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Randomized Controlled Trial
. 2021 May 1;31(3):225-231.
doi: 10.1097/JSM.0000000000000794.

Postrace Dry Needling Does Not Reduce Subsequent Soreness and Cramping-A Randomized Controlled Trial

Daniel M Cushman  1 , Keith Cummings  1 , Lee Skinner  2 , Anna Holman  3 , Peter Haight  4 , Matthew Brobeck  1 , Masaru Teramoto  1 , Chi Tang  5
Affiliations
Randomized Controlled Trial

Postrace Dry Needling Does Not Reduce Subsequent Soreness and Cramping-A Randomized Controlled Trial

Daniel M Cushman et al. Clin J Sport Med. .

Abstract

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 & 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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Conflict of interest statement

The authors report no conflicts of interest.

References

    1. Lewis PB, Ruby D, Bush-Joseph CA. Muscle soreness and delayed-onset muscle soreness. Clin Sports Med. 2012;31:255–262.
    1. MacIntyre DL, Reid WD, McKenzie DC. Delayed muscle soreness. The inflammatory response to muscle injury and its clinical implications. Sports Med. 1995;20:24–40.
    1. Hikida RS, Staron RS, Hagerman FC, et al. Muscle fiber necrosis associated with human marathon runners. J Neurol Sci. 1983;59:185–203.
    1. Lieber RL, Friden J. Morphologic and mechanical basis of delayed-onset muscle soreness. J Am Acad Orthop Surg. 2002;10:67–73.
    1. Takayama F, Aoyagi A, Shimazu W, et al. Effects of marathon running on aerobic fitness and performance in recreational runners one week after a race. J Sport Med. 2017;2017:9402386.

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