Trigger Point Dry Needling In Patient With Patellofemoral Pain Syndrome

NCT03966937 | Completed DMC

• 1 other identifier: RiphahIU Nadia Ishtiaq
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

This study intends to determine the effects of trigger point dry needling in patients with Patellofemoral pain Syndrome.

Conditions

Patellofemoral Pain Syndrome

Keywords

Anterior Knee Pain Syndrome; Patellofemoral Syndrome

Outcome Measures

Primary Outcomes (8)

• Numeric Pain Rating Scale (NPRS)

  Numeric Pain Rating Scale (NPRS) is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.

  Baseline

• Numeric Pain Rating Scale (NPRS)

  Numeric Pain Rating Scale (NPRS) is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.

  Post 1st week

• Algometer

  Pressure threshold is the minimal pressure (force) which induces pain. The digital algometer is a force gauge with a rubber disc of 1 cm2 surface. It will be placed over trigger point in muscle and pressure pain sensitivity would be measured.

  Baseline

• Algometer

  Pressure threshold is the minimal pressure (force) which induces pain. The digital algometer is a force gauge with a rubber disc of 1 cm2 surface. It will be placed over trigger point in muscle and pressure pain sensitivity would be measured.

  Post 1st week

• Anterior Knee Pain Scale (AKPS)

  The Anterior Knee Pain Scale (AKPS) - sometimes called the Kujala Scale is a 13-item knee-specific self-report questionnaire. It documents response to six activities (walking, running, jumping, climbing stairs, squatting, and sitting for prolonged periods with knees bent), as well as symptoms such as limp. The maximum score is 100 that indicate good results, if score is 70 then it is moderate, lower scores like 50 or below 50 indicates severity of the disease.

  Baseline

• Anterior Knee Pain Scale (AKPS)

  The Anterior Knee Pain Scale (AKPS) - sometimes called the Kujala Scale is a 13-item knee-specific self-report questionnaire. It documents response to six activities (walking, running, jumping, climbing stairs, squatting, and sitting for prolonged periods with knees bent), as well as symptoms such as limp. The maximum score is 100 that indicate good results, if score is 70 then it is moderate, lower scores like 50 or below 50 indicates severity of the disease.

  Post 1st week

• Knee Range of Motion (ROM)

  To assess Knee range of motion (ROM), Goniometer will be use to measure knee range of motion in flexion \& extension. Participants will be seated upright and asked to actively move their knee in each direction.

  Baseline

• Knee Range of Motion (ROM)

  To assess Knee range of motion (ROM), Goniometer will be use to measure knee range of motion in flexion \& extension. Participants will be seated upright and asked to actively move their knee in each direction.

  Post 1st week

Study Arms (2)

Dry needling

EXPERIMENTAL

The experimental group will receive dry needling over trigger points of Quadriceps muscles along with therapeutic exercises.

Other: Dry needling

Control

ACTIVE COMPARATOR

The control group will only receive standardized therapeutic exercises for Patellofemoral pain syndrome.

Other: Control

Interventions

Dry needling OTHER

Hot Pack will be applied on Quadriceps muscles before session for general relaxation for 7-10 minutes. Stretching of quadriceps femoris muscle with 4 repetitions and 15 second hold per session will be performed. Strengthening exercises of 3 sets of 10 RM with progressive loading per session will be performed. Then after wearing gloves and appropriate personal protective measures, a thin filiform needle will be inserted which will penetrate into the skin and stimulate underlying myofascial trigger points.

Dry needling

Control OTHER

Hot Pack will be applied on Quadriceps muscles before session for general relaxation for 7-10 minutes. Stretching of quadriceps femoris muscle with 4 repetitions and 15 second hold per session will be performed. Strengthening exercises of 3 sets of 10 RM with progressive loading per session will be performed.

Control

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Males and females with age limit 20 to 40 years,
• Active knee extension/90-90 test positive for Screening (With AKE range less than 160 degrees),
• No known history of hip joint or knee joint disease,
• No history of recent hamstring strain.

You may not qualify if:

• Patient with meniscal tears, patellar tendinopathy, and ligamentous injuries.
• Patient with knee osteoarthritis
• Patient with lumbosacral nerve root or peripheral nerve involvement

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

District Health Quarter Taunsa

Dera Ghazi Khan, Punjab Province, 32200, Pakistan

Location

Related Publications (5)

• Boling M, Padua D, Marshall S, Guskiewicz K, Pyne S, Beutler A. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports. 2010 Oct;20(5):725-30. doi: 10.1111/j.1600-0838.2009.00996.x.

  PMID: 19765240 BACKGROUND

• Collado H, Fredericson M. Patellofemoral pain syndrome. Clin Sports Med. 2010 Jul;29(3):379-98. doi: 10.1016/j.csm.2010.03.012.

  PMID: 20610028 BACKGROUND

• Saltychev M, Dutton RA, Laimi K, Beaupre GS, Virolainen P, Fredericson M. Effectiveness of conservative treatment for patellofemoral pain syndrome: A systematic review and meta-analysis. J Rehabil Med. 2018 May 8;50(5):393-401. doi: 10.2340/16501977-2295.

  PMID: 29392329 BACKGROUND

• Starkweather A. The Evidence on Dry Needling for Pain Management.Topics in Pain Management. 2018 Nov 1;34(4):1-9

  BACKGROUND

• Sutlive TG, Golden A, King K, Morris WB, Morrison JE, Moore JH, Koppenhaver S. SHORT-TERM EFFECTS OF TRIGGER POINT DRY NEEDLING ON PAIN AND DISABILITY IN SUBJECTS WITH PATELLOFEMORAL PAIN SYNDROME. Int J Sports Phys Ther. 2018 Jun;13(3):462-473.

  PMID: 30038832 BACKGROUND

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Huma Riaz, PHD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: This is a single blinded randomized controlled trial in which patients will be randomized into groups by sealed envelope method.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: There will be two treatment groups of participants, One group will receive Dry Needling for releasing trigger points in Quadriceps along with therapeutic exercises whereas other will receive only therapeutic exercises

Study Record Dates

• First Submitted: May 16, 2019
• First Posted: May 29, 2019
• Study Start: March 19, 2019
• Primary Completion: June 30, 2019
• Study Completion: June 30, 2019
• Last Updated: August 9, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)