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

Objectives: To investigate the clinical efficacy of physiotherapy with and without superficialdry needling on patients with knee pain; patellofemoral pain syndrome. Methods: A randomized clinical trial conducted in 2015, Tehran, Iran. Of patients withpatellofemoral pain syndrome, thirty-four subject...

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Published in:Iranian rehabilitation journal 2016, Vol.14 (1), p.23-30
Main Authors: Miri Abyaneh, H., Mosallanezhad, Z., Mohammadalizade, H., Bakhshi, E., Vahedi, G., Nourbakhsh, Mr
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container_title Iranian rehabilitation journal
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creator Miri Abyaneh, H.
Mosallanezhad, Z.
Mohammadalizade, H.
Bakhshi, E.
Vahedi, G.
Nourbakhsh, Mr
description Objectives: To investigate the clinical efficacy of physiotherapy with and without superficialdry needling on patients with knee pain; patellofemoral pain syndrome. Methods: A randomized clinical trial conducted in 2015, Tehran, Iran. Of patients withpatellofemoral pain syndrome, thirty-four subjects were randomly divided into two groups (17in each group). Group A was subjected to physiotherapy and group B to physiotherapy withsuperficial dry needling. Only for group B, superficial dry needling was applied during theten-day sessions of physiotherapy, every other day. The needle remained for 6 minutes at threepointsof the quadriceps muscle, accompanied with needle rotation. Both groups received 10therapy sessions. For both groups, in the first and tenth sessions, knee pain and quadricepsmuscle strength was evaluated. Results: Statistical analysis showed the two variables in each group had significantimprovements after the 10 sessions (P
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Methods: A randomized clinical trial conducted in 2015, Tehran, Iran. Of patients withpatellofemoral pain syndrome, thirty-four subjects were randomly divided into two groups (17in each group). Group A was subjected to physiotherapy and group B to physiotherapy withsuperficial dry needling. Only for group B, superficial dry needling was applied during theten-day sessions of physiotherapy, every other day. The needle remained for 6 minutes at threepointsof the quadriceps muscle, accompanied with needle rotation. Both groups received 10therapy sessions. For both groups, in the first and tenth sessions, knee pain and quadricepsmuscle strength was evaluated. Results: Statistical analysis showed the two variables in each group had significantimprovements after the 10 sessions (P&lt;0.05). Comparing the two groups, group B showedmore pain reduction based on the visual analog scale (P&lt;0.05). However, according to manualmuscle testing method, the muscle strength between both the groups showed no significant difference (P&lt;0.156). Discussion: Physiotherapy with and without superficial dry needling were seen to reducepain and increase muscle strength of patients with patellofemoral pain syndrome. However,performing physiotherapy with superficial dry needling had a more significant effect onreducing knee pain. Superficial needling can cause many physiological and neurophysiologicaleffects. 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However, according to manualmuscle testing method, the muscle strength between both the groups showed no significant difference (P&lt;0.156). Discussion: Physiotherapy with and without superficial dry needling were seen to reducepain and increase muscle strength of patients with patellofemoral pain syndrome. However,performing physiotherapy with superficial dry needling had a more significant effect onreducing knee pain. Superficial needling can cause many physiological and neurophysiologicaleffects. 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However, according to manualmuscle testing method, the muscle strength between both the groups showed no significant difference (P&lt;0.156). Discussion: Physiotherapy with and without superficial dry needling were seen to reducepain and increase muscle strength of patients with patellofemoral pain syndrome. However,performing physiotherapy with superficial dry needling had a more significant effect onreducing knee pain. Superficial needling can cause many physiological and neurophysiologicaleffects. Through stimulation of pain control mechanisms, it can help in further reduction ofpain.</abstract><pub>Negah Institute for Scientific Communication</pub><doi>10.15412/J.IRJ.08140104</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Clinical trial
Knee joint
Muscle strength
Needles
Pain
Physiotherapy
title Physiotherapy with and without Superficial Dry Needling Affects Pain and Muscle Strength in Patients with Patellofemoral Pain Syndrome
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