Manual therapy combined with dry needling for the management of patients with patellofemoral pain syndrome

2016 ◽  
Vol 25 ◽  
pp. e82 ◽  
Author(s):  
A.I. de-la-Llave-Rincón ◽  
B. Loa-Barbero ◽  
M. Palacios-Ceña ◽  
J. Salom-Moreno ◽  
R. Ortega-Santiago ◽  
...  
Keyword(s):  
Manual Therapy ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Dry Needling

Comparison of dry needling and ischaemic compression techniques on pain and function in patients with patellofemoral pain syndrome: a randomised clinical trial

2020 ◽  
Vol 38 (6) ◽  
pp. 371-379
Author(s):  
Shabnam Behrangrad ◽  
Maryam Abbaszadeh-Amirdehi ◽  
Amin Kordi Yoosefinejad ◽  
Seyed Mokhtar Esmaeilnejadganji
Keyword(s):  
Functional Status ◽  
Mechanical Stimulation ◽  
Rating Scale ◽  
Pressure Pain Threshold ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Dry Needling ◽  
Myofascial Trigger Points

Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the knee versus dry needling (DN) with respect to pain, functional status and sensitivity to mechanical stimulation of vastus medialis obliquus (VMO) myofascial trigger points (MTrPs) in patients with patellofemoral pain syndrome (PFPS). Methods: A total of 54 patients with unilateral PFPS aged 20–30 years were selected randomly from patients referred to physical therapy clinics of Babol University of Medical Sciences in Iran. Twenty-seven patients were allocated to either IC or DN groups. Three sessions of treatment were applied over 1 week with follow-up at 1 week, 1 month and 3 months. Primary outcome measures comprised the Kujala questionnaire score for functional status, numerical pain rating scale (NPRS) for pain intensity and pressure pain threshold (PPT) for sensitivity to mechanical stimulation; these were measured and recorded before treatment and 1 week, 1 month and 3 months after the last treatment session. Results: There were no statistically significant differences in the between-group comparisons of any variables at the various follow-up points. Both groups (n = 27 participants each) had significant improvements (p < 0.05) in pain, functional status and PPT values at follow-up. Conclusions: There were no differences in markers of pain, function or pressure sensitivity over a 3-month follow-up period between patients with PFPS treated with DN and IC. Temporal improvements in both groups suggested that the two techniques may be similarly effective for the treatment of PFPS.

scholarly journals Effectiveness of local exercise therapy versus spinal manual therapy in patients with patellofemoral pain syndrome: medium term follow-up results of a randomized controlled trial.

2021 ◽  
Author(s):  
Aldo Georges Celine Scafoglieri ◽  
Jona Van den Broeck ◽  
Stijn Willems ◽  
Rob Tamminga ◽  
Henk van der Hoeven ◽  
...  
Keyword(s):  
Knee Pain ◽  
Manual Therapy ◽  
Exercise Therapy ◽  
Intervention Group ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Medium Term ◽  
Thoracolumbar Region

Abstract Background Increasing evidence has shown benefits of spinal manipulations in patients with patellofemoral pain syndrome (PFPS). There is scarcity regarding medium term effects of spinal manual therapy on outcome measures in PFPS patients. Therefore, the aim of the present study was to compare the effectiveness of local exercise therapy and spinal manual therapy for knee pain, function and maximum voluntary peak force (MVPF) velocity of the quadriceps. Methods Forty-three patients with PFPS were randomly assigned to an intervention group. The local exercise group received six sessions of supervised training of the knee-and hip muscles with mobilization of the patellofemoral joint. The spinal manual therapy group received six interventions of high velocity low thrust manipulations at the thoracolumbar region, sacroiliac joint, and/or hip. Maximum, minimum and current pain were measured using the visual analogue scale. Function was assessed with the anterior knee pain scale (AKPS) and MPFV was recorded using a Biodex System 3 dynamometer. Patients were assessed before intervention, after 6 weeks of intervention and at 6 weeks follow-up. Results Pain and functionality improved more following spinal manipulative therapy than local exercise therapy. After 6 weeks of intervention the between-group difference (local versus spinal) for maximal pain was 23.4 mm [95% CI: 9.3, 37.6; effect size (ES): 1.04] and − 12.4 [95% CI: -20.2, -4.7; ES: 1.00] for the AKPS. At 6 weeks of follow-up the between-group difference for maximal pain was 18.7 mm [95% CI: 1.4, 36.0; ES: 0.68] and − 11.5 [95% CI: -19.9, -3.3; ES: -0.87] for the AKPS. Conclusions This study suggests that spinal manual therapy is more effective than local exercise therapy in improving pain and function in patients with PFPS in the medium term. Combining spinal manual therapy with local exercise therapy may be an important element in the successful rehabilitation of patients with PFPS.

