Sep 13, 2022
Title: Ultrasound-Guided Dry Needling versus Traditional Dry Needling for patients with Knee Osteoarthritis: A Double-blind Randomized Controlled Trial
- Johnson C.Y. Pang1,
- Professor Amy S.N. FU2,
- Dr. Stanley K.H. LAM3,
- Dr. B. PENG4,
- Dr. Allan C.L. FU5
- 1DHSc(PT), MSc(Manip), BSc(PT), Dip(Acu);
- 2PhD(PolyU), MPhil(CUHK), PgD(Epi & App Biostat), PR Cert (Spinal Manip), PDPT (MSc Scheme Chair);
- 3MBBS, MScSEM;
- 4MD, MS;
- 5PhD(USYD), MSc(CUHK), BSc(PolyU)
External link: https://doi.org/10.1371/journal.pone.0274990
Protocol Citation: Johnson C.Y. Pang, Professor Amy S.N. FU, Dr. Stanley K.H. LAM, Dr. B. PENG, Dr. Allan C.L. FU 2022. Title: Ultrasound-Guided Dry Needling versus Traditional Dry Needling for patients with Knee Osteoarthritis: A Double-blind Randomized Controlled Trial. protocols.io https://dx.doi.org/10.17504/protocols.io.3byl4j2zjlo5/v1
Manuscript citation:
Pang JCY, Fu ASN, Lam SKH, Peng B, Fu ACL (2022) Ultrasound-guided dry needling versus traditional dry needling for patients with knee osteoarthritis: A double-blind randomized controlled trial. PLoS ONE 17(9): e0274990. doi: 10.1371/journal.pone.0274990
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: September 13, 2022
Last Modified: September 13, 2022
Protocol Integer ID: 69917
Keywords: patients with knee osteoarthritis, knee osteoarthritis, osteoarthritis outcome score, dn with exercise therapy, knee injury, guided dry needling versus traditional dry needling, blind randomized controlled trial abstract objective, placebo us guidance, effectiveness of blinding, exercise therapy, guided dry needling, effect of ultrasound, guided dn, blinded assessor, ultrasound, traditional dn in the treatment
Disclaimer
The procedure should be conducted by a trained and registered physiotherapist.
Abstract
Abstract
OBJECTIVE: To compare the effect of ultrasound (US)-guided dry needling (DN) with traditional DN in the treatment of pain and dysfunction for patients with knee osteoarthritis (KOA).
DESIGN: A double-blind, randomized controlled trial.
METHODS: Patients (25 male and 65 female), age 50-80 years diagnosed with KOA were recruited and randomly assigned to one of three groups in a 1:1:1 ratio for intervention: real US-guided DN with exercise therapy (G1), placebo US-guided DN with exercise therapy (G2), and exercise therapy solely (G3). G1 and G2 were blinded to the application of real or placebo US guidance by turning the monitor of US imaging out-of-view from participants’ vantage points. The effectiveness of blinding was evaluated by asking the participants whether they had received real-US guided DN. The responses were assessed by Chi-square test. Visual Analogue Scale (VAS), Knee injury, and Osteoarthritis Outcome Score (KOOS) subscales (KOOS-pain, KOOS-symptoms, KOOS-quality-of-life (QoL)) were collected at baseline, 4 weeks, and 8 weeks by a blinded assessor. Data were analyzed by mixed model analysis of variance (ANOVA) with Bonferroni correction.
RESULTS: Eighty-four participants (61.26±5.57 years) completed the study. G1 achieved significant improvement in VAS at 8 weeks compared to G2 and G3 (G1 vs. G2: MD=-15.61, 95% CI [-25.49, -5.51], p=0.001; G1 vs. G3: MD=-19.90, 95% CI [-29.71, -10.08], p< 0.001). G1 achieved significant improvement in KOOS-pain at 8 weeks compared to G2 and G3 (G1 vs. G2: MD=9.76, 95% CI [2.38, 17.14], p=0.006; G1 vs. G3: MD=9.48, 95% CI [2.31, 16.66], p=0.010). KOOS-symptoms and KOOS-QoL were not statistically significant between groups. G2 had no significant difference of the perceptions as G1 with p=0.128. G2 were successfully blinded to placebo US-guided DN.
CONCLUSION: US-guided DN with exercise therapy may be more effective than traditional DN with exercise therapy or exercise therapy alone in reduce pain of KOA.
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