RT info:eu-repo/semantics/article T1 Dry needling versus diacutaneous fibrolysis for the treatment of the mechanical properties of the teres major muscle: A randomized clinical trial A1 Ceballos Laita, Luis A1 Jiménez Rejano, José Jesús A1 Rebollo Salas, Manuel A1 Mingo Gómez, María Teresa A1 Hernández Lázaro, Héctor A1 Jiménez del Barrio, Sandra K1 Shoulder pain K1 Shoulder - Diseases K1 Hombro - Enfermedades - Tratamiento K1 Acupuncture K1 Acupuntura K1 Physiotherapy K1 Range of motion K1 Joints - Range of motion K1 Muscles - Diseases K1 Músculos - Enfermedades - Tratamiento K1 Materials science K1 Ciencia de los materiales K1 Medical technology K1 Tecnología médica K1 32 Ciencias Médicas K1 3213.11 Fisioterapia AB (1) Background: The stiffness of the posterior shoulder muscles has been shown to be related to shoulder pain and range of motion (ROM) restriction in athletes. Specifically, the treatment of the teres major muscle showed promising results in previous studies. The aim of this study was to compare the effects of dry needling (DN) vs. diacutaneous fibrolysis (DF) to improve the stiffness and tone of the teres major muscle, pain intensity, shoulder ROM, and extensibility in the short-term and at one-week follow-up in handball athletes. (2) Methods: A randomized clinical trial with blinded examiners was carried out. Elite handball athletes with shoulder pain and glenohumeral internal rotation deficit (n = 30) were randomly allocated to the DN group or the DF group. Patients in both groups received a single treatment session directly applied to the teres major muscle. The primary outcome variables and instrument were mechanical properties of the teres major muscle (stiffness and tone) measured with myotonometry. The secondary outcome variables were intensity of shoulder pain evaluated with visual analogue scale and shoulder ROM and extensibility recorded with a digital inclinometer. (3) Results: No between-group differences were found after the intervention or at one-week follow-up in the mechanical properties of teres major muscle, pain intensity, shoulder ROM, or extensibility. (4) Conclusions: the DN and DF techniques showed similar results at both timepoints in elite handball athletes with shoulder pain and glenohumeral internal rotation deficits. PB MDPI SN 2076-3417 YR 2023 FD 2023 LK https://uvadoc.uva.es/handle/10324/66994 UL https://uvadoc.uva.es/handle/10324/66994 LA eng NO Applied Sciences, 2023, Vol. 13, Nº. 19, 10995 NO Producción Científica DS UVaDOC RD 17-may-2024