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IRCT20221026056300N1 IRCT 2022-11-12 Shiraz University of Medical Sciences 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 2022-11-21 anticipated 48 Complete https://irct.ir/trial/66612 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Other design features: This study is added value study.it means that dry needling technique is added to mulligan's mobilization with movement technique.one group receives Mulligan’s mobilization with movement technique along with exercise therapy with dry needling technique and another group receives Mulligan’s mobilization with movement technique along with exercise with sham dry needling technique, Randomization description: Random allocation method in this study is Permuted Block Randomization. A represents the person who receives mulligan's mobilization with movement technique along with exercise therapy with dry needling technique and B represents the person who receives mulligan's mobilization with movement technique along with exercise therapy with sham dry needling technique. This method runs with considering 4 blocks that the number of all possible 4 permutations equals 6. (4 permutations blocks consist of: ABAB ،ABBA ،BAAB ،BABA ،AABB ،BBAA) We assign a number to each mode. Using Random Numbers Table, a list with 48 persons will be produced, Blinding description: In this study, main student doing initial assessment based on inclusion and exclusion criteria and treatments in patients. assistant student collecting data from patients and analyzing them. Allocation base on Permuted Block Randomization and for blinding in patients, sham dry needling applied in that way that the patient can't realize that it is not real. N/A Knee Osteoarthritis. 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 with movement technique along with exercise therapy with sham dry needling technique. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is "No more information".
public Maryam Eshghi Vasoukolaei
Number 8, Farhang Avenue, Motahari Street
Khormouj Iran (Islamic Republic of) 7541835981 +98 77 3532 8595 maryameshghivasoukolaei@yahoo.com Shiraz University of Medical Sciences scientific Dr Sara Abolahrari Shirazi
Physiotherapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Chamran Blvd., Abiverdi 1 Ave., Shiraz, Iran
Shiraz Iran (Islamic Republic of) 7194733669 +98 77 3627 1552 sahrari@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) 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. 45 years 70 years Both 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. M17 Osteoarthritis of knee Rehabilitation Rehabilitation Intervention group: Mulligan's mobilization with movement technique along with exercise therapy with dry needling technique Intervention group: Mulligan's mobilization with movement technique along with exercise therapy with sham dry needling technique 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. 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). Shiraz University of Medical Sciences Approved 2022-10-19 Ethics committee of shiraz university of medical sciences Seventh floor, Central building of Shiraz university of medical sciences, Zand ave., Shiraz Shiraz Fars Iran (Islamic Republic of)