Comparative Study of the Efficacy of Hyaluronic Acid, Dry Needling and Combined Treatment in Patellar Osteoarthritis—Single-Blind Randomized Clinical Trial

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dc.contributor.authorVelázquez-Saornil, Jorge
dc.contributor.authorSánchez Milá, Zacarías
dc.contributor.authorCampón-Chekroun, Angélica M.
dc.contributor.authorBaraja-Vegas, Luis
dc.contributor.authorVicente-Mampel, Juan
dc.contributor.authorFrutos Llanes, Raúl
dc.contributor.authorBarragán Casas, José Manuel
dc.contributor.authorRodríguez Sanz, David
dc.date.accessioned2023-06-22T11:09:18Z
dc.date.available2023-06-22T11:09:18Z
dc.date.issued2022-09-01
dc.description.abstractBackground: Osteoarthritis of the knee is one of the most common ailments worldwide, and pain management of this condition is critical. Methods: A multicentre randomized controlled trial RCT with three months of follow-up, conducted in parallel groups: hyaluronic acid (HA), dry needling (DN) and ultrasound (US) and isometrics of quadriceps. 60 participants took part in the RCT who were diagnosed with osteoarthritis (Grade 3) of the knee by MRI and active adults (age: 23.41 ± 1.68 years; height: 1.79 ± 0.08 m; body mass: 78.33 ± 9.03 kg; body mass index (BMI): 24.14 ± 1.45 kg/m2). After the assigned intervention, VAS, WOMAC, IPAQ and the Star Excursion Balance test were measured at baseline. At 24 h, 15 days, 30 days, 90 days and 180 days follow-up, all variables were measured again. Results: Comparing statistically significant differences between groups, VAS scores were significant at post-test measurement (HA vs. US + isometric and DN vs. US + isometric) at 24 h (HA vs. DN), at 15 days (HA vs. US + isometric and DN vs. US + isometric) and at 1 month (US + isometric vs. HA and US + isometric vs. DN). Conclusions: There is an improvement in pain intensity in knee osteoarthritis in the short term in patients undergoing DN and conventional US + isometric treatment, but in the long term the HA group shows an improvement in pain intensity. There is also a significant difference in the improvement of knee function at different phases of the study in the various intervention groups. The combination of DN and HA in clinical practice is the best option for the treatment of osteoarthritis.
dc.description.departmentSección Deptal. de Radiología, Rehabilitación y Fisioterapia (Enfermería)
dc.description.facultyFac. de Enfermería, Fisioterapia y Podología
dc.description.refereedTRUE
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/78040
dc.identifier.doi10.3390/ijerph191710912
dc.identifier.issn1660-4601
dc.identifier.officialurlhttps://doi.org/10.3390/ijerph191710912
dc.identifier.relatedurlhttps://www.mdpi.com/1660-4601/19/17/10912
dc.identifier.urihttps://hdl.handle.net/20.500.14352/72158
dc.issue.number17
dc.journal.titleInternational Journal of Environmental Research and Public Health
dc.language.isoeng
dc.page.initial10912
dc.publisherMDPI
dc.rightsAtribución 3.0 España
dc.rights.accessRightsopen access
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/es/
dc.subject.cdu615.8
dc.subject.cdu616.72-002
dc.subject.keywordKnee osteoarthritis
dc.subject.keywordMyofascial trigger point
dc.subject.keywordVastus medialis
dc.subject.keywordAnterior knee pain syndrome
dc.subject.keywordRange of motion
dc.subject.keywordAcid
dc.subject.keywordHyaluronic
dc.subject.ucmFisioterapia (Enfermería, Fisioterapia y Podología)
dc.subject.unesco3213.11 Fisioterapia
dc.titleComparative Study of the Efficacy of Hyaluronic Acid, Dry Needling and Combined Treatment in Patellar Osteoarthritis—Single-Blind Randomized Clinical Trial
dc.typejournal article
dc.volume.number19
dspace.entity.typePublication
relation.isAuthorOfPublication3d3e5c8a-15a9-4991-97ee-ea886940b1a5
relation.isAuthorOfPublication.latestForDiscovery3d3e5c8a-15a9-4991-97ee-ea886940b1a5
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