Effect of Physical Therapy Modalities in Osteoarthritis

NCT05089253 | Completed DMC

• 1 other identifier: AIHMS New Delhi
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to find the most effective treatment out of both techniques; Dry needling and Kinesio Taping for treating knee osteoarthritis (OA) in terms of pain, strength, and balance

Conditions

Osteo Arthritis Knee; Quadriceps Muscle Atrophy

Keywords

dry needling; kinesio tapping; osteoarthritis; Quadriceps

Outcome Measures

Primary Outcomes (4)

• Western Ontario McMasters Universities Osteoarthritis index

  It is a self-administered questionnaire consisting of 24 items divided into 3 subscales. The test questions are scored on a scale of 0-4 which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). Higher scores on the Western Ontario McMasters Universities Osteoarthritis index indicate worse pain, stiffness, and functional limitations.

  4 weeks

• Berg Balance Scale

  The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete. It does not include the assessment of gait.

  4 weeks

• Visual Analogue scale

  A Visual Analogue Scale is a measurement instrument that attempts to measure a characteristic or attitude that is thought to range across a range of values and cannot be easily measured directly. It is frequently used in epidemiologic and clinical research to assess the severity or frequency of different symptoms. For example, a patient's level of pain ranges from none to severe. From the patient's point of view, this spectrum appears continuous; their pain does not appear to have discrete jumps, as a categorization of none, mild, moderate, and severe would imply. The VAS was created in order to capture the concept of an underlying continuum. Pain intensity on the from 0 to 100. 0 represents no pain and 100 represents severe pain

  4 weeks

• Manual Muscle Testing

  This method is also known as the Oxford scale involves testing key muscles in the patient's upper and lower extremities against the examiner's resistance and grading the patient's strength on a 0 to 5. In this research, the quadriceps muscle will be assessed manually by the examiner. o means no power and 5 means good muscle strength. 0\. No movement. 1. Flicker of contraction. 2. Full range of motion in the elimination of gravity. 3. Full range of motion against gravity. 4. Full range of motion against gravity with mild resistance. 5. Full range of motion against gravity with maximum resistance.

  4 weeks

Study Arms (2)

Dry needling

ACTIVE COMPARATOR

The standard 9- point dry needling technique will be applied for 20 minutes per session 3 times a week for 4 weeks.

Other: Kinesio tapping

kinesio taping

ACTIVE COMPARATOR

The Kinesio tape will be applied to the participants in supine with the knee in 90 flexions. Two Y-shaped tapes are applied above and below the patella. The tape will be removed after 48 hours after application. The Kinesio tape will be applied 3 times a week for 4 weeks

Other: Dry Needling

Interventions

Dry Needling OTHER

The subject will be in the supine position and receive dry needling. The first point will be at the medial femoral condyle of the knee joint line in vastus medialis muscles. The second point will be at the lateral femoral condyle of the knee joint line in vastus lateralis muscles. The third point will be above the base of the patella in the rectus femoris muscle. The fourth point will be 2cm above the third point in rectus femoris muscles. These four points were the most common places of trigger point at quadriceps muscles. Dry needling is affected on A-delta fibers. Therefore when superficial dry needling with a noxious stimulation leads to stimulation on A-delta fibers, the excitation remains almost 72 hours and gradually decreases. The standard 9- point dry needling technique will be applied for 20 minutes per session 3 times a week for 4 weeks.

kinesio taping

Kinesio tapping OTHER

The subject will be in the supine position and receive Kinesio taping. The Kinesio tape application with no tension one Y strip with a length of 20 cm, an anchor of 2 cm. The Kinesio tape will be applied to the participants in supine with the knee in 90 flexions. Two Y-shaped tapes are applied above and below the patella. The tape will be removed after 48 hours after application. The Kinesio tape will be applied 3 times a week for 4 weeks.

Dry needling

Eligibility Criteria

• Age: 35 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• diagnosed with osteoarthritis.

You may not qualify if:

• Surgical procedures in the lower extremity in the last 6 months
• neurological disorders
• skin allergy
• patient is under pain medications.

Sponsors & Collaborators

• Majmaah University: lead
• Scientific research unit, AIHMS New Delhi: collaborator

Study Sites (1)

AIMHS

New Delhi, 140011, India

Location

MeSH Terms

Conditions

Osteoarthritis

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: October 10, 2021
• First Posted: October 22, 2021
• Study Start: October 6, 2021
• Primary Completion: February 1, 2022
• Study Completion: March 21, 2022
• Last Updated: March 31, 2022

Record last verified: 2022-03

Locations

IN (1)