Physiotherapy with and without Superficial Dry Needling Affects Pain and Muscle Strength in Patients with Patellofemoral Pain Syndrome
March 2016, Volume 14 - Number 1 (8 صفحه - از 23 تا 30)
Objectives: To investigate the clinical efficacy of physiotherapy with and without superficial dry needling on patients with knee pain; patellofemoral pain syndrome. Methods: A randomized clinical trial conducted in 2015, Tehran, Iran. Of patients with patellofemoral pain syndrome, thirty-four subjects were randomly divided into two groups (17 in each group). Group A was subjected to physiotherapy and group B to physiotherapy with superficial dry needling. Only for group B, superficial dry needling was applied during the ten-day sessions of physiotherapy, every other day. The needle remained for 6 minutes at threepoints of the quadriceps muscle, accompanied with needle rotation. Both groups received 10 therapy sessions. For both groups, in the first and tenth sessions, knee pain and quadriceps muscle strength was evaluated. Results: Statistical analysis showed the two variables in each group had significant improvements after the 10 sessions (P<0.05). Comparing the two groups, group B showed more pain reduction based on the visual analog scale (P<0.05). However, according to manual muscle testing method, the muscle strength between both the groups showed no significant difference (P<0.156). Discussion: Physiotherapy with and without superficial dry needling were seen to reduce pain and increase muscle strength of patients with patellofemoral pain syndrome. However, performing physiotherapy with superficial dry needling had a more significant effect on reducing knee pain. Superficial needling can cause many physiological and neurophysiological effects. Through stimulation of pain control mechanisms, it can help in further reduction of pain.خلاصه ماشینی:
"Physiotherapy with and without Superficial Dry Needling Affects Pain and Muscle Strength in Patients with Patellofemoral Pain Syndrome CrossMark Hamideh Miri Abyaneh1, Zahra Mosallanezhad1*, Hooman Mohammadalizade1, Enayatollah Bakhshi2, Ghazaleh Vahedi3, Mohammad Reza Nourbakhsh4 1. Physiotherapy with and without su- perficial dry needling affects aain and muscle strength in patients with patellofemoral pain syndrome. Discussion: Physiotherapy with and without superficial dry needling were seen to reduce pain and increase muscle strength of patients with patellofemoral pain syndrome. According to the statistical results obtained, it can be expressed that routine physio- therapy can lead to significant improvement in both pain and muscle strength after 10 treatment sessions. According to the statistical results obtained, it can be expressed that routine physiotherapy and superficial DN can lead to significant improvement in both pain and quadriceps muscle strength after treatment for 10 sessions. Another study by Henderson (2005) performed on pa- tients with patellofemoral pain syndrome using DN and US on the trigger points of vastus lateralis muscle showed no dif- ference between the amounts of quadriceps muscle strength by Cybex isokinetic device . Clinical application Based on the results of this study, applying physiothera- py plus superficial DN can be recommended as an appro- priate and more effective treatment strategy to improve the symptoms of patients with patellofemoral pain syndrome. Effectiveness of chiropractic treatment in com- bination with dry needling if the vastus medialis oblique muscle in the management patellofemoral pain syndrome [PhD Dessertation]."
- دریافت فایل ارجاع :
- (پژوهیار, , , )