Physiotherapy with and without Superficial Dry Needling Affects Pain and Muscle Strength in Patients with Patellofemoral Pain Syndrome

Abyaneh, Hamideh; Mosallanezhad, Zahra; Mohammadalizade, Hooman; Bakhshi, Enayatollah; Vahedi, Ghazaleh; Nourbakhsh, Mohammad Reza

doi:10.15412/j.irj.08140104

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…Ten articles were excluded because the dry needling intervention was combined with another injection therapy [ 30 ], abstract/conference proceedings [ 31 , 32 , 33 ], a pilot study [ 34 ], non-randomized clinical trials [ 35 , 36 , 37 ], and application of dry needling with electrical current [ 38 , 39 ]. Finally, a total of 10 trials [ 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ] were included in the main analyses ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the participants of the included studies are shown in Table 2 . Six studies (60%) investigated the effects of TrP dry needling in PFP [ 40 , 41 , 43 , 46 , 48 , 49 ], two (20%) in subjects with knee OA [ 42 , 45 ], and the remaining two (20%) in post-surgery knee pain [ 44 , 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ] targeted active TrPs (i.e., those in which referred pain reproduced the patient’s knee symptoms) with the needle, whereas one trial [ 40 ] targeted specific points chosen based on the most common places of TrPs at the quadriceps muscle, as originally described by Simons et al [ 12 ] The needling technique was homogenous; eight trials [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ] used reported the presence of local twitch responses during the intervention, one [ 49 ] did not report it and the last one used superficial, not deep, dry needling [ 40 ]. However, there was heterogenicity in the number and frequency of sessions and the type of sham or comparator.…”

Section: Resultsmentioning

confidence: 99%

“…Three trials did not provide data on side effects or adverse events [ 40 , 42 , 44 ]. Espí-López et al [ 41 ] reported that 40% of patients experienced post-needling soreness, which resolved spontaneously within 36–48 hours, but no serious adverse events.…”

Section: Resultsmentioning

confidence: 99%

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Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Rahou-El-Bachiri

Navarro-Santana

Gómez-Chiguano³

et al. 2020

JCM

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Background: To evaluate the effect of trigger point dry needling alone or as an adjunct with other interventions on pain and related disability in people with knee pain. Methods: Several electronic databases were searched for randomized controlled trials where at least one group received dry needling for knee pain. Studies had to include human subjects and collect outcomes on pain and pain-related disability in musculoskeletal knee pain. Data were extracted by two reviewers. The risk of bias was assessed by the Cochrane Guidelines, methodological quality was assessed with the Physiotherapy Evidence Database (PEDro) score, and the quality of evidence by using the GRADE approach. Standardized mean differences (SMD) were calculated. Results: Ten studies (six patellofemoral pain, two knee osteoarthritis, two post-surgery knee pain) were included. The meta-analysis found moderate effect sizes of dry needling for reducing pain (SMD −0.53, 95% CI −0.87 to −0.19) and improving related disability (SMD −0.58, 95% CI −1.08 to −0.09) as compared to a comparison group at short-term. The main effect was observed for patellofemoral pain (SMD −0.64, 95% CI −1.17 to −0.11). No significant effects were observed at mid- or long-term follow-ups. The risk of bias was generally low, but the heterogenicity and the imprecision of the results downgraded the level of evidence. Conclusion: Low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain, but not knee osteoarthritis or post-surgery knee pain, at short-term. More high-quality trials investigating long-term effects are clearly needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Rahou-El-Bachiri

Navarro-Santana

Gómez-Chiguano³

et al. 2020

JCM

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“…The pain intensity might not be mild so the participants disregard medical attention from health professionals. A previous study has shown a greater pain intensity, that is, VAS of 6 in 10 among individuals with PFPS, of those who were referred to physiotherapy [45]. Moreover, the evidence supported that women with PFPS who maintained a high level of PA have severe pain compared to those with a moderate level of PA [46].…”

Section: Discussionmentioning

confidence: 65%

Patellofemoral Pain Syndrome in Young Adult Women With Low to Moderate Physical Activity Levels

Nilmart

Yodchaisarn²,

Vongsirinavarat³

2022

IRJ

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Objectives: To assess the prevalence and associated factors of Patellofemoral Pain Syndrome (PFPS) in young women with low to moderate Physical Activity (PA) levels. Methods: Women with low to moderate PA, aged between 18 and 40 years, were enrolled in this study. A Thai version of the Kujala patellofemoral questionnaire (KPQ), history taking, and physical examination were used to screen and confirm the diagnosis of PFPS. Demographic features, including age, Body Mass Index (BMI), PA, knee alignment, and static foot posture, were recorded. Logistic regression analysis was conducted to determine confounding factors associated with PFPS. Results: A total of 1011 women with a Mean±SD age of 25.51±6.79 years participated in this study. The prevalence of PFPS was 15%. Age, BMI, PA, knee alignment, and static foot posture were not significantly associated with PFPS in this population. Discussion: Although the participants were young adults with low to moderate PA, the prevalence of PFPS was in the same range as the highly active groups. None of the factors investigated in this study could predict PFPS occurrence. Based on the findings, the risk factors of PFPS seem to be complex and individualized. The early diagnosis and treatment of PFPS should therefore be considered in this age group.

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Added Value of Gluteus Medius and Quadratus Lumborum Dry Needling in Improving Knee Pain and Function in Female Athletes With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

Zarei

Bervis

Piroozi

et al. 2020

Archives of Physical Medicine and Rehabilitation

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Physiotherapy with and without Superficial Dry Needling Affects Pain and Muscle Strength in Patients with Patellofemoral Pain Syndrome

Cited by 5 publications

References 25 publications

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis

Patellofemoral Pain Syndrome in Young Adult Women With Low to Moderate Physical Activity Levels

Added Value of Gluteus Medius and Quadratus Lumborum Dry Needling in Improving Knee Pain and Function in Female Athletes With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

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