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IRCT20210321050752N5 IRCT 2023-12-19 Self Supported Effects of electrical dry needling in addition to routine physiotherapy on pain, range of motion and functional disability in patients with moderate knee osteoarthritis Effects of electrical dry needling in addition to routine physiotherapy on pain, range of motion and functional disability in patients with moderate knee osteoarthritis 2023-01-17 anticipated 92 Complete https://irct.ir/trial/73814 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The lottery method will be used for randomization by using random numbers and further concealed envelop method will be used for allocation in the group. In the envelop, 1 will be code for the control group and 2 will be code for the experimental group, Blinding description: Assessor will only assess the patient at baseline and after follow-up for treatment outcomes. Assessor safe the data for follow-up and will not share it with any therapist or patient. At any stage, the assessor is unaware of the treatment and control group. The study was single-blinded. The assessor was unaware of the treatment given to either groups 1 or 2. N/A Condition 1: Pain. Condition 2: Functional disability. Intervention 1: Intervention group: Group (B) participants will receive Electrical Dry Needling with routine physical therapy exercises. Initially Routine physical therapy exercises will be performed including hot pack for 10 minutes of duration, manual therapy including passive mobilization of knee joint and muscle stretching. Then exercises like riding a stationary bicycle, range of motion exercises and strengthening exercises of the lower limbs with the hold of 5-10 seconds with 10 repetitions and 3 sets each. Group B participants will have Electrical Dry Needling for 10 minutes at frequency of 2 Hz , width of 100us and continuous biphasic waveform through 2 diagonal channels of 4 needles for 3 times a week along with routine physical therapy exercises. The electrical stimulation would be applied on the most painful knee of the patients in 3 sessions in a week. Intervention 2: Control group: Group (A) participants will receive routine physical therapy exercises. Initially routine physical therapy exercises will be performed including hot pack for 10 minutes of duration, manual therapy including passive mobilization of knee joint and muscle stretching. Then exercises like riding a stationary bicycle, range of motion exercises and strengthening exercises of the lower limbs with the hold of 5-10 seconds with 10 repetitions and 3 sets each. Each session will last for 30 minutes with 12 sessions on alternate days (3 sessions / week) will be given. Yes - There is a plan to make this available What will be shared: Pain and functional disability status When: 6 months after publication. To whom: Academic and clinical research writers. Conditions: Never without permission. Where to obtain: From Muhammad Waqas through mail id. drwaqasfayyaz@gmail.com or through a Researchgate account. https://www.researchgate.net/profile/Muhammad-Waqas-26?ev=hdr_xprf How to obtain: From Muhammad Waqas through mail id. drwaqasfayyaz@gmail.com or through a Researchgate account. https://www.researchgate.net/profile/Muhammad-Waqas-26?ev=hdr_xprf Comments:
public Muhammad Waqas
St# 76, H#09 Muhala Sirajpura Darogawala Shalamar Town Lahore
Lahore Pakistan 54840 +92 323 5043603 drwaqasfayyaz@gmail.com The University of Lahore scientific Muhammad Waqas
Shalamar Town
Lahore Pakistan 54920 +92 323 5043603 muhammad.waqas@uipt.uol.edu.pk The University of Lahore Pakistan Age group 30-60 years. Patients with degenerated osteoarthritis. Unilaterally, most painful knee will be treated. Moderate osteoarthritis, Grade II and III. Radiologically diagnosed knee osteoarthritis. Chronic knee pain for a duration of more than three months. Less than half hour of morning stiffness. 30 years 60 years Both Any previous trauma, fracture, subluxation, dislocation, surgery or bony abnormalities around knee joint in the past 6 months. Cancer or Suppression of immune system. Any neurological deficits in lower extremity. Pregnancy. Any dermatological issues. Unexplained weight loss/gain. Dysfunction of bladder OR Recent infection G89 Z73.6 Pain, not elsewhere classified Limitation of activities due to disability Rehabilitation Rehabilitation Intervention group: Group (B) participants will receive Electrical Dry Needling with routine physical therapy exercises. Initially Routine physical therapy exercises will be performed including hot pack for 10 minutes of duration, manual therapy including passive mobilization of knee joint and muscle stretching. Then exercises like riding a stationary bicycle, range of motion exercises and strengthening exercises of the lower limbs with the hold of 5-10 seconds with 10 repetitions and 3 sets each. Group B participants will have Electrical Dry Needling for 10 minutes at frequency of 2 Hz , width of 100us and continuous biphasic waveform through 2 diagonal channels of 4 needles for 3 times a week along with routine physical therapy exercises. The electrical stimulation would be applied on the most painful knee of the patients in 3 sessions in a week. Control group: Group (A) participants will receive routine physical therapy exercises. Initially routine physical therapy exercises will be performed including hot pack for 10 minutes of duration, manual therapy including passive mobilization of knee joint and muscle stretching. Then exercises like riding a stationary bicycle, range of motion exercises and strengthening exercises of the lower limbs with the hold of 5-10 seconds with 10 repetitions and 3 sets each. Each session will last for 30 minutes with 12 sessions on alternate days (3 sessions / week) will be given. Pain. Timepoint: Pain, range of motion and functional disability will be assess at baseline, week 4 and follow up after 2 months. Method of measurement: Numeric Pain Rating Scale (NPRS). Functional disability. Timepoint: Pain, range of motion and functional disability will be assess at baseline, week 4 and follow up after 2 months. Method of measurement: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Self Supported Approved 2023-01-17 The University of Lahore Raiwind Road Campus: 1-Km, Raiwind Road, Near Thokar Niaz Big, Lahore Lahore Punjab Pakistan