Patellar maltracking. Patellofemoral disorders, unspecified knee
Conditions
Interventions
Intervention 1: Intervention group: In the intervention group (12 people), three sessions of dry needling are performed per week (48 hours apart), for two weeks and a total of 6 sessions of dry needli
Sponsors
Semnan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 39 Years
Inclusion criteria
Inclusion criteria: Age between 18-39. Having pain in at least two of the following: climbing stairs, descending stairs, squatting, prolonged sitting, running, isometric quadriceps contraction and kneeling. Pain of at least 30 out of 100 on the Visual Analog Scale in the past three weeks (maximum pain 70). Positive Clarke and McConnell tests. Having at least one period of routine physical therapy without impact for patellar maltracking in the past. Presence of one of the factors that cause disorders in the direction of the patella including defects in supporting muscles and guiding mechanisms, bone abnormalities, lower limb abnormalities, quadriceps muscle abnormalities such as vastus medialis oblique weakness, internal retinaculum laxity, external retinaculum stiffness, iliotibial band stiffness, hamstring shortness, gastrocnemius shortness , patella tendon elongation and patella alta, Q angle increase, genu valgum, genu recurvatum, femoral antiversion, trochlear dysplasia, external tilt of the patella, external displacement of the tibial tubercle or external rotation of the tibia and excessive pronation of the foot. Presence of at least one trigger point in the popliteus muscle.
Exclusion criteria
Exclusion criteria: Systemic diseases such as diabetes, rheumatoid arthritis, etc. Neurological diseases such as multiple sclerosis, epilepsy, etc. Peripheral nerve entrapment (acute disc herniation, spondylolisthesis, etc). Connective tissue injuries (torn meniscus, ligament, patella tendinopathy, etc). History of knee, hip and lower limb surgery. Injury to the lower limb in the past year or fracture, dislocation and sublaxation. Pathologies and other similar anterior knee pain include knee osteoarthritis, patellar chondromalacia, osteochondritis dissecans, articular cartilage damage, osgood schlatter, plica syndrome, bone tumors, patellar stress fracture, knee and pes anserine bursitis, fat pad impingement, patellar tendonitis and quadriceps tendinopathy. Receiving medicine in the previous two weeks. People who have received rehabilitation treatment, acupuncture or dry needling for patellar maltracking in the last 6 months. Dry needling contraindications, such as pregnancy, cardiovascular diseases, cancer, epilepsy, presence of lymphedema in the body, history of allergy to needles and injections, needle phobia and patient dissatisfaction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Signal amplitude. Timepoint: Before and After the Intervention and Follow up. Method of measurement: Surface Electromyography. | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analog Scale score. Timepoint: Before and After the Intervention and Follow up. Method of measurement: Visual Analog Scale.;Kujala Patellofemoral Scale System score. Timepoint: Before and After the Intervention and Follow up. Method of measurement: Kujala Patellofemoral Scale System. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemezahra Khammar
Semnan University of Medical Sciences
Outcome results
None listed