Effect of dry needling after ACL Reconstruction Physical Therapy

Not Applicable

Recruiting

Conditions: Anterior Cruciate Ligament Reconstruction.
Sprain of anterior cruciate ligament of knee
S83.51

Registration Number: IRCT20201201049565N2

Lead Sponsor: Tehran University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 24

Inclusion Criteria

Have undergone a primary, unilateral ACLR using a patellar tendon autograft at least 6 months before the study and have been cleared by a healthcare provider to return to full recreational and athletic activities
Between the ages of 18 and 40 years
Normal body mass index
Not having diseases and injuries of the lower limbs leading to surgery in the last 2 years other than ACLR surgery
The Limb symmetry index is greater than one
Do not have a history of neurological diseases
Be active in terms of recreation or physical activity (defined as exercising at least 3 to 5 times a week with moderate intensity for at least 30 minutes)

Exclusion Criteria

Rupture and simultaneous damage to other parts of the knee such as the menisci, posterior cruciate ligament, medial collateral ligament and lateral collateral ligament
History of previous disorders and diseases such as: neuropathic pain in the lower limbs, lumbosacral radiculopathy, entrapment of the saphenous nerve, meralgia paresthetica, fractures, rheumatology or systemic diseases
Complications after surgery such as infection
Intolerance or fear of dry needling
Heart disease
History of dry needling in the last 3 months
Do not have the indications for TMS: such as people with neurological, psychiatric or epilepsy disorders, the presence of metal or electronic implants or a metal foreign object in the eye area, a history of head trauma with loss of consciousness, and pregnant women.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Rest Motor Threshold (RMT). Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Trans-cranial magnetic stimulation (TMS).;Motor Evoked Potential (MEP). Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Trans-cranial magnetic stimulation (TMS).;Hmax / Mmax amplitude Ratio. Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Electromyography device.

Secondary Outcome Measures

Name	Time	Method
Knee Function. Timepoint: Before and one month after the third needling session. Method of measurement: Using the Persian version of the IKDC questionnaire and based on zero to 100.;The maximum isometric torque of the quadriceps muscle. Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Hand-held dynamometr.