Pain and Anterior Cruciate Ligament Reconstruction
Conditions
Keywords
dry needling, ACL reconstruction, knee ROM, pain management, opioid use
Brief summary
The purpose of this study is to determine if dry needling (DN) and soft tissue mobilization (STM) is superior to standard treatment protocol for affecting pain, pain medication usage and measurements of range of motion (ROM) after ACL reconstruction surgery compared to a standard treatment protocol. Measurements of pain, pain medication usage, lower extremity functional scale (LEFS) and ROM will be taken day 2 post op and 1 week, 2 weeks, 3 weeks, and 4 weeks post op. It is hypothesized that the inclusion of DN and STM will acutely decrease the demand for pain medication and improve objective measurements when compared to a standard treatment protocol. Findings will potentially lead to insights as to the benefit of applying these interventions to help decrease the demand for pain medication post-surgery.
Interventions
OTHERDry needling and STM
dry needling and soft tissue mobilization
Sponsors
Keller Army Community Hospital
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
2x5 mixed model anova
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-40 Department of Defense( DOD) beneficiaries (17 if Cadet) * Scheduled for ACL Reconstruction Surgery
Exclusion criteria
* Self-Reported Pregnancy * History of blood borne pathogens/infectious disease/active infection/metal allergy * Bleeding disorders or currently taking anti-coagulant medications * Participants who are not fluent in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical pain rating scale | change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week | validated outcome measure for pain ranging from 0-10 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lower extremity functional scale | change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week | validated measure to assess disability and function for the lower extremity on a scale of 0-80 |
| Global rate of change | change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week | validated measure of self reported overall change in injury or condition ranging from -7 to 7 |
| knee range of motion | change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week | measured with goniometer |
Countries
United States
Outcome results
None listed