Dry Needling Treatment for Knee Osteoarthritis
Efficacy of Dry Needling for Knee Osteoarthritis: A Single-Blind and Randomized-Controlled Trial
研究概览
详细说明
The population affected by degenerative knee arthritis is very large. According to a survey conducted by the Ministry of Health and Welfare, the prevalence of osteoarthritis of the knee in Taiwan is about 3.5 million people, accounting for about 15% of the total population. Its effects are a heavy burden on socio-economic costs, and in addition to being included in medical expenses, serious cases can lead to incapacity to work; therefore, the disease is an important factor in causing disability and disability First, it is worth our attention.
The investigator performed dry needle (DN) treatments with acupuncture needles. Stimulating the effected muscle, the investigator move the needle forward and backward several times. Muscle twitch may occur by our procedure. The pain caused by myofascial trigger points can be decreased effective simultaneously. So far, there is no solid research or clinical trial to evaluate the efficacy of the treatment yet.
For the reasons of the degenerative arthritis pain, the clinical observation is not entirely due to the cause of joint deformity or cartilage damage, soft tissue lesions around the knee is also a common source of pain, the use of dry needle for the diagnosis of soft tissue injury , And observed its efficacy, which is also the core of this study.
This experiment used a randomized single-blind experiment to assess the immediate, short-term and long-term effects of dry needle therapy on patellar pain in patients with degenerative arthritis. The assessment tools included the VAS, WOMAC , Lequesnes index, Gait speed test and the Muscle Tension Changes in the Lower Extremities.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Taichung、台湾、999079
- China Medical University Hospital
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Volunteers who are older than 50 years old and can cooperate with the experiment
- Established diagnosis of unilateral or bilateral degenerative knee arthritis.
- There is a local trigger point around the unilateral or bilateral knee joint which on the muscle of Vastus lateralis, Vastus medialis, Gastrocnemius, or Tibialis anterior.
Exclusion Criteria:
- There are contraindications to general treatment, such as serious medical problems, recent serious trauma, or pregnant women.
- There has been a history of drug abuse (including excess alcohol) that affects pain assessors.
- Have received knee surgery.
- People with central or peripheral nerve disease.
- Cognitive impairment, unable to cooperate with the experimenter.
- Patients currently receiving other treatments for knee osteoarthritis
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:干针
在该组中,受试者将在Day1、Day2和Day4接受DN干预,共3次治疗,并安排在Day8和Day15分别进行疗效两次评估。
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干针,也称为肌筋膜触发点干针,是一种类似于针灸的替代医学中经过充分证明的技术。
它涉及使用实心丝状针或空心皮下注射针治疗肌肉疼痛,包括与肌筋膜疼痛综合征相关的疼痛。
干针有时也称为肌内刺激 (IMS)。
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有源比较器:经皮神经电刺激
在该组中,受试者将在Day1、Day2和Day4接受经皮神经电刺激干预,共3次治疗,并安排在Day8和Day15分别进行两次疗效评估。
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经皮神经电刺激(TENS 或 TNS)是使用设备产生的电流来刺激神经以达到治疗目的。 根据定义,TENS 涵盖了用于神经兴奋的经皮应用电流的完整范围,尽管该术语通常用于更严格的意图,即描述用于治疗疼痛的便携式刺激器产生的脉冲类型。 该装置通常使用两个或多个电极连接到皮肤。 典型的电池供电 TENS 单元能够调制脉冲宽度、频率和强度。 通常 TENS 以高频(> 50 Hz)应用,强度低于运动收缩(感觉强度)或低频( |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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视觉模拟量表
大体时间:1天
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视觉模拟量表或视觉模拟量表 (VAS) 是一种心理测量反应量表,可用于问卷调查。
该工具用于帮助人们评估某些感觉和感受的强度,例如疼痛。
100mm的直线,其实最左边是0mm,最右边是100mm。
在两端绘制两个面。
向患者解释 0 毫米表示无痛,100 毫米表示非常痛。
从左端向右移表示越来越痛。
拿笔让患者在直线上垂直画一条短线,代表他的疼痛位置,记录测量的cm值。
在这个测试中,如果受试者的得分下降,则可以代表该治疗有助于改善患者的疼痛。
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1天
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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压痛阈值
大体时间:1天
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压力疼痛阈值 (PPT) 定义为引起疼痛的最小施加力。
事实证明,该措施通常可用于评估压痛症状
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1天
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肌肉紧张
大体时间:1天
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肌肉张力是肌肉在静息状态下对被动拉伸的抵抗力。
名为 Myotone 的测量工具会自动计算张力、弹性和刚度等三个参数,并得出一个值来表示肌肉张力。
如果该值降低,则可以表示治疗对主观肌肉放松有帮助。
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1天
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Gait speed test
大体时间:1 day
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The measurement method is to ask the patient to walk a distance of four meters, and then the time taken by the tester to measure, take two measurements and take the average value.
In this experiment, the function of the patient's walking is mainly measured by this evaluation method.
Whether it is improved, if the patient's walking time is reduced, it can effectively prove the patient's exercise performance.
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1 day
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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