3 Points for Ankle Instability..
Not EXACTLY trigger point dry needling, but a form of needling nonetheless
In this study (1) they stimulated 3 points: ST41, BL60 and GB40. Take a look at their locations (above). ST41 (2) is at the base of the long extensor tendons; gee, we never emphasize long extensor function, do we? GB 40 is at the lateral malleolus between the peroneus longus/brevis and peroneus tertius; how important are these for coronal plane stability, not to mention the ability to descend the 1st ray. BL60 (3) is just behind the lateral malleolus, right by the peroneus longus and brevis (again). Could they have included K6, under the medial malleolus and near the long flexors? Sure. How about SP4 or 4, in the substance of the flexor hallucis brevis and anterior to the extensor hallucis longus. Of course. You can probably think of other points to include as well.
Do you think it was by accident that their muscle selection included dorsiflexors (excepting the peroneus longus) and everters? How about a muscle that would help descend the 1st ray and complete the medial tripod? Hmmm... There is always a reason and a rationale....
"CONCLUSION: Electroacupuncture can effectively improve the proprioception of athletes with FAI and achieves a superior efficacy as compared with the conventional physiotherapy."...or in this case, low level e stim to the medial and lateral malleolus.
How about adding these points, no matter how you would like to stimulate them, to your CAI toolkit?
1. Zhu Y, Qiu ML, Ding Y, Qiang Y, Qin BY. [Effects of electroacupuncture on the proprioception of athletes with functional ankle instability]. Zhongguo Zhen Jiu. 2012 Jun;32(6):503-6.
2. Shiro Y, Arai YC, Ikemoto T, Kawai T, Ikeuchi M, Ushida T. Distal traditional acupuncture points of the large intestinal meridian and the stomach meridian differently affect heart rate variability and oxygenation of the trapezius muscle.Evid Based Complement Alternat Med. 2014;2014:283010. doi: 10.1155/2014/283010. Epub 2014 Feb 19.
3. Chang KH, Won R, Shim I, Lee H, Lee BH. Effects of Electroacupuncture at BL60 on Formalin-Induced Pain in Rats. Evid Based Complement Alternat Med. 2012;2012:324039. doi: 10.1155/2012/324039. Epub 2012 Apr 5.