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. 2022 Nov 4:9:1023902.
doi: 10.3389/fsurg.2022.1023902. eCollection 2022.

Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper's knee: A randomized controlled trial

Faiza Sharif  1 , Ashfaq Ahmad  2 , Syed Amir Gilani  2 , Raham Bacha  3 , Asif Hanif  4 , Muhammad Asim Arif  1
Affiliations

Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper's knee: A randomized controlled trial

Faiza Sharif et al. Front Surg. .

Abstract

Background: Jumper's knee is a degenerative condition among athletes, and it has been treated with conventional physical therapy (CPT). Ultrasound guided dry needling (USG-DN) is a relatively new technique to explore clinical outcomes in patients with tendinopathy.

Methods: This parallel group, single-blinded randomized controlled trial was carried out involving 94 athletes with clinically diagnosed jumper's knee, divided into an intervention group (USG-DN + CPT, n = 47) and a control group (CPT, n = 47). Participants received a 4-week programme; the intervention group received ultrasound guided patellar tendon dry needling (DN) in conjunction with CPT. The control group received only CPT. The visual analog scale (VAS), Victorian institute of sports assessment-Patellar tendinopathy (VISA-P) questionnaire, Lysholm scale, Knee injury and osteoarthritis outcome score (KOOS) and ultrasonographic features of patellar tendinopathy were evaluated at baseline,1 week, 2 weeks, and 4 weeks. The data were analyzed through SPSS-26.

Results: The study found statistically significant differences (P < 0.05) regarding VAS, Lysholm, VISA-P, and KOOS scales at baseline, 1st, 2nd, and 4th week post-intervention. Within-group differences also showed statistically significant results after the intervention. There were significant results observed in ultrasonographic outcomes between both groups at 1 month post-intervention (all P < 0.05).

Conclusion: The results of the current study suggest, ultrasound guided DN of patellar tendon in combination with CPT reduced pain, improved function, and showed a tendency to decrease tendon thickness in patients with patellar tendinopathy.

Clinical trial registration number: (IRCT20210409050913N1). Dated: 17.04.2021. https://www.irct.ir/user/trial/55607/view.

Keywords: clinical trial; dry needling; jumper's knee; patellar tendinopathy; ultrasonogaphy.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The overall summary of Consort diagram and study flow chart.
Figure 2
Figure 2
Ultrasonographic images from a 27-year-old Male with patellar tendinosis and VAS scores of 6 (pre-procedure), after (A) 1st week (B) 2nd week and (C) 4th week in the same patient. The post-intervention sonographic image confirms decreased tendon thickness and the hypoechoic segment resolved in the patellar tendon VAS score of 3 (post-procedure). VAS, visual analog scale.
See this image and copyright information in PMC

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