Clinical trial NCT06980883: Assessing Impact of Myofascial Release Versus Dry Needling for Chondromalacia in Adult Females
Official title: Assessing Impact of Myofascial Release Versus Dry Needling for Chondromalacia in Adult Females: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chondromalacia
Keywords: chondromalacia,females, myofascial release, and dry needles
Lead sponsor: Badr University
Sponsor class: OTHER
First posted: 2025-05-20
Enrollment: 45
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 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
Primary purpose: HEALTH_SERVICES_RESEARCH

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

Detailed description: A total of 45 female patients 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 analyzed the H/Q ratio by the use of gravity corrected isokinetic strength testing.

Inclusion criteria were:

* 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.
* Exclusion criteria included 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 weeks, 2 sessions per weak.

Group 1: Received dry needling combined with traditional treatment( straight leg raising and isometric quadriceps exercises) for 3 weeks, 2 sessions per weak.

Group 2: Received myofascial release in addition to traditional treatment for 3 weeks, 2 sessions per week. Evaluation of fascial restriction was assessed using the therapists elbow.

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.

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

Group 3: Received only the traditional treatment only for 3 weeks, 2 sessions per weak.

Eligibility criteria: Inclusion Criteria:

* 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)

Exclusion Criteria:

* 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.

Primary outcomes:
measure: The isokinetic muscle strength
timeFrame: 3 weeks
measure: pain intensity by visual analogue scale.
timeFrame: 3 Weeks
Secondary outcomes:
measure: Quality of Life physical and mental states
timeFrame: 3 Weeks
measure: Activity and functional levels of Lower Extremity
timeFrame: 3 weeks
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Masr university for sceince and technology
Study officials:
affiliation: lecturer physical therapy for women health Badr University at Cairo
name: Doaa S Mohamed, lecturer
role: PRINCIPAL_INVESTIGATOR
References: