The study will be conducted to compare effects of 9 points electrical dry needling along with standard physical therapy and standard physical therapy alone in knee osteoarthritis patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
44
9 points electrical dry needling, stainless steel dry needles of size 0.25 into 30mm will be used, inserted perpendicularly into popliteus, adductor magnus, tibialis anterior, quad tendon, vastus lateralis, medialis, medial \& lateral infrapatellar sulcus, extensor digitorum longus.
Standarized physical therapy: HOT pack for 5 min, hams \& quads stretching for 30 sec \& 6 reps, quads strengthening straight leg raise \& leg press will be performed 15 reps \& 3 sets, for hams seated leg curls \& gluteal bridges will be performed 15 reps \& 3 sets. MWM in weight bearing position: The glide will be applied in weight bearing, effected knee on stepper, the therapist will be exactly sitting in front of the patient \& patient will be asked to place the limb up on the stepper one hand of the therapist has to be on the lateral side of the tibia and other hand on the medial side of the femur \& now the patient will be asked to climb, therapist will apply medial \& lateral pressure 10 reps \& 3 sets.
Sheikh Khalifa Bin Zayed Hospital, Quetta
Quetta, Balochistan, Pakistan
Numeric Pain Rating Scale (NPRS)
Numeric Pain Rating Scale (NPRS) measures subjective pain intensity using an 11-point numeric scale (0-10) where 0 = "no pain" and 10 = "worst pain imaginable". Patients verbally or mark on a horizontal line the whole number best reflecting current pain severity, typically assessing "current pain," "worst pain," "least pain," or "average pain" over the prior 24 hours. Mild pain = 1-3, moderate pain = 4-6, severe pain = 7-10 guides clinical decision-making. changes in NPRS scale will be measured baseline and at the end of 6 week.
Time frame: from enrollment to the end of 6 week
Goniometer measures joint range of motion (ROM)
Goniometer: Precision instrument measuring joint range of motion (ROM) in degrees using protractor body with two arms (stationary and movable) aligned to anatomical bony landmarks spanning the joint axis. Primary Use: Quantifies active (AROM) and passive (PROM) joint excursion for objective baseline, progress tracking, and impairment rating. Universal goniometer most common; digital/smartphone apps offer improved reliability (ICC \>0.9 vs 0.74-0.91 traditional). Reliability: Long-arm \> short-arm (MSD 6° vs 10°); inter/intra-rater ICC 0.84-0.99 with standardized technique. changes in knee flexion and extension ROM will be measured baseline and at the end of 6 week.
Time frame: from enrollment to the end of 6 week
WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index)
WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is a validated, disease-specific patient-reported outcome measure for hip/knee osteoarthritis assessing pain (5 items, 0-20), stiffness (2 items, 0-8), and physical function (17 items, 0-68) over past 48 hours. Scoring: Likert 0-4 scale per item (0=None, 4=Extreme); higher total scores (0-96) indicate worse symptoms. MCID: 12% improvement (\~9-12 points) represents clinically meaningful change. changes in WOMAC score will be measured baseline and at the end of 6 week.
Time frame: from enrollment to the end of 6 week
EQ-5D 3L (QUALITY OF LIFE)
EQ-5D-3L is developed by EuroQol groups is standardized instrument for measurement of health-related quality of life. it administers strong test-retest reliability for knee OA which of 0.73 to 0.91. Changes in EQ-5D 3L will be measured at baseline and at 6 weeks.
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Time frame: From enrollment to the end of 6 week