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IRCT20210314050704N1 IRCT 2022-04-23 Mashhad University of Medical Sciences The effect of dry needling on knee osteoarthritis Comparison of the effect of physiotherapy and physiotherapy with dry needling on pain, Range of motion, physical function, functional performance and the effectiveness of treatment in patients with primary knee osteoarthritis. 2022-05-05 anticipated 28 Complete https://irct.ir/trial/55667 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block randomization using closed envelopes so that the number of samples, gender and unilateral or bilateral osteoarthritis are equal in two groups. The 4-volume random block allocation method will be used. All possible 4 permutations will be listed in two groups (permutations 1 to 6 are as follows) A is the intervention group and B is the control group: 1-AABB 2-ABAB 3-BAAB 4-BABA 5-BBAA 6-ABBA Then, from a random number table with a random starting point, 6 numbers between 1 and 6 will be randomly selected (either using software or randomaize.com). For example, if the 6 random numbers obtained are 3 5 4 3 4 6 , It will mean that the first four people similar to block 3, the second four people similar to block 5 and ... will be allocated, Blinding description: This study will be performed in a double-blind manner and the blinding includes a physiotherapist who performs the pre- and post-treatment evaluation in addition to the person who analyzes the data. N/A knee osteoarthritis. Intervention 1: Intervention group: Physiotherapy with dry needling. Participants in this group receive 12 sessions (3 times a week) of routine physiotherapy (Electrotherapy, manual therapy and exercise therapy) with dry needling at the trigger points of the muscles around the knee and hip. Intervention 2: Control group: Routine physiotherapy. Participants in this group receive 12 sessions (3 times a week) of routine physiotherapy (Electrotherapy, manual therapy and exercise therapy). Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information.
public Mahdie Morshedlou
No. 862, Manzari Ave., West Farjam Blvd., Narmak., Tehran Town
Tehran Iran (Islamic Republic of) 1681984111 +98 51 4326 3656 MorshedlouM981@mums.ac.ir Mashhad University of Medical Sciences scientific Hossein Asghar Hoseini
Mashhad University of Medical Science, Vakilabad Blvd., Mashhad Town
Mashhad Iran (Islamic Republic of) 9185763788 +98 51 3882 7029 Hosseiniha@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Participants aged 40 years or older with knee pain and uni- or bilateral dysfunction Diagnosis of primary knee osteoarthritis based on clinical and radiographic findings (Kellgren-Lawrence 1-3) At least one active or one latent myofascial trigger point elicited by palpation ipsilateral to the painful knee(s) Pain of at least 2 on the NRS scale for more than 3 months 40 years no limit Both Suffering from other conditions that could cause myofascial or neuropathic pain in the lower limb, such as lumbar radiculopathy, saphenous nerve entrapment, or paresthetica meralgia Previous total replacement of the same knee or both knees Any other surgical procedure of the lower limbs in the previous six months Medical record for myopathy or lumbo-sacral neuropathy physical therapy, acupuncture or other treatments for the painful knee in the last 6 months Inflammatory joint disease such as rheumatoid arthritis Serious trauma or systematic disease M17 Osteoarthritis of knee Rehabilitation Rehabilitation Intervention group: Physiotherapy with dry needling. Participants in this group receive 12 sessions (3 times a week) of routine physiotherapy (Electrotherapy, manual therapy and exercise therapy) with dry needling at the trigger points of the muscles around the knee and hip. Control group: Routine physiotherapy. Participants in this group receive 12 sessions (3 times a week) of routine physiotherapy (Electrotherapy, manual therapy and exercise therapy). Pain intensity in Numeric Rating Scale index. Timepoint: Before and after the intervention. Method of measurement: Numeric Rating Scale index. Knee joint range of motion. Timepoint: Before and after the intervention. Method of measurement: Goniometer. Physical function. Timepoint: Before and after the intervention. Method of measurement: Western Ontario and McMaster Universities Osteoarthritis Index questionnaire. Functional performance. Timepoint: Before and after the intervention. Method of measurement: Timed Up and Go test. The effectiveness of treatment. Timepoint: After the intervention. Method of measurement: Global Rating of Change scale. Mashhad University of Medical Sciences Approved 2022-03-05 Ethics committee of Mashhad University of Medical Sciences Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Azadi Sq Mashhad Razavi Khorasan Iran (Islamic Republic of)