RETRACTED ARTICLE: Effectiveness of ultrasound guided dry needling in management of jumper’s knee: a randomized controlled trial

Abstract

Jumper’s knee is highly prevalent condition in athletes. Very limited evidence is available on clinical effects of tendon dry needling. Therefore, the objective of this study is to compare the effects of ultrasound-guided dry needling (UG-DN) combined with conventional physical therapy and conventional physical therapy alone in patients with jumper’s knee. A total of 96 patients with pre-diagnosed jumper’s knee were randomly assigned to experimental group (UG-DN + CPT) and conventional group (CPT alone) with 48 participants each. Pain intensity and functional disability were recorded using visual Analogue Scale (VAS), Victorian Institute of Sports Assessment-Patellar Tendinopathy (VISA-P) questionnaire, Lysholm Scale, Knee Injury and Osteoarthritis Outcome Score (KOOS) respectively at baseline, at 1st, 2nd, and 4th week. Whereas ultrasonographic features of patellar tendon were measured through musculoskeletal ultrasound (MSKUS) at baseline and 4th week. Total 8 sessions of treatment were provided. Mann Whitney U test and Friedman test were used to compute between and within group differences respectively. P value was significant at 0.05. Results showed that patients in both groups had improvement in signs of jumper’s knee but the improvement in UG-DN + CPT group was more significant (p ≤ 0.05). Significant difference was seen after 4 weeks of intervention in UG-DN + CPT group in VAS (Median ± I.Q.R = 3 ± 1, p = 0.000), VISA-P (Median ± I.Q.R = 83.5 ± 7, p = 0.000), KOOS (Median ± I.Q.R = 83.5 ± 8, p = 0.000), , Lysholm (Median ± I.Q.R = 84 ± 5, p = 0.000) than CPT group VAS (Median ± I.Q.R = 1.5 ± 1, p = 0.000), VISA-P (Median ± I.Q.R = 92 ± 2, p = 0.000), KOOS (Median ± I.Q.R = 92 ± 3, p = 0.000), Lysholm (Median ± I.Q.R = 92 ± 4, p = 0.000) and ultrasonographic features of jumper’s knee were more significant in experimental group(p-value ≤ 0.05). The Ultrasound guided dry needling with conventional physical therapy of patellar tendon had been found an effective treatment for jumper’s knee and helps in reducing pain intensity, improving function and ultrasonographic features in patients with jumper’s knee. UG-DN + CPT group showed more significant results as compared to CPT.Trial registration: (IRCT20210409050913N1). Dated: 17.04.2021.

A dynamic nomogram for predicting knee osteoarthritis after sports injury based on MR imaging features, demographics and clinical sport-related factors in cold regions of northern China

“…Research has shown that proximal tibia fractures are the most common, accounting for approximately 1% of all fractures, and are mainly caused by high-energy trauma, especially in men [41] . Severely comminuted fractures, complete articular fractures, and malalignment of the joint increase the incidence of KOA [42] . Although surgery may restore normal knee function, 35% of patients may develop signs and changes of KOA within 14 years of surgery and may resort to total knee arthroplasty as a secondary treatment [43] .…”

The Effects of Soft-Tissue Techniques and Exercise in the Treatment of Patellar Tendinopathy—Systematic Review and Meta-Analysis

“…They were randomized and quasi-randomized controlled clinical trials (n = 6) published from 2012 to 2023. The studies were conducted in Greece [25], USA [33], India [24], Spain [21,34] and Pakistan [35]. They were randomized and quasi-randomized controlled clinical trials (n = 6) published from 2012 to 2023.…”

“…They were randomized and quasi-randomized controlled clinical trials (n = 6) published from 2012 to 2023. The studies were conducted in Greece [25], USA [33], India [24], Spain [21,34] and Pakistan [35].…”

“…The sample had a higher percentage of male participants (77%, n = 235) than female participants (23%, n = 70), except for two studies that only included male participants [24,33]. Notably, Dragoo et al [33] had the smallest sample size with 22 participants, while Sharif et al [35] had the largest sample size with 96 participants. All participants were diagnosed with patellar tendinopathy, with a Visa-p scale score ranging from 37 to 69.1 points, which quantifies the severity of the pathology.…”

“…All participants were diagnosed with patellar tendinopathy, with a Visa-p scale score ranging from 37 to 69.1 points, which quantifies the severity of the pathology. The authors agreed on the eligibility criteria for patients: being over 16 years old, feeling pain on palpation of the lower pole of the patella, having a clinical diagnosis of patellar tendinopathy, experiencing symptoms that persist for more than three months, and practicing sports [21,24,25,[33][34][35]. There was also considerable homogeneity in the exclusion criteria, with previous surgery and local injections of corticosteroids or other drugs being the most commonly used [21,24,[33][34][35].…”