Comparison of Kinesio Taping and Dry Needling in Grade 1, 2 Knee Osteoarthritis

Sponsor

Riphah International University (Other)

Overall Status

Completed

CT.gov ID

NCT06086717

Collaborator

(none)

Enrollment

Location

Arms

12.6

Actual Duration (Months)

2.4

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study's aim was:

To determine the effects of kinesio taping and dry needling on pain, ROMs, functional mobility, and quality of life in knee OA patients.

Condition or Disease	Intervention/Treatment	Phase
Osteoarthritis, Knee	Other: Kinesio Taping Other: Dry Needling	N/A

Detailed Description

This was a randomized clinical trial in which Grade 1, 2 Knee Osteoarthritis patients were randomized into two groups: Group-A and Group-B. Group-A participants received Kinesio taping while Group-B participants received dry needling as an adjunct to the conventional physical therapy treatment. The intervention was carried out for four weeks with frequency of two sessions per week. Outcome measures were assessed at baseline, after two weeks, and after 4 weeks, using Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Range of Motion (ROM), and SF-12 Quality of Life Questionnaire.

Study Design

Study Type:

Interventional

Actual Enrollment :

30 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Concurrent Parallel Randomized Clinical TrialConcurrent Parallel Randomized Clinical Trial

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Comparison of Kinesio Taping and Dry Needling in the Management of Grade 1, 2 Knee Osteoarthritis

Actual Study Start Date :

Jan 12, 2022

Actual Primary Completion Date :

Nov 30, 2022

Actual Study Completion Date :

Jan 31, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Group A Kinesio Taping Group	Other: Kinesio Taping One Y-shaped strap with 25% stretch was applied from the mid third of the thigh over the rectus femoris, then its ends directed toward the tibial tuberosity by enwrapping the patella from lateral and medial sides. In 45° knee flexion one eye strap from medial to lateral was applied through the collateral medial and lateral ligaments. For the facilitation of VMO 1 eye strap with 25% stretch from medial aspect of thigh to quadriceps tendon. Lastly, 1 eye strap with 25% stretch from tibial tuberosity to lateral aspect of thigh for inhibition of Vastus lateralis
Active Comparator: Group B Dry Needling Group	Other: Dry Needling Following a protocol according to patient and limb, the tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles were properly examined in each subject. These muscles are frequently involved in muscle-related knee pain. Patients with knee OA who had at least one active MTrP that produced pain were recruited. Patients received a total of 8 DN sessions (2 sessions per week for 4 weeks) at all MTrPs of the lower limbs using the fast-in and fast-out technique (the needle was moved up and down within the muscle).

Arm

Intervention/Treatment

Active Comparator: Group A

Kinesio Taping Group

Other: Kinesio Taping

One Y-shaped strap with 25% stretch was applied from the mid third of the thigh over the rectus femoris, then its ends directed toward the tibial tuberosity by enwrapping the patella from lateral and medial sides. In 45° knee flexion one eye strap from medial to lateral was applied through the collateral medial and lateral ligaments. For the facilitation of VMO 1 eye strap with 25% stretch from medial aspect of thigh to quadriceps tendon. Lastly, 1 eye strap with 25% stretch from tibial tuberosity to lateral aspect of thigh for inhibition of Vastus lateralis

Active Comparator: Group B

Dry Needling Group

Other: Dry Needling

Following a protocol according to patient and limb, the tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles were properly examined in each subject. These muscles are frequently involved in muscle-related knee pain. Patients with knee OA who had at least one active MTrP that produced pain were recruited. Patients received a total of 8 DN sessions (2 sessions per week for 4 weeks) at all MTrPs of the lower limbs using the fast-in and fast-out technique (the needle was moved up and down within the muscle).

Outcome Measures

Primary Outcome Measures

Pain Score [Baseline, after 2 weeks, and after 4 weeks.]
Pain was measured using Visual Analog Scale (VAS).
Knee ROM [Baseline, after 2 weeks, and after 4 weeks.]
Knee ROM (flexion and extension) was assessed using universal goniometer.

Secondary Outcome Measures

WOMAC Score [Baseline, after 2 weeks, and after 4 weeks.]
Patients' pain, stiffness, and physical functioning of the joints was assessed using WOMAC scale.
Quality of Life Score [Baseline, after 2 weeks, and after 4 weeks.]
Patients health-related quality of life was assessed using SF-12 questionnaire.

Eligibility Criteria

Criteria

Ages Eligible for Study:

40 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Clinically diagnosed patients of grade 1, 2 knee OA (Kallgren and Lawrence).
Pain and/or tenderness around knee joint
Knee OA patients with tightness in Quadriceps, Hamstrings, and Iliotibial band.
Patients with pain of >4 on VAS.

Exclusion Criteria:

Patients who had received Intra-articular Steroid injections in knee joints.
Patients who had suffered a traumatic injury to knee joint within past 6 months prior to this study.
Patients with any surgical intervention to the knee joints.
Patients with peripheral vascular disease.
Patients with diagnosed tumors, malignancies, infection associated with knee joint.
Patients with lower limb metallic implants.