Dry Needling and Quad Strength After Anterior Cruciate Ligament Reconstructon (ACLR)
Effects of Dry Needling on Quadriceps Muscle Strength in Acute Post-Operative Anterior Cruciate Ligament Reconstruction With Quadriceps Autograft in the Pediatric Population.
Dry needling is a skilled intervention provided by trained physical therapists to treat pain, myofascial dysfunction, and a variety of other diagnosis. While there is research demonstrating the benefits of dry needling in reduction of pain and improvement in strength, research in regards the pediatric population is very limited. I recently completed a retrospective chart review regarding dry needling trends and outcomes in the pediatric orthopedic population. We now know the pediatric population is tolerating this treatment and seeing benefits. Physical therapists are already pushing the boundaries and finding additional benefits in the use of dry needling with our current patients. A diagnosis frequently seen in sports medicine is surgical reconstruction of the anterior cruciate ligament (ACL). Over the last couple of years, therapists have seen an increase in the use of quadriceps tendon autograft for reconstruction following ACL tears due to lower incidence rate of retears. These patients have been struggling to regain strength of the quadriceps to meet desired outcomes. The quadricep muscles are one of the major stabilizers of the knee and with a reduction in strength places the patient at a significant increase of retear.
Subjects will be categorized into an experimental group (dry needling intervention + physical therapy) or the control group (physical therapy only) with a N of 20 in each group.
The goal for this research is to determine if dry needling use in the subacute phase of post-operative ACLR following quadriceps autograft can assist with increasing quad strength and improve post-surgical outcomes.
연구 개요
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Mellony J Mann, DPT
- 전화번호: 913- 717-4750
- 이메일: mjmann@cmh.edu
연구 연락처 백업
- 이름: Shannon R Margherio, PT
- 전화번호: 816-816-6927
- 이메일: srmargherio@cmh.edu
연구 장소
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Kansas
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Kansas City, Kansas, 미국, 66111
- Children's Mercy Sports Medicine Center- Village West
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연락하다:
- Mellony R. Mann, DPT
- 전화번호: (913) 717-4750
- 이메일: mjmann@cmh.edu
-
연락하다:
- Shannon Margherio, PT
- 전화번호: 816-816-6927
- 이메일: srmargherio@cmh.edu
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Overland Park, Kansas, 미국, 66223
- Children's Mercy - Blue Valley
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연락하다:
- Mellony R. Mann, DPT
- 전화번호: (913) 717-4750
- 이메일: mjmann@cmh.edu
-
연락하다:
- Shannon Margherio, PT
- 전화번호: 816-816-6927
- 이메일: srmargherio@cmh.edu
-
-
Missouri
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Kansas City, Missouri, 미국, 64108
- Children's Mercy Hospital- Kansas City
-
연락하다:
- Mellony R. Mann, DPT
- 전화번호: (913) 717-4750
- 이메일: mjmann@cmh.edu
-
연락하다:
- Shannon Margherio, PT
- 전화번호: 816-816-6927
- 이메일: srmargherio@cmh.edu
-
-
참여기준
자격 기준
공부할 수 있는 나이
- 어린이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Status post subacute quadriceps autograft 6 weeks or less
- Ages 10-20 years
- English and/or Spanish speaking
Exclusion Criteria:
- History of surgery on the knee or hip on the testing lower extremity.
- Any surgical intervention to other ligamentous or meniscus structures during time of ACLR
- Any post-surgical complications such as infection
- Current pregnancy
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: Dry Needling Group
For the Intervention Group, dry needling will be completed to the quadriceps muscle.
Strength measurements will be taken using a handheld dynamometer in post-operative weeks 6, 7, and 9.
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Dry needling is defined as a skilled intervention that utilizes a thin filiform needle to stimulate underlying myofascial trigger points, muscular, and connective tissue in managing pain and movement dysfunction. For the Intervention Group, dry needling will be completed to the quadriceps as stated below. Two sessions of dry needling will be done once per week starting in week 6 and finishing by end of week 7. The patient will be laying in supine. Needles will be placed in the quadriceps muscle. Placement will be at identified trigger points or in mid muscle belly if no trigger point is identified. Electrical stimulation will be applied and increased to an intensity of the patient's tolerance with a visual contraction noted. Electrical stimulation will remain on for 5 minutes. |
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간섭 없음: Control Group (No dry needling)
Participants will not receive dry needling intervention.
Strength measurements will be taken using a handheld dynamometer in post-operative weeks 6, 7, and 9.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Change in Quadriceps Muscle Strength
기간: Muscle strength measurements taken at post-operative week 6, 7, and 9.
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Muscle strength measurement will be taken with use of the handheld dynamometer and use of stabilizing gait belt.
A max force production will be created over three seconds.
Three trials will be recorded, and average will be used as the final number.
For the intervention group, measurements will be taken immediately prior to dry needling and immediately following dry needling for both sessions of intervention (week 6 and week 7).
Additional post intervention measurements will be taken 2 weeks following dry needling intervention (week 9).
For the Control Group, measurements will be taken during week 6, week 7, and week 9. Measurements will be taken at the start of the physical therapy visit.
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Muscle strength measurements taken at post-operative week 6, 7, and 9.
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공동 작업자 및 조사자
수사관
- 수석 연구원: Mellony J Mann, DPT, Children's Mercy Hospital Kansas City
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
Dry Needling에 대한 임상 시험
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Emre Ata, Assoc Prof아직 모집하지 않음
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University Hospital, Rouen모병
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Karl Landsteiner Institute for Clinical Epilepsy...AIT Austrian Institute of Technology GmbH; Brainhero GmbH종료됨