Periosteal Electrical Dry Needling in Knee Osteoarthritis

NCT05398601 | Completed DMC

• 1 other identifier: REC/01209 Mudassar
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the effect of periosteal electrical dry needling as an adjuvant to MWM in knee osteoarthritis for pain management, for improvement in functional activities and for ROM (Range Of Motion)

Conditions

Knee Osteoarthritis

Keywords

Dry needling; Acupuncture; Mobilization with movement

Outcome Measures

Primary Outcomes (1)

• WOMAC scale for osteoarthritis

  The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation of Hip and Knee Osteoarthritis. It is a self-administered questionnaire consisting of 24 items divided into 3 subscales: * Pain (5 items): during walking, using stairs, in bed, sitting or lying, and standing upright * Stiffness (2 items): after first waking and later in the day * Physical Function (17 items): using stairs, rising from sitting, standing, bending, walking, getting in / out of a car, shopping, putting on / taking off socks, rising from bed, lying in bed, getting in / out of bath, sitting, getting on / off toilet, heavy domestic duties, light domestic duties 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). Scores range from 0 to 96 for the total WOMAC where 0 represents the best health status and 96 the worst possible status. The higher the score, the poorer the function.

  4 weeks

Secondary Outcomes (4)

• NPRS

  4 weeks

• 6 min walk test

  4 weeks

• Stair climb test

  4 week

• Range of Motion

  4 week

Study Arms (2)

MOBILIZATION WITH MOVEMENT

ACTIVE COMPARATOR

MOBILIZATION with MOVEMENT TENS, MWM techniques for Knee

Other: MOBILIZATION with MOVEMENT

periosteal electrical dry needling

EXPERIMENTAL

TENS, periosteal electrical dry needling 4 point technique for Knee

Other: Periosteal electrical dry needling

Interventions

MOBILIZATION with MOVEMENT OTHER

They would be receiving conventional treatment as follow: TENS (Transcutaneous electrical nerve stimulation) applied asymmetrical, biphasic waveform, pulse duration at 100 ms, intensity 10 percent below the motor threshold - 10 mins Hot Pack - 10 mins ULTRASOUND - 10 mins Additionally, the would receive MWM techniques for Knee 1. Medial glide 2. Medial+ Internal rotation glide 3. Lateral Glide+ Internal Rotation glide 4. Anterior glide 5. Posterior glide

MOBILIZATION WITH MOVEMENT

Periosteal electrical dry needling OTHER

They would be receiving conventional treatment as follow: TENS (asymmetrical, biphasic waveform, pulse duration at 100 ms, intensity 10 percent below the motor threshold) - 10 mins HOT PACK - 10 mins ULTRASOUND - 10 mins Additionally, the would receive periosteal electrical dry needling 4 point technique for Knee Four sterile, single-use 30-gauge dry needles would be inserted into the following locations of the symptomatic knee(s) until they touch bone: 1. Medial femoral condyle 2. Lateral femoral condyle 3. Flare of the tibia 4. Head of the fibula Needles would be stimulated with 100 Hz for 30 minutes. The intensity of the stimulus would be adjusted so that it would be clearly felt but would not cause discomfort. The stimulus intensity would be adjusted periodically so that it is perceptible for the entire 30 minutes of PST.

periosteal electrical dry needling

Eligibility Criteria

• Age: 41 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age group \>40,
• Patient who met American college of Rheumatology criteria of Osteoarthritis,
• Chronic knee pain \> 3 months,
• Morning stiffness \<30 mins,
• Crepitation
• Bony tenderness

You may not qualify if:

• Diagnosed Meniscal injury or Ligamentous injury,
• History of Intraarticular injection in last 3 months,
• generalized low back related leg pain,
• Patients with fear of needles,
• Patients administered with corticosteroids or receiving any other invasive treatment such as PRP, Stem cell therapy, Ozone therapy
• History of any surgery of lower extremity in last 6 months
• Malignancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Athlean Physical Therapy Clinic

Islamabad, Pakistan

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Movement

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• KINZA ANWAR, MS-OMPT

  RIPHAH INTERNATIONAL UNIVERSITY,ISLAMABAD,PAKISTAN

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: April 21, 2022
• First Posted: June 1, 2022
• Study Start: September 14, 2022
• Primary Completion: July 8, 2023
• Study Completion: July 10, 2023
• Last Updated: July 13, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)