PG008

EFFECTIVENESS OF DRY NEEDLING AND FASCIAL

MANIPULATION ON CHRONIC KNEE OSTEOARTHRITIS
PATIENTS WITH CENTRAL SENSITIZATION: A CASE SERIES

Introduction
 Knee OA is a widespread chronic

degenerative joint disease that affects the public

health .
Central Sensitization is seen in chronic Knee
OA patients.
Facial manipulation and dry needling prevent
the development of ATrps and reduces Image showing the method of FASCIAL Image showing the method of application
MANIPULATION of DRY NEEDLING
peripheral and central sensitization.

Results Methodology Conclusion

Outcomes Mean±SD t P Value Dry Needling & Fascial Manipulation
along with knee ROM exercises showed
Pre-Post CSI 26.80± 8.16 7.33 0.002 CSI
WOMAC positive effect on all outcome measures
Sample Size PSEQ
Pre-Post 41.80000 ± 5.27 0.006
N=5 TSK and reduction in Central Sensitization.
WOMAC 17.72 PPT using NPRS
Knee Flexion
Pre-Post -11.00 ± 8.27 -2.972 0.041
PSEQ
Pre-Post TSK 10.20000 ± 3.690 0.021
6.18
Dry Needling References
and Fascial once a week
Pre-Post PPT 5.20 ± 1.09 10.614 0.000 Manipulation 1. LluchGirbés E, Nijs J, Torres-Cueco R,
with Knee
for four
using NPRS weeks López Cubas C. Pain treatment for patients
ROM
exercise with osteoarthritis and central sensitization.
Pre-Post -23.00 ± 11.51 -4.468 0.011 Phys Ther. 2013;93(6):842-851.
Knee flex
doi:10.2522/ptj.20120253
60
Discussion 2. Alshahrani MS, Reddy RS, Tedla JS, Asiri
50 F, Alshahrani A. Association between
Previous studies has shown that Dry
Kinesiophobia and Knee Pain Intensity,
40
Needling used in conjuction with Joint Position Sense, and Functional
PRE
30 POST
3 Month follow up
exercise to improve physical function Performance in Individuals with Bilateral
20 and effect of Fascial Manipulation on Knee Osteoarthritis. Healthcare (Basel).

10 pain and disability. 2022;10(1):120. Published 2022 Jan 7.

doi:10.3390/healthcare10010120‌
0
Findings of this study indicated on
1 2 3 4 5
3. Dommerholt J. Dry needling - peripheral
overall improvement when
Graphical representation showing difference in and central considerations. J Man
the pre-test and post-test and 3 month follow incorporated along with Knee ROM
upCSI measure ManipTher. 2011;19(4):223-227.
exercises in Knee OA with Central doi:10.1179/106698111X13129729552065
sensitization patients.