Short-term effects of ultrasound-guided dry needling on pain and functional disability for osteoarthritis knees: A randomized, double-blinded and controlled trial
试验速览
- 阶段
- Unknown
- 状态
- 尚未招募
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Pain
研究概览
简要总结
The current study aims to investigate the effects of ultrasound-guided dry needling on KOA patients using a comprehensive evaluation including pain level and functional ability (in addition to exercise therapy prescribed). The findings to be obtained from this study will have a great potential to help the rehabilitation of KOA patients in an efficient and safe manner. If ultrasound-guided needling can enhance the effectiveness of dry needling with exercise in improving pain and functional ability in elderly people with KOA, it is potentially help to reduce burden of total knee replacement operations to public hospitals and mortality rate. It can be potential help to release the stress of elderly patients onto the public healthcare system and to cope with the demands from the aging population in the coming future.
研究设计
- 研究类型
- Interventional
- 主要目的
- 随机抽样
- 盲法
- The assessor will be blinded to the patients treatment group assignment at all time and will carry all the baseline, 4-week and 8-week evaluations.
入排标准
- 年龄范围
- 50 至 80（—）
- 性别
- All
入选标准
- •with reference to the American College of Rheumatology clinical criteria developed by Altman et al., 1986 (Altman et al., 1986):
- •aged >50 to 80 years old;
- •referred with diagnosed KOA;
- •with episode of anterior and/or medial knee pain at 2-3 local tender spots, crepitus, and functional limitations caused by KOA a period of at least 6 months;
- •stiffness <30 minutes;
- •KL scale (Petersoon et al., 1997) grade I and grade III and , valgus angle of tibiofemoral joint less than 150;
- •able to read Chinese and listen to Cantonese as the outcomes questionnaire is Chinese version and supervised exercise class will be conducted in Cantonese.
排除标准
- •having other musculoskeletal diseases associated with knee pain e.g. refer pain from LBP or posterior or lateral knee pain or co-existing pain over the other limb;
- •suffering from acute inflammation, diffuse tenderness upon palpation test, bone marrow lesion, severe joint deformity or valgus angle of tibiofemoral joint equal to or more than 150 with XR showed grade IV in KL scale, coagulation disorders, metabolic , or neuropathic arthropathies, immunosuppressed diseases, systematic disease;
- •having severe concomitant illness (e.g. sprain ankle, OA hip, etc.) that may affect the clinical outcomes of this study (e.g. functional mobility);
- •contraindications to dry needling including pregnancy, malignancy, menstruating at the time of study, fear to dry needling;
- •having recent treatment from any acupuncture therapy or dry needling therapy in the previous 2 weeks;
- •cognitive impairment;
- •having wound or pressure sore or skin problems or skin allergy, iodine allergy;
- •having steroid injection or drugs.
研究组 & 干预措施
Group 3
Control
Group 1
Real Ultrasound-guided dry needling
Group 2
Placebo ultrasound guided dry needling
结局指标
主要结局
Pain
Function
次要结局
未报告次要终点