Exploring Short-term Outcomes of Dry Needling in Knee Osteoarthritis Patients: A Prospective Study
Notice bibliographique
Résumé
Introduction: Osteoarthritis (OA) of the knee is one of the most encountered musculoskeletal and rheumatologic diseases in the Outpatient Department of Orthopaedics. Around 250 million people worldwide suffer from OA knee. There is evidence that physiotherapy has been shown to be highly effective in treating OA knee. Dry Needling (DN) uses a similar needle to those used in acupuncture, but the application of the technique is different. In regard to DN, within the muscle, the needle is moved up and down exactly at the myofascial trigger points. Aim: To assess the short-term efficacy of DN in patients with knee OA. Materials and Methods: The present prospective study was conducted in the department of Physiotherapy attached to RL Jalappa Hospital and Research Centre in Kolar, Karnataka, India for a duration of six months from December 2022 to May 2023. This study included 40 patients who met the specified inclusion criteria and were closely monitored over a span of three and a half weeks, with an intervention of CZ Hong’s Fast in and Fast out needling technique subsequent to the identification of trigger points in the affected limb. At the end of three and a half weeks, the collected data on quantitative measure for Visual Analog Scale (VAS), Knee Range of Motion (ROM), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS) was tested for normality conditions, and mean±SD was used to present the data. The difference in pre and post mean were tested by paired t-test, p-value <0.05 was considered as statistically significant. Results: At the end of 10 sessions of DN, there was a significant reduction in the Pain Pressure Threshold (PPT) (p-value=0.001), VAS score, (p-value=0.001), increase in Knee ROM, (p-value=0.001) and reduction in the disability scores of WOMAC (p-value=0.001) and KOOS scores (p-value=0.001.) Conclusion: The findings of the present study suggested that the PPT, WOMAC score and knee flexion range showed clinically relevant improvement for patients who underwent DN for 10 sessions added to therapeutic exercise program for older adults. However, these results should be interpreted with caution because of the small sample size and short follow-up.Introduction: Osteoarthritis (OA) of the knee is one of the most encountered musculoskeletal and rheumatologic diseases in the Outpatient Department of Orthopaedics. Around 250 million people worldwide suffer from OA knee. There is evidence that physiotherapy has been shown to be highly effective in treating OA knee. Dry Needling (DN) uses a similar needle to those used in acupuncture, but the application of the technique is different. In regard to DN, within the muscle, the needle is moved up and down exactly at the myofascial trigger points. Aim: To assess the short-term efficacy of DN in patients with knee OA. Materials and Methods: The present prospective study was conducted in the department of Physiotherapy attached to RL Jalappa Hospital and Research Centre in Kolar, Karnataka, India for a duration of six months from December 2022 to May 2023. This study included 40 patients who met the specified inclusion criteria and were closely monitored over a span of three and a half weeks, with an intervention of CZ Hong’s Fast in and Fast out needling technique subsequent to the identification of trigger points in the affected limb. At the end of three and a half weeks, the collected data on quantitative measure for Visual Analog Scale (VAS), Knee Range of Motion (ROM), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS) was tested for normality conditions, and mean±SD was used to present the data. The difference in pre and post mean were tested by paired t-test, p-value <0.05 was considered as statistically significant. Results: At the end of 10 sessions of DN, there was a significant reduction in the Pain Pressure Threshold (PPT) (p-value=0.001), VAS score, (p-value=0.001), increase in Knee ROM, (p-value=0.001) and reduction in the disability scores of WOMAC (p-value=0.001) and KOOS scores (p-value=0.001.) Conclusion: The findings of the present study suggested that the PPT, WOMAC score and knee flexion range showed clinically relevant improvement for patients who underwent DN for 10 sessions added to therapeutic exercise program for older adults. However, these results should be interpreted with caution because of the small sample size and short follow-up.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,014 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».