Clinical trial NCT03202056: Effects of Dry Needling Technique in Hip Muscles in Subjects With Grade I-III Hip Osteoarthritis
Official title: Effects of Dry Needling Technique in Hip Muscles in Subjects With Grade I-III Hip Osteoarthritis
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Hip Osteoarthritis
Keywords: hip osteoarthritis
physiotherapy
manual therapy
Lead sponsor: Universidad de Zaragoza
Sponsor class: OTHER
First posted: 2017-06-28
Enrollment: 45
Sex: ALL
Minimum age (years): 50
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Dry needling is a new treatment technique, addressed to mechanical pain of the neuromusculoskeletal system. Recent investigations has developed new hypothesis about the etiology of the osteoarthritis and could be in relation to musculoskeletal disorders, but there is no published studies evaluating the results of this technique in hip osteoarthritis patients.

The objective of this trial is to evaluate if dry needling is more effective in symptoms, function, range of motion, strength, muscular length, pain threshold and compared to sham dry needling and control.

For this purpose the investigators conduct a randomized controlled trial double-blind (patient and examiner). The investigators included patients diagnosed of hip osteoarthritis Grade I-III by Scale of Kellgren and Lawrence.

Patients included are randomized into 3 groups one receive Dry needling, other sham dry needling and the other is a control. Groups receive 3 treatment sessions.

The variables are measured at the beginning and end of treatment. And also some variables are measured before and after each session. Patients who participated in sham dry needling or control group, when the intervention finish the investigators will be given the opportunity to receive the actual technique.


Eligibility criteria: Inclusion Criteria:

* Diagnosed medically with a X-Ray test
* American College of Rheumatology Criteria

Exclusion Criteria:

* Secondary osteoarthritis by a traumatism, Paget disease, inflammatory or metabolic disease, congenital diseases etc.
* Vascular or neurological disease.
* Musculoskeletal pathologies in lumbar spine, pelvis or lower limbs
* Grade IV in Kellgren and Laurence Scale
* Fear of needles

Primary outcomes:
measure: Functional Capacity with functional tests
timeFrame: Baseline
measure: Intensity symptoms
timeFrame: Baseline
measure: Intensity symptoms
timeFrame: through study completion, an average 21 days
measure: Functional Capacity with functional tests
timeFrame: through study completion, an average 21 days
Secondary outcomes:
measure: Hip Range of motion
timeFrame: Baseline
measure: Hip Range of motion
timeFrame: through study completion, an average 21 days
measure: Muscular strength
timeFrame: Baseline
measure: Muscular strength
timeFrame: through study completion, an average 21 days
measure: Muscular length
timeFrame: Baseline
measure: Muscular length
timeFrame: through study completion, an average 21 days
measure: Pain threshold
timeFrame: Baseline
measure: Pain threshold
timeFrame: through study completion, an average 21 days
measure: Anxiety and depression with a validated questionnaire (HADS)
timeFrame: Baseline
measure: Anxiety and depression with a validated questionnaire (HADS)
timeFrame: through study completion, an average 21 days
measure: Functional capacity with a validated questionnaire (WOMAC)
timeFrame: Baseline
measure: Functional capacity with a validated questionnaire (WOMAC)
timeFrame: through study completion, an average 21 days
measure: Gait in treadmill
timeFrame: Baseline
measure: Gait in treadmill
timeFrame: through study completion
Other outcomes:
Locations:
city: Zaragoza
country: Spain
facility: Luis Ceballos Laita
Study officials:
References:
citation: Ceballos-Laita L, Jimenez-Del-Barrio S, Marin-Zurdo J, Moreno-Calvo A, Marin-Bone J, Albarova-Corral MI, Estebanez-de-Miguel E. Effects of dry needling in HIP muscles in patients with HIP osteoarthritis: A randomized controlled trial. Musculoskelet Sci Pract. 2019 Oct;43:76-82. doi: 10.1016/j.msksp.2019.07.006. Epub 2019 Jul 24.