Assessing Impact of Myofascial Release Versus Dry Needling for Chondromalacia in Adult Females (females)

Badr University

Status: Completed

Conditions: Chondromalacia

Treatments: Other: Dry Needling; Other: myofascial release; Other: (traditional exercises)

Study type: Interventional

Funder types: Other

Identifiers

NCT06980883

IRB00014233-6

Details and patient eligibility

About

Assessing Impact of Myofascial Release versus Dry Needling for Chondromalacia in Adult females. The study employed a Randomized Controlled Trial (RCT) design.

Full description

A total of 45 female patients diagnosed with chondromalacia and confirmed by physical examination using a patellar grind test to confirm Clarke's sign were recruited for this study from the out patient clinic and Soad Kafafi's educational hospital , Investigations that analyzed the H/Q ratio by the use of gravity corrected isokinetic strength testing.

Inclusion criteria were:

• Age between 18-50 years old, the anterior knee pain recorded while one of the following activities at least :ascending and descending stairs, prolonged sitting and kneeling.
• Subject experiences pain during palpation of patellar facets or while performing a 25-cm step down test or double legged squat.
• Exclusion criteria included meniscal or intra-articular pathological conditions, cruciate or collateral ligaments involvement, tenderness over the patellar tendon .
• These participants were randomly assigned to one of three groups, each consisting of 15 patients all received treatment for 3 weeks, 2 sessions per weak.

Group 1: Received dry needling combined with traditional treatment( straight leg raising and isometric quadriceps exercises) for 3 weeks, 2 sessions per weak.

Group 2: Received myofascial release in addition to traditional treatment for 3 weeks, 2 sessions per week. Evaluation of fascial restriction was assessed using the therapists elbow.

Myofascial chain release:

Position of the patient: Supine lying, prone lying and side lying Position of the therapist: Side of the patient limb to be treated

-Technique: Using the therapist elbow a vertical release proximal to the attachment of the muscle belly or fascia was applied. Once an end-feel was reached a slow stroke down the length of the target tissue was performed along with monitoring the indirect feedback and tissue tension to identify any additional restrictions. The long stroke was repeated in a line parallel to the first stroke. It was continued until an end-feel is reached throughout the entire muscle belly or fascia on the most restricted/ painful points.

Traditional Treatment ( exercise) : Applied uniformly across all groups, comprising straight leg raising and isometric quadriceps exercises (2 days per week).

Group 3: Received only the traditional treatment only for 3 weeks, 2 sessions per weak.

Enrollment: 45 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 18-50 years old, the anterior knee pain recorded while one of the following activities at least :ascending and descending stairs, prolonged sitting and kneeling.
• Subject experiences pain during palpation of patellar facets or while performing a 25-cm step down test or double legged squat. (Iiona, 2020)

Exclusion criteria

• excluded meniscal or intra-articular pathological conditions, cruciate or collateral ligaments involvement, tenderness over the patellar tendon .
• These participants were randomly assigned to one of three groups, each consisting of 15 patients all received treatment for 3 weaks, 2 sessions per weak.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

45 participants in 3 patient groups

group 1:adding dry needle to traditional exercises

Experimental group

Description:

Received dry needling combined with traditional treatment( straight leg raising and isometric quadriceps exercises) for 3 weeks, 2 sessions per weak.

Treatment:

Other: (traditional exercises)

Other: Dry Needling

group 2: adding myofascial release to traditional exercises

Experimental group

Description:

Myofascial Release: Provided to patients in Group 2 along with traditional treatment( 2 days per week).Evaluation of fascial restriction was assessed using the therapists elbow. Any restrictions felt were assessed and given treatment.

Treatment:

Other: (traditional exercises)

Other: myofascial release

group 3: (control group): Applied Traditional exercise

Active Comparator group

Description:

Traditional Treatment ( exercise) : Applied uniformly across all groups, comprising straight leg raising and isometric quadriceps exercises (2 days per week).

Treatment:

Other: (traditional exercises)