Knee Osteoarthritis Clinical Trial
Official title:
Improvement in Pain and Function Following a Therapeutic Exercise Program and Dry Needling in Older Adults With Knee Osteoarthritis: A Randomized Double-blind Multicenter Controlled Clinical Trial
This study evaluates the combination of a therapeutic exercise program and dry needling in the treatment of knee osteoarthritis in older adults. Half of participants will receive therapeutic exercise program and dry needling in combination, while the other half will receive the same therapeutic exercise program and sham dry needling.
Therapeutic exercise and dry needling each relieve pain and improve function, but they are
different treatment tools.
Therapeutic exercise takes a multitude of forms and results in numerous systemic and local
effects, some of which have been investigate among people with knee osteoarthritis.
Therapeutic exercise covers a range of targeted physical activities that directly aim to
improve muscle strength, neuromotor control, joint range of motion and aerobic fitness. One
of the main aims of this therapeutic approach is to improve muscle strength, given that
weakness is common in knee osteoarthritis. Enhanced strength of the lower limb may lessen
internal knee forces, reduce pain and improve physical function.
Primary knee osteoarthritis provokes pain and disfunction is thought mediated by joint damage
and changes in joint homeostasis. Recently, investigations focused in impaired neuromuscular
system as a contribution to the above mentioned symptoms in the knee osteoarthritis syndrome
explore the use of dry needling. Dry needling is a therapeutic approach for decreasing pain
and improve function with high recommended evidence (grade A) effectiveness for upper-quarter
myofascial pain, but poorly understood in knee osteoarthritis patients.
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