Dry Needling After Anterior Cruciate Ligament Reconstruction

INTERVENTION: ‐Deep dry needling treatment with acupuncture needle in Myofascial Trigger Point of hamstrings of the leg which has been operated, once a week for 6 month. The duration of dry needling treatment it´s five minutes and it will be realized in CEMTRO´S clinic gym. Dry needling will be make once a week before the manual physical therapy protocol by a physical therapist . ‐ Manual therapy protocol based on massage and stretching of stabilize muscles of knee, mobilization of knee in flexion and extension movement,Treatment will be realized five days a week for 6 months by a physical therapist in CEMTRO´S clinic gym. The duration of each session of treatment it´s half an hour. Dry needling and manual physical therapy protocol will be in the same period of 6 month. ‐Evaluation of pain with visual analogic scale ‐ Evaluation of functionality ‐Evaluation of range of motion. Treatment and evaluation will be carried out by a Physical therapist. We will collect the information obtained and the registration of visits in an diary and excel program. CONDITION: Knee surgery Mechanical changes Pain Range of motion PRIMARY OUTCOME: Range of motion at the knee measured by goniometer SECONDARY OUTCOME: Knee functionality measured by Lysholm scale. Knee pain measured by visual analog scale(VAS) INCLUSION CRITERIA: ‐ Patiens who has been operated to reconstruct anterior ligament cruciate. ‐ Patiens in whom there is evidence of a loss flexibility of hamstring