DRY NEEDLING VERSUS KINESIO TAPING ON MYOFASCIAL TRIGGER POINT IN THE VASTUS LATERALIS MUSCLE IN SUBJECT WITH PATELLOFEMORAL PAIN SYNDROME

2019 ◽  
Vol 22 (01n02) ◽  
pp. 1950005
Author(s):  
Hassan Shakeri ◽  
Manijeh Soleimanifar ◽  
Leila Nejad ◽  
Amir Massoud Arab
Keyword(s):  
Pain Intensity ◽  
Trigger Point ◽  
Vastus Lateralis ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Vastus Lateralis Muscle ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Lateralis Muscle

Purpose and Hypothesis: Trigger points (TrP) is one of the most common causes of musculoskeletal disorders. Myofascial trigger point in vastus lateralis muscle has been reported high prevalently in subjects with patellofemoral pain syndrome. The purpose of this study was to investigate the effects of dry needling and kinesio tape on trigger point in vastus lateralis muscle. Randomized controlled trial designed to investigate the effect of Dry Needling (DN) and Kinesio Taping (KT) on pain intensity and knee disability after session’s treatment in individuals with trigger point (TrP) in Vastus Lateralis (VL) muscle. Methods: 30 subjects with TrP in the VL muscle participated in this study. Subjects were randomly assigned to a DN group ([Formula: see text]) or KT group ([Formula: see text]). Results: Statistical analysis (paired [Formula: see text]-test) revealed a significant improvement in VAS during activity and KOOS scores after three sessions treatment in both of groups compared with before treatment ([Formula: see text]). But PPT was not increased after one week treatment. VAS using an algometer was decreased only at DN group ([Formula: see text]). The results showed no significant changes in variables immediately after intervention. The ANCOVA revealed no significant differences between the DN and KT groups on the post-measurement VAS during activity, VAS using an algometer, PPT, KOOS scores ([Formula: see text]). Conclusion: DN and KT produce an improvement in pain intensity and knee disability and may be prescribed for PFPS subjects with TrP in VL muscle especially when pain relief is the goal of the treatment.

scholarly journals SHORT-TERM EFFECTS OF TRIGGER POINT DRY NEEDLING ON PAIN AND DISABILITY IN SUBJECTS WITH PATELLOFEMORAL PAIN SYNDROME

2018 ◽  
Vol 13 (3) ◽  
pp. 462-473 ◽  
Author(s):  
Thomas G. Sutlive ◽  
Andrew Golden ◽  
Kristin King ◽  
William B. Morris ◽  
John E. Morrison ◽  
...  
Keyword(s):  
Trigger Point ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Dry Needling ◽  
Short Term ◽  
Short Term Effects

scholarly journals Effectiveness of local exercise therapy versus spinal manual therapy in patients with patellofemoral pain syndrome: medium term follow-up results of a randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Aldo Scafoglieri ◽  
Jona Van den Broeck ◽  
Stijn Willems ◽  
Rob Tamminga ◽  
Henk van der Hoeven ◽  
...  
Keyword(s):  
Knee Pain ◽  
Manual Therapy ◽  
Exercise Therapy ◽  
Therapy Group ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Medium Term ◽  
Link Type

Abstract Background Increasing evidence has shown benefits of spinal manipulations in patients with patellofemoral pain syndrome (PFPS). There is scarcity regarding medium term effects of spinal manual therapy on outcome measures in PFPS patients. Therefore, the aim of the present study was to compare the effectiveness of local exercise therapy and spinal manual therapy for knee pain, function and maximum voluntary peak force (MVPF) velocity of the quadriceps in PFPS patients. Methods Forty-three patients with PFPS were randomly assigned to a local exercise or spinal manual therapy group. The local exercise group received six sessions (one session per week) of supervised training of the knee-and hip muscles with mobilization of the patellofemoral joint. The spinal manual therapy group received six interventions (one intervention per week) of high velocity low thrust manipulations at the thoracolumbar region, sacroiliac joint, and/or hip. All patients were also asked to do home exercises. Maximum, minimum and current pain were measured using the visual analogue scale. Function was assessed with the anterior knee pain scale (AKPS) and MPFV was recorded using a Biodex System 3 dynamometer. Patients were assessed before intervention, after 6 weeks of intervention and after 6 weeks of follow-up. Between-group differences at assessments were analysed by way of analysis of covariance with Bonferroni correction. Results Pain and functionality improved more following spinal manipulative therapy than local exercise therapy. After 6 weeks of intervention the between-group difference (local versus spinal) for maximal pain was 23.4 mm [95% CI: 9.3, 37.6; effect size (ES): 1.04] and − 12.4 [95% CI: − 20.2, − 4.7; ES: 1.00] for the AKPS. At 6 weeks of follow-up the between-group difference for maximal pain was 18.7 mm [95% CI: 1.4, 36.0; ES: 0.68] and − 11.5 [95% CI: − 19.9, − 3.3; ES: − 0.87] for the AKPS. Conclusions This study suggests that spinal manual therapy is more effective than local exercise therapy in improving pain and function in patients with PFPS in the medium term. We suggest for future research to investigate whether combining local exercise therapy and spinal manual therapy is more effective than either single intervention on its own. This clinical trial study was approved by the Medical Ethics Committee METC Z under registration number NL57207.096. and registered retrospectively in ClinicalTrials.gov PRS with registration ID number NCT04748692 on the 10th of February 2021.

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