Periosteal Electrical Dry Needling in Knee Osteoarthritis

NCT ID: NCT05398601

Last Updated: 2023-07-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-09-14
• Study Completion Date: 2023-07-10

Brief Summary

To determine the effect of periosteal electrical dry needling as an adjuvant to MWM in knee osteoarthritis for pain management, for improvement in functional activities and for ROM (Range Of Motion)

Detailed Description

Periosteal stimulation therapy (PST) or periosteal electroacupuncture applies direct electrical stimulation of the periosteum and its associated nerves using parsimoniously applied acupuncture needles over bony prominences. It is an aggressive local treatment for deep pain problems such as OA (osteoarthritis ) .

Mobilization with movement (MWM) is a manual therapy technique that is used most frequently for the management of musculoskeletal conditions. In this technique, the physiological movement is performed in a pain-free manner with accessory glides being applied in the direction towards the opposite of the previously painful movement to have the greatest improvement MWMs has shown promising various therapeutic benefits such as reduction of pain and improved range of motion. Previous evidence has shown the effectiveness of MWM on pain reduction and functional improvement in patients with knee OA.

The rationale for the use of PST in comparison with MWM techniques is to determine the effectiveness of periosteal electrical dry needling for the common use intervention for knee osteoarthritis.

Conditions

Knee Osteoarthritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

MOBILIZATION WITH MOVEMENT

MOBILIZATION with MOVEMENT

TENS, MWM techniques for Knee

Group Type: ACTIVE_COMPARATOR

MOBILIZATION with MOVEMENT

Intervention Type: OTHER

They would be receiving conventional treatment as follow:

TENS (Transcutaneous electrical nerve stimulation) applied asymmetrical, biphasic waveform, pulse duration at 100 ms, intensity 10 percent below the motor threshold - 10 mins Hot Pack - 10 mins ULTRASOUND - 10 mins

Additionally, the would receive MWM techniques for Knee

1. Medial glide

2. Medial+ Internal rotation glide

3. Lateral Glide+ Internal Rotation glide

4. Anterior glide

5. Posterior glide

periosteal electrical dry needling

TENS, periosteal electrical dry needling 4 point technique for Knee

Group Type: EXPERIMENTAL

Periosteal electrical dry needling

Intervention Type: OTHER

They would be receiving conventional treatment as follow:

TENS (asymmetrical, biphasic waveform, pulse duration at 100 ms, intensity 10 percent below the motor threshold) - 10 mins HOT PACK - 10 mins ULTRASOUND - 10 mins

Additionally, the would receive periosteal electrical dry needling 4 point technique for Knee

Four sterile, single-use 30-gauge dry needles would be inserted into the following locations of the symptomatic knee(s) until they touch bone:

1. Medial femoral condyle

2. Lateral femoral condyle

3. Flare of the tibia

4. Head of the fibula Needles would be stimulated with 100 Hz for 30 minutes. The intensity of the stimulus would be adjusted so that it would be clearly felt but would not cause discomfort. The stimulus intensity would be adjusted periodically so that it is perceptible for the entire 30 minutes of PST.

Interventions

MOBILIZATION with MOVEMENT

They would be receiving conventional treatment as follow:

TENS (Transcutaneous electrical nerve stimulation) applied asymmetrical, biphasic waveform, pulse duration at 100 ms, intensity 10 percent below the motor threshold - 10 mins Hot Pack - 10 mins ULTRASOUND - 10 mins

Additionally, the would receive MWM techniques for Knee

1. Medial glide

2. Medial+ Internal rotation glide

3. Lateral Glide+ Internal Rotation glide

4. Anterior glide

5. Posterior glide

Intervention Type: OTHER

Periosteal electrical dry needling

They would be receiving conventional treatment as follow:

TENS (asymmetrical, biphasic waveform, pulse duration at 100 ms, intensity 10 percent below the motor threshold) - 10 mins HOT PACK - 10 mins ULTRASOUND - 10 mins

Additionally, the would receive periosteal electrical dry needling 4 point technique for Knee

Four sterile, single-use 30-gauge dry needles would be inserted into the following locations of the symptomatic knee(s) until they touch bone:

1. Medial femoral condyle

2. Lateral femoral condyle

3. Flare of the tibia

4. Head of the fibula Needles would be stimulated with 100 Hz for 30 minutes. The intensity of the stimulus would be adjusted so that it would be clearly felt but would not cause discomfort. The stimulus intensity would be adjusted periodically so that it is perceptible for the entire 30 minutes of PST.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Age group >40,

2. Patient who met American college of Rheumatology criteria of Osteoarthritis,

3. Chronic knee pain > 3 months,

4. Morning stiffness <30 mins,

5. Crepitation

6. Bony tenderness

Exclusion Criteria

1. Diagnosed Meniscal injury or Ligamentous injury,

2. History of Intraarticular injection in last 3 months,

3. generalized low back related leg pain,

4. Patients with fear of needles,

5. Patients administered with corticosteroids or receiving any other invasive treatment such as PRP, Stem cell therapy, Ozone therapy

6. History of any surgery of lower extremity in last 6 months

7. Malignancy

• Minimum Eligible Age: 41 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

KINZA ANWAR, MS-OMPT

Role: PRINCIPAL_INVESTIGATOR

RIPHAH INTERNATIONAL UNIVERSITY,ISLAMABAD,PAKISTAN

Locations

Athlean Physical Therapy Clinic

Islamabad, , Pakistan

Countries

Pakistan

Other Identifiers

REC/01209 Mudassar

Identifier Type: -

Identifier Source: org_study_id