Periosteal Electrical Dry Needling in Knee Osteoarthritis

Not Applicable

Completed

• Conditions: Knee Osteoarthritis
• Interventions: Other: MOBILIZATION with MOVEMENT; Other: Periosteal electrical dry needling

• Registration Number: NCT05398601
• Lead Sponsor: Riphah International University

Brief Summary

To determine the effect of periosteal electrical dry needling as an adjuvant to MWM in knee osteoarthritis for pain management, for improvement in functional activities and for ROM (Range Of Motion)

Detailed Description

Periosteal stimulation therapy (PST) or periosteal electroacupuncture applies direct electrical stimulation of the periosteum and its associated nerves using parsimoniously applied acupuncture needles over bony prominences. It is an aggressive local treatment for deep pain problems such as OA (osteoarthritis ) .

Mobilization with movement (MWM) is a manual therapy technique that is used most frequently for the management of musculoskeletal conditions. In this technique, the physiological movement is performed in a pain-free manner with accessory glides being applied in the direction towards the opposite of the previously painful movement to have the greatest improvement MWMs has shown promising various therapeutic benefits such as reduction of pain and improved range of motion. Previous evidence has shown the effectiveness of MWM on pain reduction and functional improvement in patients with knee OA.

The rationale for the use of PST in comparison with MWM techniques is to determine the effectiveness of periosteal electrical dry needling for the common use intervention for knee osteoarthritis.

Study Timeline

• Study First Submitted: 2022-04-21
• Study First Submitted QC: 2022-05-30
• Study First Posted: 2022-06-01
• Study Start: 2022-09-14
• Status Verified: 2023-07
• Primary Completion: 2023-07-08
• Study Completion: 2023-07-10
• Last Update Submitted: 2023-07-12
• Last Update Posted: 2023-07-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

1. Age group >40,
2. Patient who met American college of Rheumatology criteria of Osteoarthritis,
3. Chronic knee pain > 3 months,
4. Morning stiffness <30 mins,
5. Crepitation
6. Bony tenderness

Exclusion Criteria

1. Diagnosed Meniscal injury or Ligamentous injury,
2. History of Intraarticular injection in last 3 months,
3. generalized low back related leg pain,
4. Patients with fear of needles,
5. Patients administered with corticosteroids or receiving any other invasive treatment such as PRP, Stem cell therapy, Ozone therapy
6. History of any surgery of lower extremity in last 6 months
7. Malignancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
MOBILIZATION WITH MOVEMENT	MOBILIZATION with MOVEMENT	MOBILIZATION with MOVEMENT TENS, MWM techniques for Knee
periosteal electrical dry needling	Periosteal electrical dry needling	TENS, periosteal electrical dry needling 4 point technique for Knee

Primary Outcome Measures

Name	Time	Method
WOMAC scale for osteoarthritis	4 weeks	The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation of Hip and Knee Osteoarthritis. It is a self-administered questionnaire consisting of 24 items divided into 3 subscales: * Pain (5 items): during walking, using stairs, in bed, sitting or lying, and standing upright; * Stiffness (2 items): after first waking and later in the day; * Physical Function (17 items): using stairs, rising from sitting, standing, bending, walking, getting in / out of a car, shopping, putting on / taking off socks, rising from bed, lying in bed, getting in / out of bath, sitting, getting on / off toilet, heavy domestic duties, light domestic duties; The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4).; Scores range from 0 to 96 for the total WOMAC where 0 represents the best health status and 96 the worst possible status. The higher the score, the poorer the function.

Secondary Outcome Measures

Name	Time	Method
Range of Motion	4 week	A goniometer is an instrument that measures the available range of motion at a joint.; Normal range of motion, using the anatomical position as zero degrees. Flexion = 0 to 140 degrees. Extension - zero degrees = full extension.
Stair climb test	4 week	The stair climb test (also known as stair climb power test) is a clinically relevant, safe, and inexpensive field-based assessment of lower body strength, power, and physical function for older adults Stairs (8 - 14 steps) with handrails, stopwatch. Where possible, the 9-step stair test with 20cm (8 inch) step height (range 16-20 cm) and handrail is recommended. 2 mins are required to complete and score,
NPRS	4 weeks	The NPRS is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.; The scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable")
6 min walk test	4 weeks	The Six-minute walk (6MW) is short walk tests commonly used to evaluate functional recovery after total knee arthroplasty (TKA).; The object of the test is to walk as far as possible for six minutes. You will walk at your normal pace to a chair or cone, and turn around. And you continue to walk back and forth for six minutes. Time measurement will determine the functional recovery.

Trial Locations

Locations (1)

Athlean Physical Therapy Clinic; 🇵🇰 Islamabad, Pakistan