Effects of dry needling on neuromuscular control of ankle stabilizer muscles and center of pressure displacement in basketball players with chronic ankle instability: a single-blinded randomized controlled trial

Research output: Contribution to journalArticlepeer-review


  • Luis López-González
  • Irene Lázaro-Navas
  • Cristina Lorenzo-Sánchez-Aguilera
  • Isabel Rodríguez-Costa
  • Daniel Pecos-Martín
  • Tomás Gallego-Izquierdo

External organisations

  • Universidad de Alcalá


This study aimed to compare the effects of dry needling (DN) versus placebo DN applied to the peroneus longus (PL) and tibialis anterior (TA) on neuromuscular control and static postural control in basketball players with chronic ankle instability (CAI). A single-blinded randomized controlled trial was conducted. Thirty-two male and female basketball players with CAI were randomly assigned to receive either DN (n = 16) or placebo DN (n = 16). Pre-activation amplitudes of PL and TA were assessed with surface electromyography (EMG) during a dynamic landing test. Center of pressure (CoP) displacement and sway variability in anterior-posterior (AP) and medio-lateral (ML) directions were measured with a force platform during a single leg balance test (SLBT). Measures were obtained prior to a single DN intervention, immediately after, at 48 h, and 1 month after. The DN group displayed a significant increase in PL and TA pre-activation values, which were maintained 1 month later. Significant reductions in the ML and AP displacements and sway variability of CoP were found for the DN group. These results showed improvements in feedback/feed-forward strategies following DN, including enhanced neuromuscular control and static postural control, with the potential to become a convenient and accessible preventive treatment in CAI subjects.


Original languageEnglish
Article number2092
JournalInternational Journal of Environmental Research and Public Health
Issue number4
Publication statusPublished - 21 Feb 2021


  • Center of pressure, Chronic ankle instability, Dry needling, Surface electromyography

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