Assessing Impact of Myofascial Release Versus Dry Needling for Chondromalacia in Adult Females

NCT06980883 | Completed DMC

• 1 other identifier: IRB00014233-6
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Assessing Impact of Myofascial Release versus Dry Needling for Chondromalacia in Adult females. The study employed a Randomized Controlled Trial (RCT) design.

Conditions

Chondromalacia

Keywords

chondromalacia,females, myofascial release, and dry needles

Outcome Measures

Primary Outcomes (2)

• The isokinetic muscle strength

  * Peak Torque (PT): Measured using the isokinetic dynamometer system to assess the strength of the muscles. * AGO/ANT Ratio: Evaluated using the isokinetic dynamometer system to examine the balance between agonist and antagonist muscle groups.

  3 weeks

• pain intensity by visual analogue scale.

  Visual Analogue Scale (VAS): Utilized to measure the intensity of pain experienced by the patients.

  3 Weeks

Secondary Outcomes (2)

• Quality of Life physical and mental states

  3 Weeks

• Activity and functional levels of Lower Extremity

  3 weeks

Study Arms (3)

group 1:adding dry needle to traditional exercises

EXPERIMENTAL

Received dry needling combined with traditional treatment( straight leg raising and isometric quadriceps exercises) for 3 weeks, 2 sessions per weak.

Other: Dry Needling; Other: (traditional exercises)

group 2: adding myofascial release to traditional exercises

EXPERIMENTAL

Myofascial Release: Provided to patients in Group 2 along with traditional treatment( 2 days per week).Evaluation of fascial restriction was assessed using the therapists elbow. Any restrictions felt were assessed and given treatment.

Other: myofascial release; Other: (traditional exercises)

group 3: (control group): Applied Traditional exercise

ACTIVE COMPARATOR

Traditional Treatment ( exercise) : Applied uniformly across all groups, comprising straight leg raising and isometric quadriceps exercises (2 days per week).

Other: (traditional exercises)

Interventions

Dry Needling OTHER

dry needles Administered to patients in Group 1 as part of their treatment regimen( 2 days per week).

group 1:adding dry needle to traditional exercises

myofascial release OTHER

Myofascial Release: Provided to patients in Group 2 along with traditional treatment( 2 days per week). Evaluation of fascial restriction was assessed using the therapists elbow. Any restrictions felt were assessed and given treatment.Myofascial chain release- Position of the patient- Supine lying, prone lying and side lying Position of the therapist- Side of the patient limb to be treated \- Technique-Using the therapist elbow a vertical release proximal to the attachment of the muscle belly or fascia was applied. Once an end-feel was reached a slow stroke down the length of the target tissue was performed along with monitoring the indirect feedback and tissue tension to identify any additional restrictions. The long stroke was repeated in a line parallel to the first stroke. It was continued until an end-feel is reached throughout the entire muscle belly or fascia on the most restricted/ painful points.

group 2: adding myofascial release to traditional exercises

(traditional exercises) OTHER

comprising straight leg raising and isometric quadriceps exercises (2 days per week).

group 1:adding dry needle to traditional exercises; group 2: adding myofascial release to traditional exercises; group 3: (control group): Applied Traditional exercise

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 18-50 years old, the anterior knee pain recorded while one of the following activities at least :ascending and descending stairs, prolonged sitting and kneeling.
• Subject experiences pain during palpation of patellar facets or while performing a 25-cm step down test or double legged squat. (Iiona, 2020)

You may not qualify if:

• excluded meniscal or intra-articular pathological conditions, cruciate or collateral ligaments involvement, tenderness over the patellar tendon .
• These participants were randomly assigned to one of three groups, each consisting of 15 patients all received treatment for 3 weaks, 2 sessions per weak.

Sponsors & Collaborators

• Badr University: lead

Study Sites (1)

Masr university for sceince and technology

Cairo, Egypt

Location

MeSH Terms

Conditions

Cartilage Diseases

Interventions

Dry Needling; Myofascial Release Therapy

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Rehabilitation

Study Officials

• Doaa S Mohamed, lecturer

  lecturer physical therapy for women health Badr University at Cairo

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: double blinding
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer at department of physical therapy for women's health

Model Details: A total of 45 adult female diagnosed with chondromalacia and confirmed by physical examination using a patellar grind test to confirm clarke's sign were recruited for this study from the out patient clinic and soad kafafi's educational hospital , Investigations that analysed the H/Q ratio by the use of gravity corrected isokinetic strength testing

Study Record Dates

• First Submitted: April 28, 2025
• First Posted: May 20, 2025
• Study Start: September 1, 2023
• Primary Completion: May 1, 2025
• Study Completion: May 15, 2025
• Last Updated: May 20, 2025

Record last verified: 2025-05

Locations

EG (1)