively.
Results: ANOVAs showed significant group by time interaction (p<0.05) for invertor strength, significant side by group and time by group interactions (p<0.05) for plantarflexor-evertor strength, no significant findings for dorsiflexor-invertor strength, significant side by time interaction (p<0.05) for unilateral balance, significant main effect of time (p<0.05) for triple hop for distance test, and significant main effect of side (p0.05) for the side hop test or FADI.
Conclusion: The results suggest that DN of the multifidi in addition to fibularis muscles does not result in improvements in strength, unilateral balance or unilateral hop test performance, compared to DN the fibularis muscles alone among individuals with a history of ankle sprain.

PMID: 29234555 [PubMed]

Read original article at PubMed >

Filed Under: Dry Needling Tagged With: PubMed

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Frank and the IDN team give you the tools, confidence, and freedom/encouragement to be safe, but really get you thinking about how to get to the source of my patients signs and symptoms

by: Michael Morrison - PT May 7, 2017

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I have been needling for 4 years now and learned a different way to think when needling patients.  Not just looking at the muscles that hurt with palpitation, but really looking above, below, 360, 720 degrees.  Everything I learned in the course I will definitely be using  in the clinic.

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The foundation’s course for Integrative Dry Needling was very well taught in much detail.  The course is completely evidenced based with no overlap with acupuncture or eastern medicine.  The instructors were very experienced and had an emphasis on needling with safety. By the end of the course, I felt like I was able to needle my patients confidently and safely.  This course opened up infinite possibilities of different treatment techniques for all my patients.

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Brilliant Course! I researched quite a bit beforehand for the best dry needling course out there.  This course far exceeded my expectations and takes dry needling to the next level!

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Excellent! This is the best, most hands on, most useful CE course I have attending in a long time.  The course is very comprehensive: technique, anatomy, hands on practice, case studies, marketing, administrative and billing suggestions.  I can’t recommend it highly enough!  Looking so forward to the advanced course! Thank you Nick. Excellent Job!

by: Mary Britt - PT April 9, 2017

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Wonderful course! I’m afraid of needles and of watching needles go into the skin. David and Nick were great in showing how  safe needling can be and ways to make the process as pain-free as possible. I left the course over my fear of using needles and excited to use this treatment on my patients.

 

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