Comparing The Effect of Proprioceptive Neuromuscular Facilitation (PNF) When Coupled With Dry Needling (DN), Acupuncture (AN) or Sham Needling (SN) on Knee Range of Motion (ROM), Jump Height and Unipedal Balance

NCT07612969 — Not applicable, Completed, 65 participants, Mohamad Karam

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Comparing the Effect of Dry Needle, Acupuncture and Sham Needling When Added to Muscle Release Technique on Knee Range of Motion, Unipedal Balance and Jump Height in Active Men: A Randomized Control Single Blinded Study

RegistryNCT07612969
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, treatment
Enrollment65 (Actual)
SponsorMohamad Karam (Other)
ConditionsHealthy Adult Males, Healthy Subjects
InterventionsProprioceptive Neuromuscular Facilitation with Dry Needling, Proprioceptive Neuromuscular Facilitation with Acupuncture, Proprioceptive Neuromuscular Facilitation with Sham needling, Proprioceptive Neuromuscular Facilitation (Other)
Datesstart 2023-01-16, primary completion 2023-02-20, completion 2023-02-27, first posted 2026-05-29, last updated 2026-06-02
Locations1 site in Lebanon

Related Papers Related Patents Related Grants Related Experts
All trials for Healthy Adult Males All trials for Healthy Subjects All trials of Proprioceptive Neuromuscular Facilitation with Dry Needling All trials of Proprioceptive Neuromuscular Facilitation with Acupuncture

-Summary

Muscle tightness was found to increase injury risks. Muscle relaese techniques and needling were known to reduce muscle tightness, their specific influence on functional muscle performance remains inconclusive. We hypothesized that (1) combining needling modalities with muscle release techniques (PNF) would significantly improve range of motion, unipedal balance, and jump height compared to a sham intervention; and (2) the specific combination of dry needling and PNF would demonstrate superior functional progression compared to the acupuncture and PNF protocol over a 5-week timeframe.

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+Detailed description

Active men with confirmed hamstring and quadriceps tightness in both legs were included. Unipedal balance and jump height were evaluated using Kinetisense®. Subjects were randomly assigned to 3 groups: Group1: Dry needling; Group2: Acupuncture and Group3: Sham needling. All subjects also received PNF application after needling modality. Each participant received 1 session per week for 5 weeks.

+Arms and interventions

ArmTypeInterventionsDescription
Dry needlingExperimentalOther: Proprioceptive Neuromuscular Facilitation with Dry NeedlingIts a needling technique that is inserted in the muscle in order to reduce muscle tightness
AcupunctureExperimentalOther: Proprioceptive Neuromuscular Facilitation with AcupunctureIt is a needling technique based on Chinese medicine
Sham needlingExperimentalOther: Proprioceptive Neuromuscular Facilitation with Sham needlingIt is a placebo needling technique
Proprioceptive Neuromuscular FacilitationExperimentalOther: Proprioceptive Neuromuscular Facilitation with Dry Needling; Other: Proprioceptive Neuromuscular Facilitation with Acupuncture; Other: Proprioceptive Neuromuscular Facilitation with Sham needling; Other: Proprioceptive Neuromuscular FacilitationIts a physiotherapy technique that aims to reduce muscle tightness
  • Proprioceptive Neuromuscular Facilitation with Dry Needling (Other): In addition to Dry needling, subjects also recieved Proprioceptive Neuromuscular Facilitation
  • Proprioceptive Neuromuscular Facilitation with Acupuncture (Other): In addition to Acupuncture needling, subjects also received Proprioceptive Neuromuscular facilitation.
  • Proprioceptive Neuromuscular Facilitation with Sham needling (Other): In addition to Sham needling, subjects also received Proprioceptive Neuromuscular Facilitation
  • Proprioceptive Neuromuscular Facilitation (Other): All subjects recieved Proprioceptive Neuromuscular Facilitation in addition to the 3 needling types

+Outcome measures

Primary outcomes

  • Range of motion [1 week before protocol application and 5 weeks after]: Knee range of motion was evaluated using a Goniometer

Secondary outcomes

  • Jump height [1 week prior to the protocol application and 5 weeks after]: was evaluated using Kinetisence
  • Unipedal balance [1 week prior to the protocol and 5 weeks after]: Was evaluated using Kinetisense

+Eligibility

Sex: Male, ages: 18 Years to 28 Years

Inclusion Criteria:

* moderately active men (Perform at least 60 min of any sport activity on at least 3 days per week)
* aged between 18 and 28 years old
* having muscular tightness in both hamstrings and quadriceps muscles in both lower limbs

Exclusion Criteria:

* men who received any surgical, dry needling or acupuncture treatment in the last 6 months prior to the experimentation.
* Participants who had suffered from any injuries at the level of the hips, knees or ankles in the 12 months before the study.
* participants under anticoagulant medications or suffering from bleeding disorders.

+Locations (1)

FacilityCityCountryStatus
Faculty of Medicine, Institute of Physiotherapy, Saint Joseph University of BeirutBeirut, BeirutLebanon

+Publications

  • Kuzdzal A, Trybulski R, Muracki J, Klich S, Clemente FM, Kawczynski A. Dry Needling in Sports and Sport Recovery: A Systematic Review with an Evidence Gap Map. Sports Med. 2025 Apr;55(4):811-844. doi: 10.1007/s40279-025-02175-9. Epub 2025 Feb 10. PMID 39928077
  • Forogh B, Ghaseminejad Raeini A, Jebeli Fard R, Mirghaderi P, Nakhostin-Ansari A, Nakhostin-Ansari N, Bahari H, Hoveidaei AH. Efficacy of trigger point dry needling on pain and function of the hip joint: a systematic review of randomized clinical trials. Acupunct Med. 2024 Apr;42(2):63-75. doi: 10.1177/09645284231207870. Epub 2023 Dec 27. PMID 38149616
  • Zhu F, Chen Y, Zhu Y, Bai Z, Yan H. Acupuncture Therapy for Extremity Musculoskeletal Pain: A Clinically Focused Evidence Synthesis with Therapeutic Implications. J Pain Res. 2025 Oct 24;18:5541-5554. doi: 10.2147/JPR.S551446. eCollection 2025. PMID 41164823
  • Reiner MM, Tilp M, Nakamura M, Konrad A. Is muscle stiffness a determinant for range of motion in the leg muscles? Biol Sport. 2024 Mar;41(2):115-121. doi: 10.5114/biolsport.2024.131821. Epub 2023 Jun 10. PMID 38524826