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IRCT20190909044734N3 IRCT 2022-07-27 Shiraz University of Medical Sciences The effect of adding dry needling in calf muscles to stretching exercise in improving pain and function in patients with chronic patellofemoral pain Added value of calf muscles dry needling to stretching exercise in improving knee pain and function in patients with chronic patellofemoral pain 2022-09-06 anticipated 36 Complete https://irct.ir/trial/64460 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Using of randomization software, 36 numbers are considered for each case and the software defines 9 blocks of 4, from 4 to 2 people in the stretching group and 2 people in the stretching group with dry needling. They are dried and thus 36 people are completed, Blinding description: The person who will evaluate the patients and analyze the data is completely unaware of the details of the patient grouping and the treatments performed. N/A Chronic patellofemoral pain. Intervention 1: Intervention group : Stretching exercise with dry needling group: People with patellofemoral pain who in addition to stretching exercises of the gastrocnemius, soleus and peroneal muscles according to the routine of the control group, receive 4 sessions of dry needling twice a week for two weeks in the trigger points of gastrocnemius, soleus and peroneal muscles. Intervention 2: Control group: Stretching Exercise Group: People with patellofemoral pain who receive only gastrocnemius, soleus and peroneal muscle stretching exercises. No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information
public Leila Abbasi
Rehabilitation Faculty , Abiverdi 1 street , Chamran Blvd
Shiraz Iran (Islamic Republic of) 7194733669 +98 71 3627 1551 leabbasi@sums.ac.ir Shiraz University of Medical Sciences scientific Leila Abbasi
Faculty of Rehabilitation Sciences, Abiverdi St 1, Chamran Blvd
Shiraz Iran (Islamic Republic of) 7194733669 +98 71 3627 1551 leabbasi@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) People 18 to 45 years old with unilateral patellofemoral pain Complaints of anterior knee pain in at least 2 daily activities include: prolonged sitting, going up and down stairs, squatting, kneeling, jumping, and running. Report of pain when touching the internal and external patellar procedures and positive Clark test in knee extension and sitting position. Gradual onset of symptoms with no history of trauma or injury for at least the past 3 months. Kujala score level 80-50 with moderate disability. Have an average pain level of 4-7 on a numerical pain scale over the past week. Have at least one active or latent trigger point in each group of gastrosoleus muscles and peroneal muscles of the affected side, which is felt as a taut, sensitive and painful bundle. People with BMI=18.5-25 18 years 45 years Both Injury of knee joint such as rupture of the meniscus or ligaments and tendons of the knee, osteoarthritis of the knee joint, dislocation of the patella Ankle injuries such as rupture of ligaments and tendons, ankle osteoarthritis, dislocation of ankle Ankle sprain in the last 6 months History of surgery and trauma to the entire lower extremity in the last 6 months Neurological disorders of the lower extremities and neuropathic pain Athletes who engage in certain sports activities at least two hours a day and three times a week People who have received physiotherapy and dry needling for patellofemoral pain in the last 6 months Contraindications to the use of dry needling: - The presence of metabolic diseases such as diabetes, rheumatic diseases - Local or systemic infections - Local ulcers on the skin - Pregnancy - Respiratory and cardiovascular problems (peripheral vascular disease, cancer, hepatitis, AIDS and any Malignancy - Taking immunosuppressive drugs - Any fear and reluctance to needle (needle phobia) - Epilepsy and mental health problems - Bleeding disorders and taking anticoagulants M25.56 Pain in knee Rehabilitation Rehabilitation Intervention group : Stretching exercise with dry needling group: People with patellofemoral pain who in addition to stretching exercises of the gastrocnemius, soleus and peroneal muscles according to the routine of the control group, receive 4 sessions of dry needling twice a week for two weeks in the trigger points of gastrocnemius, soleus and peroneal muscles. Control group: Stretching Exercise Group: People with patellofemoral pain who receive only gastrocnemius, soleus and peroneal muscle stretching exercises. Pain. Timepoint: Before the intervention, after the end of the treatment (at the end of the second week) and two weeks after the end of the treatment as a follow-up. Method of measurement: NPRS. Pain pressure threshold. Timepoint: Before the intervention, after the end of the treatment (at the end of the second week) and two weeks after the end of the treatment as a follow-up. Method of measurement: Pressure algometer device. Function. Timepoint: Before the intervention, immediately after the end of the treatment (at the end of the second week) and two weeks after the end of the treatment as a follow-up. Method of measurement: Kujala questionnaire. ROM of dorsiflexion and inversion. Timepoint: Before the intervention, immediately after the end of the treatment (at the end of the second week) and two weeks after the end of the treatment as a follow-up. Method of measurement: Goniometer. Functional tests. Timepoint: Before the intervention, immediately after the end of the treatment (at the end of the second week) and two weeks after the end of the treatment as a follow-up. Method of measurement: Step down and anteromedial lunge tests. Shiraz University of Medical Sciences Approved 2022-06-15 Ethics Committee in Research, Shiraz Faculty of Rehabilitation Sciences Abiverdi Street 1, Chamran Blvd Shiraz Fars Iran (Islamic Republic of)