Anterior Cruciate Ligament Reconstruction. Sprain of anterior cruciate ligament of knee
Conditions
Interventions
Intervention 1: Intervention group: Dry needling includes using of 5 cm needle specified for dry needling. Three points of the Quadriceps muscle will choose for needling. The duration of needling for
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Have undergone a primary, unilateral ACLR using a patellar tendon autograft at least 6 months before the study and have been cleared by a healthcare provider to return to full recreational and athletic activities Between the ages of 18 and 40 years Normal body mass index Not having diseases and injuries of the lower limbs leading to surgery in the last 2 years other than ACLR surgery The Limb symmetry index is greater than one Do not have a history of neurological diseases Be active in terms of recreation or physical activity (defined as exercising at least 3 to 5 times a week with moderate intensity for at least 30 minutes)
Exclusion criteria
Exclusion criteria: Rupture and simultaneous damage to other parts of the knee such as the menisci, posterior cruciate ligament, medial collateral ligament and lateral collateral ligament History of previous disorders and diseases such as: neuropathic pain in the lower limbs, lumbosacral radiculopathy, entrapment of the saphenous nerve, meralgia paresthetica, fractures, rheumatology or systemic diseases Complications after surgery such as infection Intolerance or fear of dry needling Heart disease History of dry needling in the last 3 months Do not have the indications for TMS: such as people with neurological, psychiatric or epilepsy disorders, the presence of metal or electronic implants or a metal foreign object in the eye area, a history of head trauma with loss of consciousness, and pregnant women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rest Motor Threshold (RMT). Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Trans-cranial magnetic stimulation (TMS).;Motor Evoked Potential (MEP). Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Trans-cranial magnetic stimulation (TMS).;Hmax / Mmax amplitude Ratio. Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Electromyography device. | — |
Secondary
| Measure | Time frame |
|---|---|
| Knee Function. Timepoint: Before and one month after the third needling session. Method of measurement: Using the Persian version of the IKDC questionnaire and based on zero to 100.;The maximum isometric torque of the quadriceps muscle. Timepoint: Before, after the first and third session of needling and one month after the third session. Method of measurement: Hand-held dynamometr. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMilad Zarrin
Tehran University of Medical Sciences
Outcome results
None listed