The Effects of Dry Needling & Kinesio Tape on Anterior Knee Pain

Study Overview
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Brief Summary
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Patellofemoral Pain Syndrome(PFPS) is one of the most common health-related complaints in today's societies. Myofascial pain syndrome(MPS) have been attributed as the main cause and primary source of musculoskeletal pain. Trigger point of the vastus lateralis muscle may pull the patella superiorly and laterally, increasing compression of the patellofemoral joint during physical activities, result in PFPS and anterior knee pain. The purpose of this study was to investigate the effects of Dry Needling & kinesio tape on trigger point of vastus lateralis muscle in PFPS subjects.

Detailed Description
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Pain intensity, pain pressure threshold and Disability of knee were collected at base line and at the end of treatment sessions.

Official Title
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The Clinical Effects of Dry Needling & Kinesio Tape on Myofascial Trigger Point in the Vastus Lateralis Muscle in Subjects With PFPS

Conditions
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Patellofemoral Pain Syndrome

Intervention / Treatment
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* Device: Dry Needling
* Device: Kinesio Tape


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Presence of a palpable taut band in muscle. Presence of a hypersensitive tender spot in the taut band. Reproduction of the typical referred pain pattern of the trigger point in response to compression. To detect active trigger point, trigger point pressure tolerance was assessed using a mechanical pressure algometer. The investigator applied continuous pressure with the algometer with an approximate pressure of 2.5 kg/cm2. Spontaneous presence of the typical referred pain pattern and/or patient recognition of the referred pain as familiar. 5- Pain of at least 30 mm on a visual analogue scale (VAS) from 0 mm (no pain) to 100 mm (worst imaginable pain). Exclusion Criteria: had a history of fracture of knee joint, dislocation of patella previous knee or ankle surgery had a history of neurologic condition having physical therapy within the past month before the study pregnancy taking anticoagulants (e.g. warfarin) local infection

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 57 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dry Needling<br>The taut band of trigger point in vastus lateralis muscle; localized between the thumb and index finger, was needled forward and backward repeatedly until there were no more local twitch response | Device: Dry Needling<br>* Dry needling was performed for one week, three times a week.<br>* Other names: Western Accupuncture;|
| Experimental: Kinesio Tape<br>Y technique with 25% tension on the tails was applied. Direction of the technique was insertion to origin of the muscle and zone of the trigger point was placed at the center of Y strip. | Device: Kinesio Tape<br>* Kinesio tape was performed for one week, three times a week.<br>* Other names: Kenso Tape;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain | Pain intensity using Visual Analogue Scale (VAS) were collected at base line and at the end of treatment | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain pressure threshold | A pressure threshold algometer was used to measure the pain pressure threshold of a Trigger point of the vastus lateralis muscle before treatment and the end of treatment(after one week). | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Knee pain,Dry Needling, kinesioTape,Trigger point