Comparing the effectiveness of dry needling and ischemic pressure on trigger points in knee osteoarthritis patients

Not Applicable

• Conditions: Knee osteoarthritis.; Bilateral primary osteoarthritis of knee; M17.0

• Registration Number: IRCT20170715035097N2
• Lead Sponsor: niversity of social welfare and rehabilitation sciences

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 1 May 2023

Recruitment & Eligibility

• Status: Pending
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Mild to moderate severity of osteoarthritis (grade I-III in the Kellgren-Lawrence scale)
The presence of at least one trigger point (latent or active) in the gastrocnemius and popliteus muscles based on the criteria of Travell and Simons, which can be detected by touch.
Age between 45-70 years
The pain level of knee osteoarthritis patients should be higher than 30 mm and less than 70 mm on the VAS scale and at least 3 months have passed since its onset.
Morning joint stiffness less than 30 minutes

Exclusion Criteria

Severe inflammation/swelling of the knee
Any previous fracture or surgery of the lower limb
Systemic disease (such as rheumatoid arthritis or diabetes)
Contraindications to using dry needling, including pregnancy, malignancy, fear of needles, bleeding disorders (such as hemophilia or thalassemia), taking antiplatelet and anticoagulant drugs
Complete replacement of the knee joint on the affected side
Injection of opioid analgesics or corticosteroids in the last 30 days
Fibromyalgia syndrome
Physical therapy or dry needling in the last 3 months
Radiculopathy/myopathy

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain Intensity. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Visual Analog Scale.

Secondary Outcome Measures

Name	Time	Method
Disability. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Knee injury and Osteoartritis Outcome Score questionnaire.;Muscle stiffness. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Shear wave elastosonography.;Joint stiffness. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Electrogoniometer and pendulum test.;Pressure pain threshold. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Algometer.;Rang Of Motion. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Standard goniometer.