Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial

BackgroundJumper’s knee is a degenerative condition among athletes, and it has been treated with conventional physical therapy (CPT). Ultrasound guided dry needling (USG-DN) is a relatively new technique to explore clinical outcomes in patients with tendinopathy.MethodsThis parallel group, single-bl...

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Main Authors: Faiza Sharif, Ashfaq Ahmad, Syed Amir Gilani, Raham Bacha, Asif Hanif, Muhammad Asim Arif
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.1023902/full
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author Faiza Sharif
Ashfaq Ahmad
Syed Amir Gilani
Raham Bacha
Asif Hanif
Muhammad Asim Arif
author_facet Faiza Sharif
Ashfaq Ahmad
Syed Amir Gilani
Raham Bacha
Asif Hanif
Muhammad Asim Arif
author_sort Faiza Sharif
collection DOAJ
description BackgroundJumper’s knee is a degenerative condition among athletes, and it has been treated with conventional physical therapy (CPT). Ultrasound guided dry needling (USG-DN) is a relatively new technique to explore clinical outcomes in patients with tendinopathy.MethodsThis parallel group, single-blinded randomized controlled trial was carried out involving 94 athletes with clinically diagnosed jumper’s knee, divided into an intervention group (USG-DN + CPT, n = 47) and a control group (CPT, n = 47). Participants received a 4-week programme; the intervention group received ultrasound guided patellar tendon dry needling (DN) in conjunction with CPT. The control group received only CPT. The visual analog scale (VAS), Victorian institute of sports assessment-Patellar tendinopathy (VISA-P) questionnaire, Lysholm scale, Knee injury and osteoarthritis outcome score (KOOS) and ultrasonographic features of patellar tendinopathy were evaluated at baseline,1 week, 2 weeks, and 4 weeks. The data were analyzed through SPSS-26.ResultsThe study found statistically significant differences (P < 0.05) regarding VAS, Lysholm, VISA-P, and KOOS scales at baseline, 1st, 2nd, and 4th week post-intervention. Within-group differences also showed statistically significant results after the intervention. There were significant results observed in ultrasonographic outcomes between both groups at 1 month post-intervention (all P < 0.05).ConclusionThe results of the current study suggest, ultrasound guided DN of patellar tendon in combination with CPT reduced pain, improved function, and showed a tendency to decrease tendon thickness in patients with patellar tendinopathy.Clinical Trial Registration Number(IRCT20210409050913N1). Dated: 17.04.2021. https://www.irct.ir/user/trial/55607/view.
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spelling doaj.art-6e4107d3d1914ae780b9ffdb30a8f1442022-12-22T02:38:28ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-11-01910.3389/fsurg.2022.10239021023902Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trialFaiza Sharif0Ashfaq Ahmad1Syed Amir Gilani2Raham Bacha3Asif Hanif4Muhammad Asim Arif5University Institute of Physical Therapy, The University of Lahore, Lahore, PakistanFaculty of Allied Health Sciences, The University of Lahore, Lahore, PakistanFaculty of Allied Health Sciences, The University of Lahore, Lahore, PakistanUniversity Institute of Radiological Sciences and Medical Imaging Technology, University of Lahore, Lahore, PakistanUniversity Institute of Public Health, Faculty of Allied Health Sciences, University of Lahore, Lahore, PakistanUniversity Institute of Physical Therapy, The University of Lahore, Lahore, PakistanBackgroundJumper’s knee is a degenerative condition among athletes, and it has been treated with conventional physical therapy (CPT). Ultrasound guided dry needling (USG-DN) is a relatively new technique to explore clinical outcomes in patients with tendinopathy.MethodsThis parallel group, single-blinded randomized controlled trial was carried out involving 94 athletes with clinically diagnosed jumper’s knee, divided into an intervention group (USG-DN + CPT, n = 47) and a control group (CPT, n = 47). Participants received a 4-week programme; the intervention group received ultrasound guided patellar tendon dry needling (DN) in conjunction with CPT. The control group received only CPT. The visual analog scale (VAS), Victorian institute of sports assessment-Patellar tendinopathy (VISA-P) questionnaire, Lysholm scale, Knee injury and osteoarthritis outcome score (KOOS) and ultrasonographic features of patellar tendinopathy were evaluated at baseline,1 week, 2 weeks, and 4 weeks. The data were analyzed through SPSS-26.ResultsThe study found statistically significant differences (P < 0.05) regarding VAS, Lysholm, VISA-P, and KOOS scales at baseline, 1st, 2nd, and 4th week post-intervention. Within-group differences also showed statistically significant results after the intervention. There were significant results observed in ultrasonographic outcomes between both groups at 1 month post-intervention (all P < 0.05).ConclusionThe results of the current study suggest, ultrasound guided DN of patellar tendon in combination with CPT reduced pain, improved function, and showed a tendency to decrease tendon thickness in patients with patellar tendinopathy.Clinical Trial Registration Number(IRCT20210409050913N1). Dated: 17.04.2021. https://www.irct.ir/user/trial/55607/view.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1023902/fulljumper's kneepatellar tendinopathyultrasonogaphydry needlingclinical trial
spellingShingle Faiza Sharif
Ashfaq Ahmad
Syed Amir Gilani
Raham Bacha
Asif Hanif
Muhammad Asim Arif
Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial
Frontiers in Surgery
jumper's knee
patellar tendinopathy
ultrasonogaphy
dry needling
clinical trial
title Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial
title_full Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial
title_fullStr Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial
title_full_unstemmed Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial
title_short Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial
title_sort efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper s knee a randomized controlled trial
topic jumper's knee
patellar tendinopathy
ultrasonogaphy
dry needling
clinical trial
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.1023902/full
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