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| Name | Class |
|---|---|
| Universidad Rey Juan Carlos | OTHER |
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The purpose of this research is to compare the effectiveness of conventional physical therapy (manual physical therapy, exercise, range of motion, and stretching) versus conventional physical therapy combined with dry needling in patients with knee osteoarthritis (OA). Physical therapists commonly use conventional physical therapy techniques and dry needling to treat knee OA, and this study is attempting to find out if the addition of dry needling to conventional physical therapy has an equal, greater, or lesser effect than conventional physical therapy alone.
Patients with knee OA will be randomized to receive 1-2 treatments per week for 6 weeks (up to 10 sessions total) of either: (1) Dry Needling and conventional physical therapy or the (2) Conventional physical therapy (manual physical therapy, exercise, range of motion and stretching)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dry Needling, Conventional PT | Experimental |
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| Conventional PT | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry Needling, Conventional PT | Other | Dry needling to the knee and conventional physical therapy (stretching, ROM, strengthening), 1-2 treatments per week X6 weeks (up to 10 sessions total) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Knee Pain Intensity (NPRS) | Baseline, 2 Weeks, 6 Weeks, 3 Months | |
| Change in Knee Osteoarthritis Index (Pain) | 5 Questions each worth 0-4 points with a maximum score of 20 points possible | Baseline, 2 Weeks, 6 Weeks, 3 Months |
| Change in Knee Osteoarthritis Index (Stiffness) | 2 Questions each worth 0-4 points with a maximum score of 8 points possible | Baseline, 2 Weeks, 6 Weeks, 3 Months |
| Change in Knee Osteoarthritis Index (Physical Function) | 17 Questions each worth 0-4 points with a maximum score of 68 points possible | Baseline, 2 Weeks, 6 Weeks, 3 Months |
| Change in Knee Osteoarthritis Index (Total) | 24 Questions each worth 0-4 points with a maximum score of 96 points possible | Baseline, 2 Weeks, 6 Weeks, 3 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Global Rating of Change Score (GROC) | 2 Weeks, 6 Weeks, 3 Months | |
| Change in Medicine Intake (Frequency of medication intake) | Frequency of medication intake (narcotics and over-the-counter) for knee pain |
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Inclusion Criteria:
Report of knee pain of at least 2/10 per NPRS (0---10 scale) for >3 months
Report of at least 3 of the following per Altman et al. (1986)
Exclusion Criteria:
Report of red flags to manual physical therapy to include: hypertension, infection, diabetes, peripheral neuropathy, heart disease, stroke, chronic ischemia, edema, severe varicosities, tumor, metabolic disease, prolonged steroid use, fracture, RA, osteoporosis, severe vascular disease, malignancy, etc.
History of previous surgery to the knee
History of physical therapy, massage therapy, chiropractic treatment, or injections for knee pain in the last 4 weeks
History of a surgical procedure on either lower extremity in last 6 months
Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:
Involvement in litigation or worker's compensation regarding knee pain.
Any condition that might contraindicate the use of electro-needling
The patient is pregnant.
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| Name | Affiliation | Role |
|---|---|---|
| James Dunning, DPT FAAOMPT | American Academy of Manipulative Therapy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alabama Physical Therapy & Acupuncture | Montgomery | Alabama | 36117 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29864043 | Derived | Dunning J, Butts R, Young I, Mourad F, Galante V, Bliton P, Tanner M, Fernandez-de-Las-Penas C. Periosteal Electrical Dry Needling as an Adjunct to Exercise and Manual Therapy for Knee Osteoarthritis: A Multicenter Randomized Clinical Trial. Clin J Pain. 2018 Dec;34(12):1149-1158. doi: 10.1097/AJP.0000000000000634. |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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| Conventional PT | Other | Conventional physical therapy to include knee stretching, range of motion, and strengthening exercises,1-2 treatments per week X6 weeks (up to 10 sessions total) |
|
| Baseline, 3 months |
| D012216 |
| Rheumatic Diseases |