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Study aim
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Comparing dry needling and myofascial release in improving pain, function, and ultrasonic changes of the hamstring muscle in soccer players with hamstring muscle trigger points.
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Design
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Clinical trial, with parallel groups, single-blind, randomized
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Settings and conduct
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Football players, after consenting to participate in the study, pain, functional ability of partnering, distance between finger and toe, functional reach, and hamstring muscle thickness will be measured. For blinding, the evaluator and the therapist are not the same. Finally, participants were block randomly divided into dry needling and myofascial release groups.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: males between the ages of 18 - 35, The professional football athletes with hamstring trigger points diagnosed by a physiotherapist using Travell-Simons criteria.
Exclusion criteria : history of lower limb fracture or surgery within the past year, presence of any lower limb pathologies like vascular diseases or osteoarthritis, fear of needles, pain score (VAS) between 4-7, recent physiotherapy treatment for the lower limb in the last 6 months, diabetes, lower limb deformities, unwillingness to follow intervention protocol or outcome measures, receiving other treatments for pelvic pain trigger points in the past 4 weeks.
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Intervention groups
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Dry needling group: In this group, the Deep DN technique will be used with sterile needles on points at the end of the hamstring muscle. Sessions will occur twice a week for 10 minutes each.
Myofascial release group: In this group, Myofascial release technique exercises will be performed for two weeks (4 sessions), with each session consisting of a 60-second massage on the hamstring from the distal to the proximal hamstring area.
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Main outcome variables
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pain, functional ability of hamstring, finger to floor distance
Functional reach, Hamstring strength and thickness