170917 20260430151735.0 doi 10.1016/j.ctcp.2022.101667 sideral 130305 ART-2022-130305 eng Ceballos-Laita, Luis Comparison of dry needling and self-stretching in muscle extensibility, pain, stiffness, and physical function in hip osteoarthritis: A randomized controlled trial 2022 Background and purpose Patients with hip osteoarthritis (OA) present myofascial trigger points in the hip muscles that may reduce muscle extensibility, provoke pain and stiffness, and decrease physical function. The purpose of the study was to compare the effects of dry needling (DN) intervention with a self-stretching protocol on muscle extensibility, pain, stiffness, and physical function in patients with hip OA. Materials and methods A single-blinded randomised controlled trial was designed. Thirty-eight participants with hip OA were randomly assigned to the DN group (n = 19) or the stretching group (n = 19). The DN group received three sessions of DN, and the stretching group followed a 3-week protocol. Hip muscle extensibility was the primary outcome and was measured using the Ely test, the modified Ober test, and the Active Knee Extension test. Pain, stiffness, and physical function were the secondary outcomes measured with the WOMAC questionnaire. The variables were assessed before and after treatment by blinded examiners. Results DN was more effective than self-stretching for improving hip flexor and abductor muscles extensibility (p < 0.05). DN and self-stretching techniques improved hip extensor muscles extensibility, pain, stiffness, and physical function in patients with hip OA (<0.05). The DN group showed large effect sizes in all the variables (d > 0.8). Conclusion Three sessions of DN were more effective than three weeks of self-stretching to improve hip muscle extensibility in patients with hip OA. DN and self-stretching techniques decreased pain and stiffness and improved physical function in patients with hip OA. info:eu-repo/semantics/closedAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 3.0 2022 INTEGRATIVE & COMPLEMENTARY MEDICINE 12 / 28 = 0.429 2022 Q2 T2 0.664 2022 Complementary and Alternative Medicine 2022 Q1 5.1 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Jiménez-del-Barrio, Sandra Marín-Zurdo, Javier Universidad de Zaragoza (orcid)0000-0003-3223-1324 Moreno-Calvo, Alejandro Marín-Boné, Javier Universidad de Zaragoza (orcid)0000-0003-4527-3267 Albarova-Corral, María Isabel Universidad de Zaragoza (orcid)0000-0003-1292-3163 Estébanez-de-Miguel, Elena Universidad de Zaragoza (orcid)0000-0002-5161-7479 5002 720 Universidad de Zaragoza Dpto. Ingeniería Diseño Fabri. Área Proyectos de Ingeniería 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 49 (2022), 101667 omplement. ther. clin. pract. Complementary Therapies in Clinical Practice 1744-3881 1066285 http://zaguan.unizar.es/record/170917/files/texto_completo.pdf Versión publicada 2204237 http://zaguan.unizar.es/record/170917/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:170917 articulos driver 2026-04-30-13:57:02 ARTICLE