Improvement in Pain and Function Following a Physiotherapy Program in Older Adults With Knee Osteoarthritis
NCT ID: NCT02698072
Last Updated: 2017-12-12
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
100 participants
INTERVENTIONAL
2016-03-15
2017-06-30
Brief Summary
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Detailed Description
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Therapeutic exercise takes a multitude of forms and results in numerous systemic and local effects, some of which have been investigate among people with knee osteoarthritis. Therapeutic exercise covers a range of targeted physical activities that directly aim to improve muscle strength, neuromotor control, joint range of motion and aerobic fitness. One of the main aims of this therapeutic approach is to improve muscle strength, given that weakness is common in knee osteoarthritis. Enhanced strength of the lower limb may lessen internal knee forces, reduce pain and improve physical function.
Primary knee osteoarthritis provokes pain and disfunction is thought mediated by joint damage and changes in joint homeostasis. Recently, investigations focused in impaired neuromuscular system as a contribution to the above mentioned symptoms in the knee osteoarthritis syndrome explore the use of dry needling. Dry needling is a therapeutic approach for decreasing pain and improve function with high recommended evidence (grade A) effectiveness for upper-quarter myofascial pain, but poorly understood in knee osteoarthritis patients.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Exercise and dry needling
24 therapeutic exercise sessions (twice a week) of a land-based therapeutic exercise program consisting of aerobic exercise (20-25 min warm-up), lower limbs muscle strengthening (20-25 min) and lower limbs muscles stretching (10-15 min).
6 dry needling sessions (once a week) at all the pain points of the involved symptomatic lower limb/s using Hong's fast-in and fast-out technique with multiple rapid needle insertion.
Therapeutic exercise
20-25 minutes aerobic exercise, 20-25 minutes strength exercise and 10-15 minutes stretch exercise.
Dry needling
Dry needling needle AGUPUNT®
Exercise and sham dry needling
24 therapeutic exercise sessions (twice a week) of a land-based therapeutic exercise program consisting of aerobic exercise (20-25 min warm-up), lower limbs muscle strengthening (20-25 min) and lower limbs muscles stretching (10-15 min).
6 sham dry needling sessions (once a week) at all the pain points of the involved symptomatic lower limb/s using a park sham device consists of a base with a hole in the centre and sticky tape on the bottom. From the top of the base extends a double tube, continuing the central hole in the base.
Therapeutic exercise
20-25 minutes aerobic exercise, 20-25 minutes strength exercise and 10-15 minutes stretch exercise.
Sham dry needling
Sham dry needling DONGBANG-ACUPRIME®
Interventions
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Therapeutic exercise
20-25 minutes aerobic exercise, 20-25 minutes strength exercise and 10-15 minutes stretch exercise.
Dry needling
Dry needling needle AGUPUNT®
Sham dry needling
Sham dry needling DONGBANG-ACUPRIME®
Eligibility Criteria
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Inclusion Criteria
* Unilateral or bilateral disfunction and/or knee pain.
* Primary knee ostearthritis fulfilling the American College of Rheumatology criteria for clinical and radiographic diagnostic.
* At least 1 pain point elicited by palpation ipsilateral to the painful knee situated in a taut band of a skeletal muscle of the lower limbs, which usually have referred pain.
Exclusion Criteria
* Previous knee or hip joint replacement surgery of the affected joint.
* Any other surgical procedure of the lower limbs in the previous 6 months.
* Rheumatoid arthritis.
* Initiation of opioid analgesia or cortico-steroid or analgesic injection intervention for hip or knee pain within the previous 30 days.
* Alcohol or drugs consumption.
* Uncontrolled hypertension or moderate to high risk for cardiac complications during exercise.
* Conservative or invasive physical therapy (previous 6 months or during follow-up).
* Taking antiaggregant or anticoagulant medications.
* Physical impairments unrelated to the hip or knee preventing safe participation in exercise, walking or stationary cycling, such as: vision problems that affect mobility, body weight greater than 155 kg, neurogenic disorder, primary or significantly limiting back pain, advanced osteoporosis, or inability to walk 10 metres without an assistive device.
* Inability to comprehend and complete study assessments or comply with study instructions.
* Stated inability to attend or complete the proposed course of intervention and follow-up schedule.
* Fibromyalgia syndrome or other altered affective/cognitive modulation processes of pain perception. .
62 Years
100 Years
ALL
No
Sponsors
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Ilustre Colegio Profesional de Fisioterapeutas de la Comunidad de Madrid
UNKNOWN
Universidad Rey Juan Carlos
OTHER
Responsible Party
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Josue Fernandez Carnero
PhD
Principal Investigators
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Eleuterio Atanasio Sánchez Romero, PT, MSc
Role: PRINCIPAL_INVESTIGATOR
Universidad Rey Juan Carlos
Locations
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Universidad Rey Juan Carlos
Alcorcón, Madrid, Spain
Countries
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References
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Sanchez Romero EA, Fernandez-Carnero J, Calvo-Lobo C, Ochoa Saez V, Burgos Caballero V, Pecos-Martin D. Is a Combination of Exercise and Dry Needling Effective for Knee OA? Pain Med. 2020 Feb 1;21(2):349-363. doi: 10.1093/pm/pnz036.
Related Links
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website of the University Rey Juan Carlos
Other Identifiers
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13/2015
Identifier Type: -
Identifier Source: org_study_id