The effects of adding dry needling technique to manual therapy in treatment of patients with knee osteoarthritis

The effects of adding dry needling technique to Mulligan’s mobilization with movement technique along with exercise therapy on pain, range of motion, disability and balance in patients with knee osteoarthritis

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20221026056300N1

Enrollment

Registered

2022-11-12

Start date

2022-11-21

Completion date

Unknown

Last updated

2022-11-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee Osteoarthritis. Osteoarthritis of knee

Interventions

Intervention 1: Intervention group: Mulligan's mobilization with movement technique along with exercise therapy with dry needling technique. Intervention 2: Intervention group: Mulligan's mobilization

Eligibility

Sex/Gender

All

Age

45 Years to 70 Years

Inclusion criteria

Inclusion criteria: Age between 45 - 70, Unilateral or bilateral knee pain and dysfunction, in bilateral knee pain, the knee with more pain will be cured, Knee osteoarthritis with grade 2 and 3 Kellgren & Lawrence, At least one active trigger point in muscles around knee that refer pain, Knee pain more than 3 in VAS scale, Ability to walk for 6 meters and more, Disability more than 25 in WOMAC scale, At least 10 degrees loss in knee flexion range of motion.

Exclusion criteria

Exclusion criteria: Neuropathic pain in lower limb, Knee replacement surgery, Surgery in other parts of lower limb in last 6 month. Radicular pain in knee, Neurologic diseases, Rheumatoid Arthritis, Steroid and analgesic injection in last 3 month in knee, Fibromyalgia syndrome, Patellar tendinopathy, Inflammation or active infection signs in knee, Pregnancy, Diabetes, Epilepsy, Immune system diseases like AIDS, Cancer, Hepatitis, Phobia of needle in dry needling technique, Any treatment for trigger points in considering muscles in last 3 month, Vascular disease associated with unusual bleeding, Treatment with Anticoagulants, Pain in lower limb associated with low back pain, Fracture or any other orthopedic problem in involved lower limb, Musculoskeletal disorders in other joints in lower limb (except osteoarthritis) Physiotherapy sessions in last 3 month for knee joint.

Design outcomes

Primary

Measure	Time frame
Pain. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Visual Analogue Scale.;Knee Range of Motion. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Goniometer.;Disability. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Western Ontario and McMaster Universities Osteoarthritis Index questionnaire.;Number of active trigger points in muscles around knee. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Counting active trigger points.;Local pain of trigger points in muscles around knee. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Visual Analogue Scale.	—

Measure

Time frame

Pain. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Visual Analogue Scale.;Knee Range of Motion. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Goniometer.;Disability. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Western Ontario and McMaster Universities Osteoarthritis Index questionnaire.;Number of active trigger points in muscles around knee. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Counting active trigger points.;Local pain of trigger points in muscles around knee. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Visual Analogue Scale.

—

Secondary

Measure	Time frame
Functional mobility. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Timed Up and Go test.;Balance. Timepoint: Before treatment, After treatment, 4 weeks after treatment. Method of measurement: Modified STAR Excursion Balance Test (mSEBT).	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactMaryam Eshghi Vasoukolaei

Shiraz University of Medical Sciences

maryameshghivasoukolaei@yahoo.com+98 77 3532 8595

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026