Added Value of Gluteus Medius and Quadratus Lumborum Dry Needling in Improving Knee Pain and Function in Female Athletes With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

摘要: Abstract Objective To compare the effects of exercise therapy alone and plus gluteus medius (GM) quadratus lumbarum (QL) dry needling on pain function in female athletes with patellofemoral (PFP). Design Single-blind randomized controlled trial follow-up. Setting Physiotherapy clinic. Participants Convenience sample PFP (N=40), who were randomly assigned to (Ex group) or exercise-therapy+dry (Ex+DN group. Interventions The Ex group received for 4 weeks, Ex+DN combination directed at GM QL trigger points weeks. Main Outcome Measures In all participants, intensity, (Kujala score, modified star excursion balance test, step-down test), pressure threshold (PPT) recorded baseline 6 weeks after start treatment. Analysis variance (2 groups×3 times) was used within- between-group differences. Results versus time interaction effect significant variables (P Conclusions Targeting intervention treat muscles combined had superior beneficial compared managing PFP. Therefore, adding muscle may be advisable enhance rehabilitation.