]>
IRCT20170715035097N2 IRCT 2023-04-13 University of social welfare and rehabilitation sciences Comparing the effectiveness of dry needling and ischemic pressure on trigger points in knee osteoarthritis patients Comparing the effectiveness of dry needling and ischemic compression on the trigger points of the lower half muscles behind the knee on pain and disability and muscle and joint stiffness in knee osteoarthritis patients: randomized clinical trial single-blind 2023-05-01 anticipated 60 Complete https://irct.ir/trial/69497 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization is done using the block balanced randomization method. Considering that the current study has 3 groups, therefore, blocks of 6 letters are used, which is done by a site called Randomization.com. This site produces a list that is numbered from 1 to 60 according to the sample size of the study and one of the letters A, B or C is randomly written in front of each number. Then 60 envelopes are prepared, which are numbered from 1 to 60, According to the list produced by the site, the letter A, B or C in front of each number is written on a piece of paper and placed in the corresponding envelope, and the envelope is sealed, and before starting the treatment, the first patient is given envelope number 1 and to the second patient envelope number 2 and so on. Therefore, after opening each envelope, it is determined which group each patient belongs to, Blinding description: In this study, the outcome assessor is blinded to the groups allocation and other parts of the study. N/A Knee osteoarthritis. Intervention 1: First intervention group: 3 sessions of dry needling twice a week on trigger points plus10 daily routine physiotherapy sessions (Includes 20 minutes of conventional TENS with a frequency of 100 Hz and 50 microsecond duration as much as the patient feels with a hot pack on the back of the knee, quadriceps strengthening exercises, hip abductors and calf muscles). Intervention 2: Second intervention group: 3 sessions of ischemic compression (pressure) twice a week on trigger points plus 10 daily routine physiotherapy sessions (Includes 20 minutes of conventional TENS with a frequency of 100 Hz and 50 microsecond duration as much as the patient feels with a hot pack on the back of the knee, quadriceps strengthening exercises, hip abductors and calf muscles). Intervention 3: Control group: 10 daily routine physiotherapy sessions (Includes 20 minutes of conventional TENS with a frequency of 100 Hz and 50 microsecond duration as much as the patient feels with a hot pack on the back of the knee, quadriceps strengthening exercises, hip abductors and calf muscles). 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 Mohsen Shams
Koodakyar Blind Alley, Daneshjoo Boulevard, Evin
Tehran Iran (Islamic Republic of) 1985713834 +98 21 7736 4525 mohsenshams48@yahoo.com University of social welfare and rehabilitation sciences scientific Mohsen Shams
Koodakyar Blind Alley, Daneshjoo Boulevard, Evin
Tehran Iran (Islamic Republic of) 1985713834 +98 21 7739 4525 mohsenshams48@yahoo.com University of social welfare and rehabilitation sciences Iran (Islamic Republic of) 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 50-70 years The pain level of knee osteoarthritis patients should be higher than 30 mm and less than 80 mm on the VAS scale and at least 3 months have passed since its onset. Morning joint stiffness less than 30 minutes 50 years 70 years Both 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 M17.0 Bilateral primary osteoarthritis of knee Rehabilitation Rehabilitation Rehabilitation First intervention group: 3 sessions of dry needling twice a week on trigger points plus10 daily routine physiotherapy sessions (Includes 20 minutes of conventional TENS with a frequency of 100 Hz and 50 microsecond duration as much as the patient feels with a hot pack on the back of the knee, quadriceps strengthening exercises, hip abductors and calf muscles) Second intervention group: 3 sessions of ischemic compression (pressure) twice a week on trigger points plus 10 daily routine physiotherapy sessions (Includes 20 minutes of conventional TENS with a frequency of 100 Hz and 50 microsecond duration as much as the patient feels with a hot pack on the back of the knee, quadriceps strengthening exercises, hip abductors and calf muscles) Control group: 10 daily routine physiotherapy sessions (Includes 20 minutes of conventional TENS with a frequency of 100 Hz and 50 microsecond duration as much as the patient feels with a hot pack on the back of the knee, quadriceps strengthening exercises, hip abductors and calf muscles) Pain Intensity. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Visual Analog Scale. 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. University of social welfare and rehabilitation sciences Approved 2023-03-15 University of social welfare and rehabilitation sciences Koodakyar Blind Alley , Daneshjoo Boulevard , Evin Tehran Tehran Iran (Islamic Republic of)