Assessing Impact of Myofascial Release Versus Dry Needling for Chondromalacia in Adult Females

NCT ID: NCT06980883

Last Updated: 2025-05-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-01
• Study Completion Date: 2025-05-15

Brief Summary

Assessing Impact of Myofascial Release versus Dry Needling for Chondromalacia in Adult females. The study employed a Randomized Controlled Trial (RCT) design.

Detailed Description

A total of 45 female patients diagnosed with chondromalacia and confirmed by physical examination using a patellar grind test to confirm Clarke's sign were recruited for this study from the out patient clinic and Soad Kafafi's educational hospital , Investigations that analyzed the H/Q ratio by the use of gravity corrected isokinetic strength testing.

Inclusion criteria were:

• Age between 18-50 years old, the anterior knee pain recorded while one of the following activities at least :ascending and descending stairs, prolonged sitting and kneeling.
• Subject experiences pain during palpation of patellar facets or while performing a 25-cm step down test or double legged squat.
• Exclusion criteria included meniscal or intra-articular pathological conditions, cruciate or collateral ligaments involvement, tenderness over the patellar tendon .
• These participants were randomly assigned to one of three groups, each consisting of 15 patients all received treatment for 3 weeks, 2 sessions per weak.

Group 1: Received dry needling combined with traditional treatment( straight leg raising and isometric quadriceps exercises) for 3 weeks, 2 sessions per weak.

Group 2: Received myofascial release in addition to traditional treatment for 3 weeks, 2 sessions per week. Evaluation of fascial restriction was assessed using the therapists elbow.

Myofascial chain release:

Position of the patient: Supine lying, prone lying and side lying Position of the therapist: Side of the patient limb to be treated

-Technique: Using the therapist elbow a vertical release proximal to the attachment of the muscle belly or fascia was applied. Once an end-feel was reached a slow stroke down the length of the target tissue was performed along with monitoring the indirect feedback and tissue tension to identify any additional restrictions. The long stroke was repeated in a line parallel to the first stroke. It was continued until an end-feel is reached throughout the entire muscle belly or fascia on the most restricted/ painful points.

Traditional Treatment ( exercise) : Applied uniformly across all groups, comprising straight leg raising and isometric quadriceps exercises (2 days per week).

Group 3: Received only the traditional treatment only for 3 weeks, 2 sessions per weak.

Conditions

Chondromalacia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

group 1:adding dry needle to traditional exercises

Received dry needling combined with traditional treatment( straight leg raising and isometric quadriceps exercises) for 3 weeks, 2 sessions per weak.

Group Type: EXPERIMENTAL

Dry Needling

Intervention Type: OTHER

dry needles Administered to patients in Group 1 as part of their treatment regimen( 2 days per week).

(traditional exercises)

Intervention Type: OTHER

comprising straight leg raising and isometric quadriceps exercises (2 days per week).

group 2: adding myofascial release to traditional exercises

Myofascial Release: Provided to patients in Group 2 along with traditional treatment( 2 days per week).Evaluation of fascial restriction was assessed using the therapists elbow. Any restrictions felt were assessed and given treatment.

Group Type: EXPERIMENTAL

myofascial release

Intervention Type: OTHER

Myofascial Release: Provided to patients in Group 2 along with traditional treatment( 2 days per week).

Evaluation of fascial restriction was assessed using the therapists elbow. Any restrictions felt were assessed and given treatment.Myofascial chain release- Position of the patient- Supine lying, prone lying and side lying Position of the therapist- Side of the patient limb to be treated

• Technique-Using the therapist elbow a vertical release proximal to the attachment of the muscle belly or fascia was applied. Once an end-feel was reached a slow stroke down the length of the target tissue was performed along with monitoring the indirect feedback and tissue tension to identify any additional restrictions. The long stroke was repeated in a line parallel to the first stroke. It was continued until an end-feel is reached throughout the entire muscle belly or fascia on the most restricted/ painful points.

(traditional exercises)

Intervention Type: OTHER

comprising straight leg raising and isometric quadriceps exercises (2 days per week).

group 3: (control group): Applied Traditional exercise

Traditional Treatment ( exercise) : Applied uniformly across all groups, comprising straight leg raising and isometric quadriceps exercises (2 days per week).

Group Type: ACTIVE_COMPARATOR

(traditional exercises)

Intervention Type: OTHER

comprising straight leg raising and isometric quadriceps exercises (2 days per week).

Interventions

Dry Needling

dry needles Administered to patients in Group 1 as part of their treatment regimen( 2 days per week).

Intervention Type: OTHER

myofascial release

Myofascial Release: Provided to patients in Group 2 along with traditional treatment( 2 days per week).

Evaluation of fascial restriction was assessed using the therapists elbow. Any restrictions felt were assessed and given treatment.Myofascial chain release- Position of the patient- Supine lying, prone lying and side lying Position of the therapist- Side of the patient limb to be treated

• Technique-Using the therapist elbow a vertical release proximal to the attachment of the muscle belly or fascia was applied. Once an end-feel was reached a slow stroke down the length of the target tissue was performed along with monitoring the indirect feedback and tissue tension to identify any additional restrictions. The long stroke was repeated in a line parallel to the first stroke. It was continued until an end-feel is reached throughout the entire muscle belly or fascia on the most restricted/ painful points.

Intervention Type: OTHER

(traditional exercises)

comprising straight leg raising and isometric quadriceps exercises (2 days per week).

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age between 18-50 years old, the anterior knee pain recorded while one of the following activities at least :ascending and descending stairs, prolonged sitting and kneeling.
• Subject experiences pain during palpation of patellar facets or while performing a 25-cm step down test or double legged squat. (Iiona, 2020)

Exclusion Criteria

• excluded meniscal or intra-articular pathological conditions, cruciate or collateral ligaments involvement, tenderness over the patellar tendon .
• These participants were randomly assigned to one of three groups, each consisting of 15 patients all received treatment for 3 weaks, 2 sessions per weak.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Badr University

OTHER

Sponsor Role: lead

Responsible Party

Doaa Saeed Mohamed

lecturer at department of physical therapy for women's health

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Doaa S Mohamed, lecturer

Role: PRINCIPAL_INVESTIGATOR

lecturer physical therapy for women health Badr University at Cairo

Locations

Masr university for sceince and technology

Cairo, , Egypt

Countries

Egypt

Other Identifiers

IRB00014233-6

Identifier Type: -

Identifier Source: org_study_id