Short term effect of one session of dry needling on pain intensity and disability in total knee arthroplasty patients with active trigger points in muscles around the knee
Design
A single blind clinical trial
Settings and conduct
At first all participants were examined for the presence of active trigger points in the muscles surrounding the knee at Baran physiotherapy clinic. Active trigger points were marked.
Patients described their current intensity of pain and disability on a visual analogue scale(VAS)and KOOS.
A trained and experienced physical therapist applied dry needling to all active trigger points previously identified.
At subsequent visits on first and fourth week intensity of pain were evaluated via VAS and disability via KOOS.
Participants/Inclusion and exclusion criteria
Inclusion criteria:
Having Total knee arthroplasty (T K A); Active Trigger Point in Knee Muscles such as Quadriceps, Hamstring, Gastrosoleus; VAS>40; being at the age of 55 to 80 years old; having knee full extension.
Non inclusion criteria:
Having radicular pain; neuropathy; fibromyalgia; hypothyroedism; meralgiaparethesia; surgical problem such as surgical technique; systemic disease; myopathy; malalignment; fear of needle.
Intervention groups
This study has one group in which the muscles around the knee undergo dry needling in one session. Each session takes 10-15 minutes .
Main outcome variables
Pain intensity and disability score
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20180716040489N1
Registration date:2019-01-15, 1397/10/25
Registration timing:retrospective
Last update:2019-01-15, 1397/10/25
Update count:0
Registration date
2019-01-15, 1397/10/25
Registrant information
Name
Mohammad Bagher Mashaheri Fard
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 31 3228 9115
Email address
momashaheri@rehab.mui.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-08-04, 1397/05/13
Expected recruitment end date
2018-11-04, 1397/08/13
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of dry needling on pain and disability in total knee arthroplasty patients with active trigger points in knee muscles: a clinical trial
Public title
The effect of dry needling on pain and disability in total knee arthroplasty patients.
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Having total knee athroplasty
Having Active Trigger Point in Knee Muscles such as Quadriceps , Hamstring,Gastrosoleus
Having visual analogue scale (VAS) > 40
Age between 55 to 80 years old
Having knee full extension
The ability to read and write
Exclusion criteria:
Having radicular pain or neuropathy
Having fibromyalgia, hypothyroedism, meralgia parethesia
Having systemic disease or myopathy or malignancy
Fear of needling
Taking anticoagulants
Taking NSAIDs
Total hip arthroplasty in the same side
Painful total knee arthroplasty in opposite side less than 6 month ago
Age
From 55 years old to 80 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
25
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Single blinded
Blinding description
Assessor will be blind
Placebo
Not used
Assignment
Single
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Isfahan University of Medical Sciences
Street address
Isfahan University of Medical Sciences,Hezar Jerib Ave.Isfahan,Iran
City
Isfahan
Province
Isfehan
Postal code
81746-7346
Approval date
2017-09-16, 1396/06/25
Ethics committee reference number
IR.MUI.REC.1396.30471
Health conditions studied
1
Description of health condition studied
Total knee arthroplasty
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
pain score
Timepoint
one week and one month after treatment
Method of measurement
pain is investigated by Visual Analoge Scale .
2
Description
function score by Knee injury and Osteoarthritis Outcome Score(KOOS).
Timepoint
one week and one month after treatment
Method of measurement
.FUNCTION IS Investigated by Knee injury and Osteoarthritis Outcome Score(KOOS).
Secondary outcomes
1
Description
Knee diability
Timepoint
Before the intervention, one week and one month after treatment
Method of measurement
Knee injury and Osteoarthritis Outcome Score
Intervention groups
1
Description
Intervention group: Active trigger points were explored in Muscles surrounding the knee. Patients with active trigger points who fullfilled inclusion/exclusion criteria underwent one dry needling session with fast in fast out method. In this method dry needle injected in active trigger points back and forth 10 times with 10 hertz that takes long 10-15 minutes.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Baran Physioyherapy
Full name of responsible person
Mohammad Bagher Mashaheri Fard
Street address
No.13,Lahor Ave.
City
Isfahan
Province
Isfehan
Postal code
8158638131
Phone
+98 31 3228 9115
Fax
+98 31 3225 9239
Email
momashaheri@rehab.mui.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Shaghayegh Haghjoo Javanmard
Street address
Hezar Jerib Ave,Isfahan University of Medical Sciences
City
Isfahan
Province
Isfehan
Postal code
81746-73461
Phone
+98 31 3668 0048
Email
momashaheri@rehab.mui.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Esfahan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Bagher Mashaheri Fard
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Hezar Jerib Ave. Isfahan Medical University
City
Isfahan
Province
Isfehan
Postal code
8158638131
Phone
+98 31 3228 9115
Fax
+98 31 3225 9239
Email
momashaheri@rehab.mui.ac.ir
Person responsible for scientific inquiries
Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Bagher Mashaheri Fard
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
No.13,Lahor Ave. Baran Physiotherapy
City
Isfahan
Province
Isfehan
Postal code
8158638131
Phone
+98 31 3228 9115
Fax
+98 31 3225 9239
Email
momashaheri@rehab.mui.ac.ir
Person responsible for updating data
Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Bagher Mashaheri Fard
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Baran Physiotherapy Clinic; No.13; Lahor Avenue
City
Isfahan
Province
Isfehan
Postal code
8158638131
Phone
+98 31 3228 9115
Fax
+98 31 3225 9239
Email
momashaheri@rehab.mui.ac.ir
Sharing plan
Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
No more information available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available