Comparison of Kinesio Taping and Dry Needling in Grade 1, 2 Knee Osteoarthritis

Study Overview
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Brief Summary
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This study's aim was: - To determine the effects of kinesio taping and dry needling on pain, ROMs, functional mobility, and quality of life in knee OA patients.

Detailed Description
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This was a randomized clinical trial in which Grade 1, 2 Knee Osteoarthritis patients were randomized into two groups: Group-A and Group-B. Group-A participants received Kinesio taping while Group-B participants received dry needling as an adjunct to the conventional physical therapy treatment. The intervention was carried out for four weeks with frequency of two sessions per week. Outcome measures were assessed at baseline, after two weeks, and after 4 weeks, using Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Range of Motion (ROM), and SF-12 Quality of Life Questionnaire.

Official Title
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Comparison of Kinesio Taping and Dry Needling in the Management of Grade 1, 2 Knee Osteoarthritis

Conditions
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Osteoarthritis, Knee

Intervention / Treatment
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* Other: Kinesio Taping
* Other: Dry Needling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinically diagnosed patients of grade 1, 2 knee OA (Kallgren and Lawrence). Pain and/or tenderness around knee joint Knee OA patients with tightness in Quadriceps, Hamstrings, and Iliotibial band. Patients with pain of >4 on VAS. Exclusion Criteria: Patients who had received Intra-articular Steroid injections in knee joints. Patients who had suffered a traumatic injury to knee joint within past 6 months prior to this study. Patients with any surgical intervention to the knee joints. Patients with peripheral vascular disease. Patients with diagnosed tumors, malignancies, infection associated with knee joint. Patients with lower limb metallic implants.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 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
Interventional Model Description: Concurrent Parallel Randomized Clinical Trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Group A<br>Kinesio Taping Group | Other: Kinesio Taping<br>* One Y-shaped strap with 25% stretch was applied from the mid third of the thigh over the rectus femoris, then its ends directed toward the tibial tuberosity by enwrapping the patella from lateral and medial sides. In 45° knee flexion one eye strap from medial to lateral was applied through the collateral medial and lateral ligaments. For the facilitation of VMO 1 eye strap with 25% stretch from medial aspect of thigh to quadriceps tendon. Lastly, 1 eye strap with 25% stretch from tibial tuberosity to lateral aspect of thigh for inhibition of Vastus lateralis<br>|
| Active Comparator: Group B<br>Dry Needling Group | Other: Dry Needling<br>* Following a protocol according to patient and limb, the tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles were properly examined in each subject. These muscles are frequently involved in muscle-related knee pain. Patients with knee OA who had at least one active MTrP that produced pain were recruited. Patients received a total of 8 DN sessions (2 sessions per week for 4 weeks) at all MTrPs of the lower limbs using the fast-in and fast-out technique (the needle was moved up and down within the muscle).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Score | Pain was measured using Visual Analog Scale on a score from zero (0=no pain) to ten (10=worst pain possible). | Baseline, after 2 weeks, and after 4 weeks. | 
| Knee ROM | Knee ROM (flexion and extension) was assessed using universal goniometer. | Baseline, after 2 weeks, and after 4 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| WOMAC Score | Patients' pain, stiffness, and physical functioning of the joints was assessed using WOMAC scale. | Baseline, after 2 weeks, and after 4 weeks. | 
| Quality of Life Score | Patients health-related quality of life was assessed using SF-12 questionnaire. | Baseline, after 2 weeks, and after 4 weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dry Needling, Joint Flexibility, Kinesio Tape, Knee Osteoarthritis, Pain, Quality of Life