Effects of Dry Needling Using Spinal and Peripheral Sites Versus Peripheral Sites Only Among Individuals With Chronic Lower Extremity Conditions
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Plantar Fasciitis
- Sponsor
- Emory University
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Change in Pain Level assessed using the Visual Analogue Scale (VAS)
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this study is to determine if dry needling both low back and extremity areas is more effective for reducing pain and improving strength, balance and functional performance among patients with chronic musculoskeletal conditions compared to dry needling of extremity areas only.
Detailed Description
This study will determine if spinal and peripheral dry needling sites results in decreased pain, increased muscle strength, increased proprioception and increased functional performance among individuals with chronic musculoskeletal conditions of the lower extremities, such as plantar fasciitis, Achilles tendinopathy, and patellofemoral pain syndrome. Specific aims are to determine if individuals with chronic musculoskeletal conditions of the lower extremities receiving dry needling to both spinal and peripheral sites exhibit differences in pain, muscle strength, proprioception, and unilateral hop test scores compared to individuals with chronic musculoskeletal conditions of the lower extremities receiving dry needling to peripheral sites only.
Investigators
Marie Johanson
Associate Professor
Emory University
Eligibility Criteria
Inclusion Criteria
- •Unilateral chronic lower extremity musculoskeletal condition
- •Ability to perform a unilateral one-quarter squat on involved side without pain
- •Asymptomatic during walking
Exclusion Criteria
- •History of systemic neurological or arthritic condition
- •History of bony or peripheral nerve trauma or surgery lower extremities
- •No contraindications to dry needling
- •Not currently receiving treatment for the chronic lower extremity musculoskeletal condition
Outcomes
Primary Outcomes
Change in Pain Level assessed using the Visual Analogue Scale (VAS)
Time Frame: Baseline, Visit 2 (Up to 7 days)
Pain level will be assessed using the Visual Analogue Scale (VAS). The pain VAS is a self-reported, single-item scale that ranks pain level from no pain to worst imaginable pain on a single scale line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the participant's mark, providing a range of scores from 0-100.
Secondary Outcomes
- Change in Single-limb Standing Balance Test Time(Baseline, Visit 2 (Up to 7 days))
- Change in Muscle Strength of Knee Extensors/Flexors assessed using a dynamometer(Baseline, Visit 2 (Up to 7 days))
- Change in Muscle Strength of Ankle Dorsiflexors/Platarflexors assessed using a dynamometer(Baseline, Visit 2 (Up to 7 days))
- Change in Muscle Strength of Hip Abductors assessed using a dynamometer(Baseline, Visit 2 (Up to 7 days))
- Change in Unilateral Hop Distance(Baseline, Visit 2 (Up to 7 days))