Effects of Trigger Point Dry Needling in Individuals With Patello Femoral Pain Syndrome : A Randomized Controlled Trial

Study Overview
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Brief Summary
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A double blinded clinical controlled trial will be performed on individuals with patello femoral pain syndrome in which Trigger Point Dry Needling will be given to experimental group while Sham Needling will be given to the control group, targeting the trigger points present in the Quadriceps of affected individuals assessing the pain,functional disability and range of motion of the affected individuals.

Detailed Description
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A double blinded Randomized Controlled Trial of 6 months study after the approval of synopsis, will be conducted. Convenience sampling technique will be used to enroll the patients. Patients will be selected according to predefined inclusion and exclusion criteria. All patients who fulfill inclusion criteria will be allocated in two group through randomization by lottery method. Group A will receive TrP-DN and group B will receive Sham Needling. Both groups will be asked to perform stretching exercise of Quadriceps daily after needling. The patients' outcomes will be measured by VAS for pain intensity and Kujala Questionnaire for functional status. The comparison between pre-treatment and post-treatment data will be done after 3 months. Informed consents will be taken from each patient. Data entry and analysis will be done with SPSS 23.

Official Title
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Study on the Effects of Trigger Point Dry Needling on Patients With Patello-femoral Pain Syndrome: A Randomized Controlled Trial

Conditions
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Patellofemoral Pain Syndrome

Intervention / Treatment
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* Other: Dry Needling
* Other: Sham Dry Needing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - 1. Both genders 2. Ages range from 18-40 years 3. They have clinical diagnosis of PFPS (the diagnosis was confirmed by a positive patellar grind test and tenderness of medial and lateral patellar facets) 4. Participants are also required to have a minimum pain score of 3 on Numeric Pain Scale 5. Kujala patellofemoral questionnaire score of 50 to 80 before the intervention. 6. Patients willing to participate Exclusion Criteria: History of any following conditions Participants who have received any treatment for PFPS within the 3 months A history of lower extremities fracture or surgery Presence of MSK diseases such as Acute Herniated Disc or Spondylolisthesis History of any chronic disease e.g. Diabetes Mellitus

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Group A<br>Group A will receive trigger point dry needling in quadricep muscles | Other: Dry Needling<br>* abc<br>|
| Sham Comparator: Group B<br>Group B will get Sham needling in quadriceps muscles | Other: Sham Dry Needing<br>* xyz<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale | Visual Analogue Scale | 8th week | 
| Kujala Questionnaire | functional disability will be check by Kujala Questionnaire | 8th week | 
| Goniometer | range of motion will be checked by Goniometer | 8th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Patellofemoral Pain Syndrome, Dry Needling, Trigger Points