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Postrace dry needling does not reduce subsequent soreness and cramping -- a randomized controlled trial
Cushman DM, Cummings K, Skinner L, Holman A, Haight P, Brobeck M, Teramoto M, Tang C
Clinical Journal of Sport Medicine 2021 May;31(3):225-231
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To identify whether a single session of postrace dry needling can decrease postrace soreness and quantity of postrace leg cramps in half-marathon and full-marathon runners. DESIGN: Single-blind, prospective, randomized, controlled trial. SETTING: Finish line of 2018 Salt Lake City Marathon and Half-Marathon. PARTICIPANTS: Runners aged 18 years or older who completed a marathon or half-marathon. INTERVENTIONS: True or sham dry needling of the bilateral vastus medialis and soleus muscles within 1 hour of race completion by 2 experienced practitioners. MAIN OUTCOME MEASURES: The primary outcome measure was numeric pain rating improvements for soreness on days 1, 2, 3, and 7 compared to immediately postrace. Secondary outcome measures included number of postrace cramps and subjective improvement of soreness. RESULTS: Sixty-two runners were included with 28 receiving true and 34 receiving sham dry needling. Objective pain scores showed an increase in pain of the soleus muscles at days 1 and 2 (p <= 0.003 and p <= 0.041, respectively) in the dry needling group. No differences were seen in postrace pain in the vastus medialis muscles (p > 0.05). No association was seen between treatment group and presence of postrace cramping at any time point (p > 0.05). Subjectively, there was a nonsignificant trend for those receiving dry needling to feel better than expected over time (p = 0.089), but no difference with cramping (p = 0.396). CONCLUSIONS: A single postrace dry needling session does not objectively improve pain scores or cramping compared to sham therapy.
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