The Addition of Dry Needling in the Treatment of Patients With Patellofemoral Pain Syndrome

NCT03157271 | Withdrawn

• 1 other identifier: Pro00081677
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

Subjects between 14 and 40 years of age referred to physical therapy with a diagnosis of PFPS will be randomly assigned to one of two groups. The first group (PFPS) will be treated pragmatically. The second group (PFPS+DN) will receive the same pragmatic approach with the addition of dry needling intervention. The dry needling intervention will be delivered based on the treating physical therapist's examination of the patient's soft tissue mobility deficits, muscle activation deficits, or referred pain patterns.

Conditions

Patellofemoral Pain Syndrome

Outcome Measures

Primary Outcomes (1)

• Change in Lower Extremity Functional Scale

  20 Item Survey - Self report of difficulty with 20 lower extremity common tasks

  Baseline, 2 weeks, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months

Secondary Outcomes (3)

• Change in Pain

  Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months

• Change in Global Function Rating

  Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months

• Change in Global Rating of Change

  Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months

Study Arms (2)

PFPS Treatment

NO INTERVENTION

This arm (group of patients) will receive typical/pragmatically designed treatment for patellofemoral pain syndrome.

PFPS Plus Dry Needling Treatment

EXPERIMENTAL

This group will receive the same typical/pragmatically designed treatment for patellofemoral pain syndrome but with the addition of a dry needling intervention.

Other: Intramuscular Dry Needling

Interventions

Intramuscular Dry Needling OTHER

Dry Needling is a procedure in which a solid filament needle is inserted into the skin and muscle directly at a myofascial trigger point. A myofascial trigger point consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle and interfere with movement patterns.

Also known as: Trigger Point Dry Needling

PFPS Plus Dry Needling Treatment

Eligibility Criteria

• Age: 14 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Anterior or retro-patellar knee pain from at least two of the following: prolonged sitting, stair climbing, squatting, running, kneeling, and hopping/jumping.
• Insidious onset of symptoms unrelated to trauma
• Presence of pain on palpation of the patellar facets
• Pain on compression of the patella

You may not qualify if:

• Signs or symptoms of meniscal or other intra-articular pathologic condition.
• Self-reported other knee pathology such as cartilage injury or ligamentous tear.
• Known articular cartilage damage (from previously obtained imaging).
• Ligament laxity or tenderness.
• Patellar tendonitis, ITB syndrome, fracture,
• Tenderness over the patellar tendon, ITB, tibial tubercle, or pes anserinus tendons "if reproduced the pain"
• Patellar instability (positive apprehension sign and/or self-reported history of dislocations or subluxations.
• Concurrent Hip Pain
• Lumbar referred pain
• Osgood-Schlatters or Sinding-Larsen-Johanssen Syndromes
• Knee surgery within the past year
• Evidence of effusion

Sponsors & Collaborators

• Duke University: lead

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 15, 2017
• First Posted: May 17, 2017
• Study Start: October 1, 2017
• Primary Completion: July 1, 2019
• Study Completion: July 1, 2019
• Last Updated: December 15, 2017

Record last verified: 2017-08

Data Sharing

• IPD Sharing: Will not share