The effects of adding dry needling technique to manual therapy in treatment of patients with knee osteoarthritis

Not Applicable

Conditions: Knee Osteoarthritis.
Osteoarthritis of knee

Registration Number: IRCT20221026056300N1

Lead Sponsor: Shiraz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 48

Inclusion Criteria

Age between 45 - 70,
Unilateral or bilateral knee pain and dysfunction, in bilateral knee pain, the knee with more pain will be cured,
Knee osteoarthritis with grade 2 and 3 Kellgren & Lawrence,
At least one active trigger point in muscles around knee that refer pain,
Knee pain more than 3 in VAS scale,
Ability to walk for 6 meters and more,
Disability more than 25 in WOMAC scale,
At least 10 degrees loss in knee flexion range of motion.

Exclusion Criteria

Neuropathic pain in lower limb,
Knee replacement surgery,
Surgery in other parts of lower limb in last 6 month.
Radicular pain in knee,
Neurologic diseases,
Rheumatoid Arthritis,
Steroid and analgesic injection in last 3 month in knee,
Fibromyalgia syndrome,
Patellar tendinopathy,
Inflammation or active infection signs in knee,
Pregnancy,
Diabetes,
Epilepsy,
Immune system diseases like AIDS, Cancer, Hepatitis,
Phobia of needle in dry needling technique,
Any treatment for trigger points in considering muscles in last 3 month,
Vascular disease associated with unusual bleeding,
Treatment with Anticoagulants,
Pain in lower limb associated with low back pain,
Fracture or any other orthopedic problem in involved lower limb,
Musculoskeletal disorders in other joints in lower limb (except osteoarthritis)
Physiotherapy sessions in last 3 month for knee joint.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Visual Analogue Scale.;Knee Range of Motion. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Goniometer.;Disability. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Western Ontario and McMaster Universities Osteoarthritis Index questionnaire.;Number of active trigger points in muscles around knee. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Counting active trigger points.;Local pain of trigger points in muscles around knee. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Visual Analogue Scale.

Secondary Outcome Measures

Name	Time	Method
Functional mobility. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Timed Up and Go test.;Balance. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Modified STAR Excursion Balance Test (mSEBT).