About this trial
The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A \& B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive Shock wave therapy. Group B will receive Dry needing.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants of either gender between the age of 18-35 years with a confirmed diagnosis of jumper's knee for more than 1 month.
Confirmed diagnosis of jumper's knee for more than 1 month.
Pain NPRS (Numeric Pain Rating Scale) score greater than 4 at the first evaluation.
Disqualifiers
Surgery around the knee joint within the last 6 months.
Chronic knee joint disease.
Knee pain management with corticosteroid injections in the last 3 months.
Trauma history
Trial design
Parallel
Treatments tested in this trial
Extracorporeal Shockwave therapy
Other interventionThe participants in this group will receive Extracorporeal shockwave therapy with baseline treatment. The Frequency of sessions will be 3-5 sessions. The Intensity of the exercise related to energy levels as Low to medium energy flux density (EFD) ranges from 0.08 to 0.28 mJ/mm²
Dry Needling
Other interventionFrequency Will be 3 sessions per week. Repeated sessions over several weeks are often necessary for optimal tendon remodeling and pain relief. Intensity will be according to the depth and response-based application, Needles are inserted into myofascial trigger points (MTrPs) or directly into tendon tissue (peritendinous or intra-tendinous)
Treatment groups
Trial outcomes
Primary outcomes
numeric pain rating scale
pain will be evaluated through numeric pain rating scale, The Numeric Pain Rating Scale (NPRS) is an 11-point scale from 0 to 10. Patients select a whole number matching their pain intensity, where 0 means no pain and 10 means the worst pain imaginable. Scores are grouped into mild (1-3), moderate (4-6), and severe (7-10) pain levels
Victorian Institute of Sport Assessment - Patella
Knee Function measured through the VISA-P (Victorian Institute of Sport Assessment - Patella) score has a maximum value of 100 points for a healthy, pain-free individual, with a theoretical minimum of 0. It consists of eight questions assessing pain, functional severity, and sports capacity. You can calculate your score interactively using online tools like the VISA-P Questionnaire.
Quality Of life measure through KOS-ADLS
The Knee Outcome Survey Activities of Daily Living Scale (KOS-ADLS): The KOS-ADLS is a 14-item self-reported questionnaire designed to evaluate symptoms and limitation during activities of daily living among patients with various knee disorders
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