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Unable to reach agreement with PT & surgeons on protocol
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group Standard ACL protocol | No Intervention | This group will receive the standard ACL protocol rehab | |
| Dry needling and STM group | Experimental | This group will also receive the standard ACL protocol in addition to STM and DN |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry needling and STM | Other | dry needling and soft tissue mobilization |
|
| Measure | Description | Time Frame |
|---|---|---|
| Numerical pain rating scale | validated outcome measure for pain ranging from 0-10 | change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week |
| Measure | Description | Time Frame |
|---|---|---|
| Lower extremity functional scale | validated measure to assess disability and function for the lower extremity on a scale of 0-80 | change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week |
| Global rate of change |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Keller Army Community Hospital | West Point | New York | 10996 | United States |
No Protected Health Information (PHI) or Personally Identifiable Information (PII) data will be share however may share outcome measures for data analysis based on subject identification.
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| ID | Term |
|---|---|
| D010146 | Pain |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010468 | Perceptual Disorders |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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2x5 mixed model anova
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validated measure of self reported overall change in injury or condition ranging from -7 to 7
| change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week |
| knee range of motion | measured with goniometer | change from baseline, 2 days post-op, 1 week, 2 week, 3 week, 4 week |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |