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IRCT20120411009440N20 IRCT 2018-08-02 Shiraz University of Medical Sciences The effect of gluteus medius and quadratus lumborum dry needling in patients with patellofemoral pain syndrome Comparison of the combined gluteus medius and quadratus lumborum dry needling & exercise with exercise alone on knee joint pain and function in female athletes with patellofemoral pain syndrome 2018-08-05 anticipated 40 Complete https://irct.ir/trial/32394 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization tool:Statistical software, Blinding description: single blind, the assessor are not aware of the group. N/A Patellofemoral disorders. Intervention 1: Intervention group:The same as control group plus gluteus medius and quadratus lumborum dry needling for 4 sessions , are given over a period of four weeks one session per weeks.The needle technique is fast in and out into the muscle tight band in three times. Intervention 2: Control group: Exercise progresively, first week: Stretching exercises for quadriceps, hamstring (2set 15 repetition, 10 second hold); quadriceps setting in 10 degree terminal knee extension(3set 10 repetition),second week:sideling straight leg raises and hip abductors and external rotator strengthening exercise (Clamshells)(3 set, 15 repetition).third week: plank, side plank (3set 20 repetition). Fourth week: minisquat، minilung، single leg stance step down (Stairs with height 18 cm) (3set 25 repetition). Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is The decision will be taken after the data is collected
public Hanieh zarei
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
shiraz Iran (Islamic Republic of) 7196744414 +7 136231831 hanizareipt@gmail.com Shiraz University of Medical Sciences scientific Dr soraya piroozi
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
shiraz Iran (Islamic Republic of) 7196744414 +98 71 1626 1081 piroozis@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) Women aged 18 to 45 years old with unilateral or bilateral patellofemoral pain syndrome; anterior or retropatellar knee pain during at least 2 following activities: prolonged sitting, ascending or descending stair,squatting, kneeling, jumping and running; pain on palpation of medial and lateral patellar facets and positive patellar grind test; an insidious onset of symptoms not related to trauma for the last 3 months; Kujula scores less than 85 out of 100; numeric rate scale scores ranging 3 to 10 during last week. having trigger point in the gluteus medius muscle in the affected side and quadratos lumbar muscle in the non-affected side 18 years 45 years Female Other knee joint pathologies such as meniscus and ligament injuries, osteoarthritis and tendon impairments; patellar subluxations or dislocations; Sinding-Larsen disease;Osgood–Schlatter disease; pelica syndrome;ankle and knee injury; hip joint pathologies such as ligament injuries, osteoarthritis and tendon impairments; subluxations or dislocations and hip injury; referral pain from other joints including lumbar spine, hip and sacroiliac joints and spinal fractures; LBP without source of myofascial; any pain during sitting such as Coccydynia; previous knee surgery; Structural and biomechanical problems such as: Varus and Valgus knee; overweight 32< BMI Prohibition the use of dry needles such as:metabolic diseases such as diabetes, rheumatic diseases and neuromuscular diseases; pregnancy; Respiratory and peripheral vascular disease, cancer and any malignancy; Immune deficiency; Menstruation; needle phobia; Hemorrhagic diseases and the use of anticoagulant drugs; liver and kidney disease Rehabilitation Rehabilitation Intervention group:The same as control group plus gluteus medius and quadratus lumborum dry needling for 4 sessions , are given over a period of four weeks one session per weeks.The needle technique is fast in and out into the muscle tight band in three times Control group: Exercise progresively, first week: Stretching exercises for quadriceps, hamstring (2set 15 repetition, 10 second hold); quadriceps setting in 10 degree terminal knee extension(3set 10 repetition),second week:sideling straight leg raises and hip abductors and external rotator strengthening exercise (Clamshells)(3 set, 15 repetition).third week: plank, side plank (3set 20 repetition). Fourth week: minisquat، minilung، single leg stance step down (Stairs with height 18 cm) (3set 25 repetition) Pain threshold. Timepoint: first and 8th sessions and 2 weeks after the intervention. Method of measurement: algometry. Pain intensity. Timepoint: first and 8th sessions and 2 weeks after the intervention. Method of measurement: Numeric Rate Scale (NRS). Functional steping. Timepoint: first and 8th sessions and 2 weeks after the intervention. Method of measurement: Step down test. Function. Timepoint: first and 8th sessions and 2 weeks after the intervention. Method of measurement: kujula questionnaire. Balance. Timepoint: first and 8th sessions and 2 weeks after the intervention. Method of measurement: Y-Balance Test. Shiraz University of Medical Sciences Approved 2018-07-04 Ethics committee of Shiraz University of Medical Sciences Zand Blvd., Central Building of Shiraz University of Medical Sciences shiraz Fars Iran (Islamic Republic of)