patellofemoral pain syndrome. Patellofemoral disorders
Conditions
Interventions
Intervention 1: Intervention group: Individuals in this group receive real dry needling of the gastrocnemius muscle in addition to the basic treatment. Dry needling is applied to the participants for
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
17 Years to 45 Years
Inclusion criteria
Inclusion criteria: Pain in the anterior part of the knee or the posterior part or border of the patella on one side, which is caused or aggravated by at least two of the following activities: prolonged sitting, prolonged kneeling, squatting, running, hopping, climbing or descending from the stairs Age between 17 and 45 years Presence of at least one trigger point in the gastrocnemius muscle of the involved side Positive glide patella test Presence of symptoms for at least 3 months The average pain intensity in the last week is more than 3 out of 10 based on the VAS scale
Exclusion criteria
Exclusion criteria: Radiological findings that indicate osteoarthritis History of knee injury, including ligament sprain, meniscus injury, or other intra-articular disorders Sensitivity when touching the patella tendon or Pes anserinus muscle tendon History of knee fracture, patellar dislocation, or lower limb surgery during the past year Existence of musculoskeletal disorders such as disc protrusion or spondylolisthesis, severe structural disorder of the lower limb such as hip or knee osteoarthritis, having a prosthesis Existence of metabolic or neurological disorders such as diabetes, radicular pain or sensory disturbances Existence of systemic diseases or connective tissue disorders Contraindications of dry needling, such as cardiovascular and coagulation problems, pregnancy, cancer and fear of needles The experience of receiving dry needling so far for any part of the body Receiving physiotherapy treatment for knee pain in the last three months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity. Timepoint: At the beginning of the study (before the start of the intervention) - 4 weeks after receiving the intervention (the end of the intervention) - One month after the end of the intervention (follow-up). Method of measurement: Visual Analogue Scale questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Disability. Timepoint: At the beginning of the study (before the start of the intervention) - 4 weeks after receiving the intervention (the end of the intervention) - One month after the end of the intervention (follow-up). Method of measurement: Kujala questionnaire.;Ankle range of motion. Timepoint: At the beginning of the study (before the start of the intervention) - 4 weeks after receiving the intervention (the end of the intervention) - One month after the end of the intervention (follow-up). Method of measurement: Goniometer.;Step down test score. Timepoint: At the beginning of the study (before the start of the intervention) - 4 weeks after receiving the intervention (the end of the intervention) - One month after the end of the intervention (follow-up). Method of measurement: The number of going down the stairs in the Step down test.;Modify star excursion test score. Timepoint: At the beginning of the study (before the start of the intervention) - 4 weeks after receiving the intervention (the end of the intervention) - One month after the end of the intervention (follow-up). Method of measurement: Reaching distance in the Modified star excursion test with the tape measure. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHossein Moghadasi Chevinlee
Iran University of Medical Sciences
Outcome results
None listed