Knee osteoarthritis. Bilateral primary osteoarthritis of knee
Conditions
Interventions
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 frequen
Sponsors
University of social welfare and rehabilitation sciences
Eligibility
Sex/Gender
All
Age
50 Years to 70 Years
Inclusion criteria
Inclusion criteria: 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
Exclusion criteria
Exclusion criteria: 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Intensity. Timepoint: Before the intervention - immediately after the end of the intervention. Method of measurement: Visual Analog Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| 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. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohsen Shams
University of social welfare and rehabilitation sciences
Outcome results
None listed