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IRCT20210409050913N1 IRCT 2021-04-17 The University of Lahore ultrasound guided dry needling for jumper's knee OUTCOME COMPARISON OF ULTRASOUND GUIDED DRY NEEDLING IN ADDITION TO CONVENTIONAL PHYSICAL THERAPY FOR TREATMENT OF PATIENTS WITH JUMPER’S KNEE 2021-05-01 anticipated 96 Complete https://irct.ir/trial/55607 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Parallel groups, single blinded, single setting, Randomization description: The patients having diagnosed Jumper’s knee will be recruited in the study by convenient sampling, and the patients who fulfill the inclusion and exclusion criteria will be selected, with similar baseline characteristics. The consent will be taken from the subjects to participate in the study.It will be a single blinded trial in which the assessor will be kept blind.The subjects will be randomly assigned to one of two groups by using a table of random numbers generated the randomization sequence, using a restricted randomization scheme to assure equal numbers in each group. Random allocation to all groups will be ensured, from all study personnel and participants by entry of data into computer randomization program immediately.Group assignments will be sealed in opaque envelopes and opened sequentially by the investigators, Blinding description: It will be a single blinded trial in which the assessor will be kept blind.Assessor will be senior physiotherapist who will take measurements after giving consent to participate in the study. He will be blind, not confirmed about the group of intervention. 2 Jumper's knee. Intervention 1: Intervention group: Ultrasound guided dry needling in addition to routine physical therapy. each session of ultrasound guided dry needling will consist of three needle insertions lasting 3 seconds each and the number of times the needle will pass through the tendon will range from 15 to 30 passes, depending on the size of the tendon abnormality. Routine physiotherapy treatment will be administered to the patients which includes these: •An exercise program will consist of stretching and strengthening exercises of quadricep & hamstring: mini-squats, seated knee extensions, lunges, and lateral steps. Each exercise will be conducted in 3 sets of 15 repetitions. Each repetition will begin with the concentric phase, followed by the eccentric phase of the exercise. • Physiotherapy modalities will include 10 minutes of Heat Therapy by moist hot pack, phonophoresis (pulsed ultrasound) and transverse friction massage.•The use of knee strap & activity modification. Intervention 2: Control group: It will be given same routine physical therapy treatment methods given generally to treat such patients for same time. Yes - There is a plan to make this available What will be shared: all collected IPD for all outcome measures When: starting in November 2021 6 months after publication To whom: persons in academic institutes and researchers Conditions: it could be used on permission from investigator Where to obtain: through email to investigator faiza.sharif@uipt.uol.edu.pk How to obtain: through email to investigator faiza.sharif@uipt.uol.edu.pk and call 0092321 4600797 Comments: data can be provided on request
public Faiza Sharif
1-km defence road, off bhoptian chowk, Lahore
Lahore Pakistan 54000 +92 42 35322501 faiza.sharif@uipt.uol.edu.pk The University of Lahore scientific Faiza Sharif
1-km defence road, off bhoptian chowk, Lahore
Lahore Pakistan 54000 +92 42 35322501 faiza.sharif@uipt.uol.edu.pk The university of lahore Pakistan Athletes with medical diagnosis of patellar tendinopathy and anterior knee pain located on the inferior pole of the patella for over 1 month. The intensity of pain of 3.0 or greater on a 0-to-10 visual analog scale while walking up and down stairs and high pain intensity in single leg decline squat test. Palpation tenderness of the superior insertion of the patellar tendon. Athletes of either genders Age ranges between 18 to 45 years. A score below 80 on the Victorian Institute of Sports Assessment for PT (VISA-P) questionnaire. Pain provocation on Single leg decline squat test as a score >0 on the NRS. 18 years 45 years Both Knee surgery within the previous 6 months. Chronic knee joint diseases. Corticosteroid injection in the patellar tendon within the last 1 month. Contraindications for needling such as allergies/sensitivities, diseases/conditions, implants, areas of acute inflammation, acute systemic infections, on blood thinner or anticoagulants, with known history of bleeding disorders. Presence of multiple focal areas of calcification within the proximal tendon or radiographic fractures around the knee. Use of analgesics for last 48 hours. Any other concomitant treatment for jumper’s knee. M76.5 Patellar tendinitis Treatment - Devices Treatment - Devices Intervention group: Ultrasound guided dry needling in addition to routine physical therapy. each session of ultrasound guided dry needling will consist of three needle insertions lasting 3 seconds each and the number of times the needle will pass through the tendon will range from 15 to 30 passes, depending on the size of the tendon abnormality. Routine physiotherapy treatment will be administered to the patients which includes these: •An exercise program will consist of stretching and strengthening exercises of quadricep & hamstring: mini-squats, seated knee extensions, lunges, and lateral steps. Each exercise will be conducted in 3 sets of 15 repetitions. Each repetition will begin with the concentric phase, followed by the eccentric phase of the exercise. • Physiotherapy modalities will include 10 minutes of Heat Therapy by moist hot pack, phonophoresis (pulsed ultrasound) and transverse friction massage.•The use of knee strap & activity modification Control group: It will be given same routine physical therapy treatment methods given generally to treat such patients for same time Pain intensity. Timepoint: baseline, 1st, 2nd, and 4th week after the intervention. Method of measurement: Visual analogue scale. Functional disability. Timepoint: baseline, 1st, 2nd and 4th week after the intervention. Method of measurement: VISA-P Score, KOOS Score, Lysholm score. The University of Lahore Approved 2021-02-11 Institutional Review Board Committee 1-km defence road, off bhoptian chowk, Lahore Pakistan Lahore Punjab Pakistan