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CTRI Number  CTRI/2023/10/058837 [Registered on: 18/10/2023] Trial Registered Prospectively
Last Modified On: 07/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Dry needling for Shin pain 
Scientific Title of Study   Effectiveness of Dry needling on pain and ROM in athletes with Medial Tibialis Stress Syndrome- A clinical trial 
Trial Acronym  Nill 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Amrinder singh 
Designation  Associate professor 
Affiliation  MYAS-GNDU Department of sports science and Medicine Guru Nanak Dev University Amritsar, Punjab 
Address  MYAS-GNDU Department of sports science and Medicine Guru Nanak Dev University Amritsar, Punjab

Amritsar
PUNJAB
143005
India 
Phone  9501114474  
Fax  1832258820  
Email  amrindersportsmed@gndu.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amrinder singh 
Designation  Associate professor 
Affiliation  MYAS-GNDU Department of sports science and Medicine Guru Nanak Dev University Amritsar, Punjab 
Address  MYAS-GNDU Department of sports science and Medicine Guru Nanak Dev University Amritsar, Punjab

Amritsar
PUNJAB
143005
India 
Phone  9501114474  
Fax  1832258820  
Email  amrindersportsmed@gndu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Nikita Wadhwani 
Designation  MPT Sports physiotherapy student 
Affiliation  MYAS-GNDU Department of sports science and Medicine Guru Nanak Dev University Amritsar, Punjab 
Address  Room no. 1310, Block 1, GH4,Guru Nanak Dev University, Amritsar, Punjab

Amritsar
PUNJAB
143005
India 
Phone  8208898990  
Fax  1832258820  
Email  nikiwadhwani24@gmail.com  
 
Source of Monetary or Material Support  
Department of sports science and Medicine Guru Nanak Dev University Amritsar, Punjab-143005 
 
Primary Sponsor  
Name  Nikita Wadhwani 
Address  Room no. 1310, Block 1, GH4,Guru Nanak Dev University, Amritsar, Punjab 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Amrinder Singh  MYAS-GNDU Department of sports science and Medicine Guru Nanak Dev University Amritsar, Punjab  Guru Nanak Dev University Amritsar, Punjab 143005
Amritsar
PUNJAB 
09501114474

amrindersportsmed@gndu.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee of Guru Nanak Dev University, Amritsar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  medial tibial stress syndrome 
Patients  (1) ICD-10 Condition: S861||Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  dry needling  3 sessions, alternate days for 1 week 
Comparator Agent  rest  Pain and range of motion would be checked after 1 week of rest 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Medial tibial stress syndrome diagnosis with physical examination & history is positive 
 
ExclusionCriteria 
Details  Non-athletes.
In athletes with any history of stress fracture of tibia & posterior compartment syndrome,
one year prior injury.
In athletes with any history of Meniscal tears, ligamentous sprains, osteoarthritis &
muscular strains one year prior injuries.
Fear of needle. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
pain decrease & range of motion increase  1 week of trail 
 
Secondary Outcome  
Outcome  TimePoints 
no effect of dry needling in pain & range of motion  6 months 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/10/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study mainly focuses on soleus muscle taught band which causes pain on posteromedial tibial border over a length of ≥5 consecutive centimeters. Exercises to stretch the soleus in MTSS are no longer considered as a strongly evidence-based treatment approach.

The purpose of this clinical trial is to determine the effectiveness of Dry Needling as a primary treatment in subjects with Medial tibial stress syndrome

Athletes will be diagnosed on the basis of history and physical examination proposed by M Winter

Athletes will be selected from university for the study based on inclusion and exclusion criteria

Dry needling will be done in prone lying position. soleus will be exposed and cleaned with 70% isopropyl alcohol swabs for skin preparation and then 40 mm dry needle will be inserted into the tender nodules of muscle by holding muscle in pincer grip and pulling it away from midline to avoid neurovascular bundle. Needle will be inserted in anteromedial direction in the muscle. The needles will then left in-situ for 15 minutes

Pain will be measured by VAS scale and ROM will be measured by universal goniometer; prior to and after applying the intervention

 
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