Effectiveness of Inclusion of Dry Needling in a Multimodal Therapy Program for Patellofemoral Pain: A Randomized Parallel-Group Trial

The Journal of Orthopaedic and Sports Physical Therapy
Gemma V Espí-LópezC Fernández-de-Las-Peñas

Abstract

Study Design Randomized controlled trial. Background Evidence suggests that multimodal interventions that include exercise therapy may be effective for patellofemoral pain (PFP); however, no study has investigated the effects of trigger point (TrP) dry needling (DN) in people with PFP. Objectives To compare the effects of adding TrP DN to a manual therapy and exercise program on pain, function, and disability in individuals with PFP. Methods Individuals with PFP (n = 60) recruited from a public hospital in Valencia, Spain were randomly allocated to manual therapy and exercises (n = 30) or manual therapy and exercise plus TrP DN (n = 30). Both groups received the same manual therapy and strengthening exercise program for 3 sessions (once a week for 3 weeks), and 1 group also received TrP DN to active TrPs within the vastus medialis and vastus lateralis muscles. The pain subscale of the Knee injury and Osteoarthritis Outcome Score (KOOS; 0-100 scale) was used as the primary outcome. Secondary outcomes included other subscales of the KOOS, the Knee Society Score, the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC), and the numeric pain-rating scale. Patients were assessed at baseline and at 15-day...Continue Reading

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Citations

Jun 2, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Aitor Martín-Pintado-ZugastiDaniel Pecos-Martin
Aug 14, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Mahbobeh SamaniAlireza Motealleh
Apr 28, 2020·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Shabnam BehrangradSeyed Mokhtar Esmaeilnejadganji
Mar 20, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Eleuterio A Sánchez RomeroDaniel Pecos-Martín
Nov 28, 2019·Current Reviews in Musculoskeletal Medicine·Daniel Sisk, Michael Fredericson
Sep 3, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Richard W WillyChristine M McDonough

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