Periosteal Electrical Dry Needling as an Adjunct to Exercise and Manual Therapy for Knee Osteoarthritis
| Autor: | Dunning, James, Butts, Raymond, Young, Ian, Mourad, Firas, Galante, Victoria, Bliton, Paul, Tanner, Michelle, Fernández-de-las-Peñas, César |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male exercise Knee Joint Acupuncture Therapy clinical trial Electric Stimulation Therapy Original Articles Middle Aged Osteoarthritis Knee Combined Modality Therapy Musculoskeletal Manipulations knee osteoarthritis Exercise Therapy manual therapy Treatment Outcome Humans Female Range of Motion Articular dry needling Aged |
| Zdroj: | The Clinical Journal of Pain |
| ISSN: | 1536-5409 0749-8047 |
| Popis: | Objectives: To compare the effects of adding electrical dry needling into a manual therapy (MT) and exercise program on pain, stiffness, function, and disability in individuals with painful knee osteoarthritis (OA). Materials and Methods: In total, 242 participants (n=242) with painful knee OA were randomized to receive 6 weeks of electrical dry needling, MT, and exercise (n=121) or MT and exercise (n=121). The primary outcome was related-disability as assessed by the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index at 3 months. Results: Individuals receiving the combination of electrical dry needling, MT, and exercise experienced significantly greater improvements in related-disability (WOMAC: F=35.504; P0.82) for all outcome measures in favor of the electrical dry needling group at 3 months. Discussion: The inclusion of electrical dry needling into a MT and exercise program was more effective for improving pain, function, and related-disability than the application of MT and exercise alone in individuals with painful knee OA. Level of Evidence: Level 1b—therapy. Prospectively registered February 10, 2015 on www.clinicaltrials.gov (NCT02373631). |
| Databáze: | OpenAIRE |
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