Clinical trial NCT03966937: Trigger Point Dry Needling In Patient With Patellofemoral Pain Syndrome
Official title: Effects of Trigger Point Dry Needling In Patient With Patellofemoral Pain Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Patellofemoral Pain Syndrome
Keywords: Anterior Knee Pain Syndrome
Patellofemoral Syndrome
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2019-05-29
Enrollment: 70
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: There will be two treatment groups of participants, One group will receive Dry Needling for releasing trigger points in Quadriceps along with therapeutic exercises whereas other will receive only therapeutic exercises
Primary purpose: OTHER

Brief summary: This study intends to determine the effects of trigger point dry needling in patients with Patellofemoral pain Syndrome.

Detailed description: This is a single blinded randomized controlled trial, will be conducted at District Head Quarter (DHQ) hospital Taunsa Sharif.

Dry needling is a technique used to release myofascial trigger points. this study is planned to determine the effects of dry needling on quadriceps muscle in patients with Patellofemoral pain syndrome. The sample size was calculated to be n=92 through Open Epi tool version 3, with 95 % confidence interval (CI), and power 80%,

After the completion of therapeutic protocols, the participants will be assessed with the help of Numeric Pain Rating Scale (NPRS), Algometer and Anterior Knee Pain scale along with knee Range of Motion(ROM)

Eligibility criteria: Inclusion Criteria:

* Males and females with age limit 20 to 40 years,
* Active knee extension/90-90 test positive for Screening (With AKE range less than 160 degrees),
* No known history of hip joint or knee joint disease,
* No history of recent hamstring strain.

Exclusion Criteria:

* Patient with meniscal tears, patellar tendinopathy, and ligamentous injuries.
* Patient with knee osteoarthritis
* Patient with lumbosacral nerve root or peripheral nerve involvement

Primary outcomes:
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: Baseline
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: Post 1st week
measure: Algometer
timeFrame: Baseline
measure: Algometer
timeFrame: Post 1st week
measure: Anterior Knee Pain Scale (AKPS)
timeFrame: Baseline
measure: Anterior Knee Pain Scale (AKPS)
timeFrame: Post 1st week
measure: Knee Range of Motion (ROM)
timeFrame: Baseline
measure: Knee Range of Motion (ROM)
timeFrame: Post 1st week
Secondary outcomes:
Other outcomes:
Locations:
city: Dera Ghazi Khan
country: Pakistan
facility: District Health Quarter Taunsa
state: Punjab
Study officials:
affiliation: Riphah International University
name: Huma Riaz, PHD*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Boling M, Padua D, Marshall S, Guskiewicz K, Pyne S, Beutler A. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports. 2010 Oct;20(5):725-30. doi: 10.1111/j.1600-0838.2009.00996.x.
citation: Collado H, Fredericson M. Patellofemoral pain syndrome. Clin Sports Med. 2010 Jul;29(3):379-98. doi: 10.1016/j.csm.2010.03.012.
citation: Saltychev M, Dutton RA, Laimi K, Beaupre GS, Virolainen P, Fredericson M. Effectiveness of conservative treatment for patellofemoral pain syndrome: A systematic review and meta-analysis. J Rehabil Med. 2018 May 8;50(5):393-401. doi: 10.2340/16501977-2295.
citation: Starkweather A. The Evidence on Dry Needling for Pain Management.Topics in Pain Management. 2018 Nov 1;34(4):1-9
citation: Sutlive TG, Golden A, King K, Morris WB, Morrison JE, Moore JH, Koppenhaver S. SHORT-TERM EFFECTS OF TRIGGER POINT DRY NEEDLING ON PAIN AND DISABILITY IN SUBJECTS WITH PATELLOFEMORAL PAIN SYNDROME. Int J Sports Phys Ther. 2018 Jun;13(3):462-473.