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

Author

Listed:
  • Jorge Velázquez Saornil

    (Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad Católica de Ávila, C/Canteros s/n, 05005 Ávila, Spain)

  • Zacarías Sánchez Milá

    (Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad Católica de Ávila, C/Canteros s/n, 05005 Ávila, Spain)

  • Angélica M. Campón Chekroun

    (Campus San Jerónimo Guadalupe, Doctorando en Universidad Católica de Murcia, 30107 Murcia, Spain)

  • Luis Baraja Vegas

    (Departamento de Fisioterapia, Facultad de Medicina y Ciencias de la Salud, Universidad Católica de Valencia, C/Quevedo, 2, 46001 Valencia, Spain)

  • Juan Vicente Mampel

    (Departamento de Fisioterapia, Facultad de Medicina y Ciencias de la Salud, Universidad Católica de Valencia, C/Quevedo, 2, 46001 Valencia, Spain)

  • Raúl Frutos Llanes

    (Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad Católica de Ávila, C/Canteros s/n, 05005 Ávila, Spain)

  • José Manuel Barragán Casas

    (Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad Católica de Ávila, C/Canteros s/n, 05005 Ávila, Spain)

  • David Rodríguez-Sanz

    (Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Avenida Séneca, 2, 28040 Madrid, Spain)

Abstract

Background: 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/m 2 ). 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.

Suggested Citation

  • Jorge Velázquez Saornil & Zacarías Sánchez Milá & Angélica M. Campón Chekroun & Luis Baraja Vegas & Juan Vicente Mampel & Raúl Frutos Llanes & José Manuel Barragán Casas & David Rodríguez-Sanz, 2022. "Comparative Study of the Efficacy of Hyaluronic Acid, Dry Needling and Combined Treatment in Patellar Osteoarthritis—Single-Blind Randomized Clinical Trial," IJERPH, MDPI, vol. 19(17), pages 1-15, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10912-:d:904121
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    References listed on IDEAS

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    1. Vedrana Sember & Kaja Meh & Maroje Sorić & Gregor Starc & Paulo Rocha & Gregor Jurak, 2020. "Validity and Reliability of International Physical Activity Questionnaires for Adults across EU Countries: Systematic Review and Meta Analysis," IJERPH, MDPI, vol. 17(19), pages 1-23, September.
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