The Effects of Dry Needling & Kinesio Tape on Anterior Knee Pain

The Clinical Effects of Dry Needling & Kinesio Tape on Myofascial Trigger Point in the Vastus Lateralis Muscle in Subjects With PFPS

Patellofemoral Pain Syndrome(PFPS) is one of the most common health-related complaints in today's societies. Myofascial pain syndrome(MPS) have been attributed as the main cause and primary source of musculoskeletal pain. Trigger point of the vastus lateralis muscle may pull the patella superiorly and laterally, increasing compression of the patellofemoral joint during physical activities, result in PFPS and anterior knee pain. The purpose of this study was to investigate the effects of Dry Needling & kinesio tape on trigger point of vastus lateralis muscle in PFPS subjects.

Study Overview

• Status: Completed
• Conditions: Patellofemoral Pain Syndrome
• Intervention / Treatment: Device: Dry Needling; Device: Kinesio Tape

Detailed Description

Pain intensity, pain pressure threshold and Disability of knee were collected at base line and at the end of treatment sessions.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Iran, Islamic Republic of
  • Islamic Republic of
    • Tehran, Islamic Republic of, Iran, Islamic Republic of, 1985713831
      • University of Social Welfare and Rehabilitation Sciences

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 57 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Presence of a palpable taut band in muscle.
2. Presence of a hypersensitive tender spot in the taut band.
3. Reproduction of the typical referred pain pattern of the trigger point in response to compression. To detect active trigger point, trigger point pressure tolerance was assessed using a mechanical pressure algometer. The investigator applied continuous pressure with the algometer with an approximate pressure of 2.5 kg/cm2.
4. Spontaneous presence of the typical referred pain pattern and/or patient recognition of the referred pain as familiar.

5- Pain of at least 30 mm on a visual analogue scale (VAS) from 0 mm (no pain) to 100 mm (worst imaginable pain).

Exclusion Criteria:

1. had a history of fracture of knee joint, dislocation of patella
2. previous knee or ankle surgery
3. had a history of neurologic condition
4. having physical therapy within the past month before the study
5. pregnancy
6. taking anticoagulants (e.g. warfarin)
7. local infection

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Dry Needling; The taut band of trigger point in vastus lateralis muscle; localized between the thumb and index finger, was needled forward and backward repeatedly until there were no more local twitch response	Device: Dry Needling; Dry needling was performed for one week, three times a week.; Other Names: Western Accupuncture
Experimental: Kinesio Tape; Y technique with 25% tension on the tails was applied. Direction of the technique was insertion to origin of the muscle and zone of the trigger point was placed at the center of Y strip.	Device: Kinesio Tape; Kinesio tape was performed for one week, three times a week.; Other Names: Kenso Tape

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain	Pain intensity using Visual Analogue Scale (VAS) were collected at base line and at the end of treatment	one year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain pressure threshold	A pressure threshold algometer was used to measure the pain pressure threshold of a Trigger point of the vastus lateralis muscle before treatment and the end of treatment(after one week).	one year

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
knee disability	The knee osteoarthritis outcome scale(KOOS) questionnaire was used to assess the knee disability.	one year

Collaborators and Investigators

• Sponsor: University of Social Welfare and Rehabilitation Science
• Investigators: Principal Investigator: Amir M Arab, PhD, University of Social Welfare and Rehabilitation Science

Study record dates

Study Major Dates

• Study Start: October 1, 2012
• Primary Completion (Actual): May 1, 2013
• Study Completion (Actual): September 1, 2013

Study Registration Dates

• First Submitted: April 16, 2014
• First Submitted That Met QC Criteria: April 16, 2014
• First Posted (Estimate): April 21, 2014

Study Record Updates

• Last Update Posted (Estimate): April 21, 2014
• Last Update Submitted That Met QC Criteria: April 16, 2014
• Last Verified: April 1, 2014

More Information

Terms related to this study

• Keywords: Knee pain,Dry Needling, kinesioTape,Trigger point
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Patellofemoral Pain Syndrome
• Other Study ID Numbers: 930127