- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03157271
The Addition of Dry Needling in the Treatment of Patients With Patellofemoral Pain Syndrome
December 13, 2017 updated by: Duke University
Subjects between 14 and 40 years of age referred to physical therapy with a diagnosis of PFPS will be randomly assigned to one of two groups.
The first group (PFPS) will be treated pragmatically.
The second group (PFPS+DN) will receive the same pragmatic approach with the addition of dry needling intervention.
The dry needling intervention will be delivered based on the treating physical therapist's examination of the patient's soft tissue mobility deficits, muscle activation deficits, or referred pain patterns.
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Detailed Description
All interventions delivered to both study groups will be provided by licensed physical therapists at Duke Sports Medicine.
The frequency of visits and duration of physical therapy care will be determined on an individual basis.
Both groups will be expected to perform an individualized home exercise program to supplement formal therapy visits.
The PFPS group will receive a pragmatic treatment approach reflective of currently accepted interventions.
The clinician will have the ability to select appropriate interventions based on the presentation/need of each patient.
These interventions may include: stretching (iliotibial band, hip flexor, lateral retinaculum); patellar taping; kinesiology taping; bracing; joint mobilization (patella, ankle, hip); orthotics/footwear recommendations; pain modalities such as Ice, electric stimulation, laser; soft tissue mobilization (manual or instrument assisted) for restricted tissues such as peri-patellar tissues, iliotibial band, tensor fasciae latae, hamstrings, calf, quadriceps, hip flexors, and gluteals.
The PFPS+DN group will be treated in the same manner described above with the addition of the dry needling intervention.
The dry needling intervention will be prescriptive in that each provider will assess patient for the presence of a trigger point that may be contributing either directly or indirectly to the patient's symptoms and perform the intervention per the following guidelines.
First, the presence of a trigger point must be verified by locating a palpable taught band, a hypersensitive tender area, referred pain of the MTrP in response to compression, a Jump Sign - response from patient who winces, may cry out, or withdraw, or a local twitch response provoked by manually snapping the taut band.
Second, a muscle may be selected for dry needling if that muscle is assumed to be contributing to tissue extensibility restriction, motor control dysfunction, or hyperactivity.
Study Type
Interventional
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
14 years to 40 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Anterior or retro-patellar knee pain from at least two of the following: prolonged sitting, stair climbing, squatting, running, kneeling, and hopping/jumping.
- Insidious onset of symptoms unrelated to trauma
- Presence of pain on palpation of the patellar facets
- Pain on compression of the patella
Exclusion Criteria:
- Signs or symptoms of meniscal or other intra-articular pathologic condition.
- Self-reported other knee pathology such as cartilage injury or ligamentous tear.
- Known articular cartilage damage (from previously obtained imaging).
- Ligament laxity or tenderness.
- Patellar tendonitis, ITB syndrome, fracture,
- Tenderness over the patellar tendon, ITB, tibial tubercle, or pes anserinus tendons "if reproduced the pain"
- Patellar instability (positive apprehension sign and/or self-reported history of dislocations or subluxations.
- Concurrent Hip Pain
- Lumbar referred pain
- Osgood-Schlatters or Sinding-Larsen-Johanssen Syndromes
- Knee surgery within the past year
- Evidence of effusion
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: PFPS Treatment
This arm (group of patients) will receive typical/pragmatically designed treatment for patellofemoral pain syndrome.
|
|
Experimental: PFPS Plus Dry Needling Treatment
This group will receive the same typical/pragmatically designed treatment for patellofemoral pain syndrome but with the addition of a dry needling intervention.
|
Dry Needling is a procedure in which a solid filament needle is inserted into the skin and muscle directly at a myofascial trigger point.
A myofascial trigger point consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle and interfere with movement patterns.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Lower Extremity Functional Scale
Time Frame: Baseline, 2 weeks, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
20 Item Survey - Self report of difficulty with 20 lower extremity common tasks
|
Baseline, 2 weeks, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Pain
Time Frame: Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
Subjective Report of Pain on a Scale from 0-10
|
Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
Change in Global Function Rating
Time Frame: Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
Subjective Rating for Physical Function on a Scale from 0-100%
|
Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
Change in Global Rating of Change
Time Frame: Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
Subjective Rating of Change since starting treatment scale of -7 (much worse) to +7 (much better)
|
Baseline, Days 1-15, 1 month, at completion of treatment (average of 10 weeks), 3 months, 6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
October 1, 2017
Primary Completion (Anticipated)
July 1, 2019
Study Completion (Anticipated)
July 1, 2019
Study Registration Dates
First Submitted
May 15, 2017
First Submitted That Met QC Criteria
May 16, 2017
First Posted (Actual)
May 17, 2017
Study Record Updates
Last Update Posted (Actual)
December 15, 2017
Last Update Submitted That Met QC Criteria
December 13, 2017
Last Verified
August 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00081677
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Patellofemoral Pain Syndrome
-
Lauren EricksonAmerican College of Sports MedicineCompleted
-
Laval UniversityCompletedPatellofemoral Pain (PFPS)Canada
-
Nationwide Children's HospitalCompletedPatellofemoral Pain Syndrome | Knee Pain Chronic | Anterior Knee Pain Syndrome | Patellofemoral SyndromeUnited States
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Istanbul Medipol University HospitalCompletedPatellofemoral Pain Syndrome | Patellofemoral Pain | Anterior Knee Pain Syndrome | Patellofemoral Syndrome | Kinesiotape | Orthotic DevicesTurkey
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University of MelbourneNational Health and Medical Research Council, AustraliaCompletedKnee Pain | Patellofemoral PainAustralia
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University of Central LancashireCompletedPatellofemoral PainUnited Kingdom
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Universidade Federal do CearáCompletedPatellofemoral Pain SyndromeBrazil
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European University CyprusCompleted
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Universidade Federal do Rio Grande do NorteUnknown
Clinical Trials on Intramuscular Dry Needling
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Whitworth UniversityRecruiting
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University of Mary Hardin-BaylorCompletedNeck Pain | Shoulder Pain | Myofascial PainUnited States
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Emory UniversityCompleted
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Thomas W. Perreault, PTRecruitingChronic MigraineUnited States
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University of AlcalaCompleted
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Army-Baylor University Doctoral Program in Physical...Brooke Army Medical CenterCompletedChronic Pain | Shoulder Pain | Musculoskeletal InjuryUnited States