Compressive Myofascial Release in Knee Osteoarthritis

NCT05052593 | Completed

• 1 other identifier: REC/00870 Rubia Batool
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of the study is to compare the effects of compressive myofascial release and conventional knee osteoarthritis treatment to correct lateral patellar tracking. A randomized control trial was conducted at Railway General Hospital, Ahad Medicare clinics and physiotherapy Centre and The Health Professional physiotherapy clinic Bahria town phase 6. The sample size was 52 calculated through open-epi tool. The participants were divided into two interventional groups each having 26 participants. The study duration was six months. Sampling technique applied was non probability convenient sampling for recruitment and group randomization using sealed enveloped method. Only participants who were 50 years above with grade 2 and 3 knee osteoarthritis were included in the study. Tools used in this study are Q angle, numeric pain rating scale, goniometry and WOMAC questionnaire, Self structured Questionnaire. Data was collected at baseline, at the end of 3rd session and 6th session. Data analyzed through SPSS version 23.

Conditions

Osteoarthritis, Knee

Keywords

knee osteoarthritis; compressive myofascial release; lateral patellar tracking

Outcome Measures

Primary Outcomes (1)

• Western Ontario and McMaster Universities Arthrosis Index (WOMAC) scale:

  Western Ontario and McMaster Universities Arthrosis Index WOMAC was first developed in 1988 by Bellamy for use in patients with hip and knee osteoarthritis is a self-administered tool comprising of 24 items divided into 3 sub scales. It was used to assess pain, stiffness and physical function in knee osteoarthritis patients which were allocated in the study. Patient's pain is assessed by asking about intensity of pain in different positions including pain intensity at rest through 5 questions. Patient is asked about stiffness level in the morning and evening (2 questions). Patients is also assessed for difficulty doing several daily and self-care activities in 17 different questions. Each item in sub scale carries maximum score of 4 and minimum score of 0. Overall score of WOMAC scale is 100 with a cutoff value of 39. In first session, 2 and 4 weeks after treatment sessions.

  4th Week

Secondary Outcomes (1)

• Numeric Pain Rating Scale:

  4th Week

Other Outcomes (3)

• Functional Reach Test:

  4th Week

• Measurement Quadriceps Angle:

  4th Week

• Goniometry:

  4th Week

Study Arms (2)

Compressive myofascial release

EXPERIMENTAL

. patients in this group will receive treatment through CMR that includes shaking the muscle belly of vastus lateralis for 30 seconds. Then the hip is fully extended on treatment table and CMR is applied on Vastus lateralis muscle for 1 minute. Treatment consists of broad strokes applied with clinicians knuckles to release superficial restrictions, followed by more specific strokes applied with clinicians' thumb on tight muscle. Strokes are applied at a contact point of 45 degree. with pressure directed from distal to proximal. Conventional treatment of Hot pack and Tens for 20 minutes, Range of motion exercises (knee flexion and extension ROM's), Stretching exercises (3sets, 10 reps for 5 second hold)

Other: compressive myofascial release

Conventional treatment

ACTIVE COMPARATOR

Patients in this group will receive treatment of Hot pack and Tens for 20 minutes, Range of motion exercises (knee flexion and extension ROM's), Stretching exercises (3sets, 10 reps for 5 second hold)

Other: conventional treatment group

Interventions

compressive myofascial release OTHER

Patients in this group will receive treatment through CMR that includes shaking the muscle belly of vastus lateralis for 30 seconds. Then the hip is fully extended on treatment table and CMR is applied on Vastus lateralis muscle for 1 minute. Treatment consists of broad strokes applied with clinicians knuckles to release superficial restrictions, followed by more specific strokes applied with clinicians' thumb on tight muscle. Strokes are applied at a contact point of 45 degree. With pressure directed from distal to proximal.

Compressive myofascial release

conventional treatment group OTHER

Patients in this group will receive treatment of Hot pack and Tens for 20 minutes, Range of motion exercises (knee flexion and extension ROM's), Stretching exercises (3sets, 10 reps for 5 second hold)

Conventional treatment

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Includes diagnosed cases of knee osteoarthritis
• Grades 2-3 according to the Kellgren and Lawrence method of grading(1)
• Includes patients from the age group of 50 years and above(3)
• Includes knee osteoarthritis patients with lateral tracking of patella which will assessed through Q angle test(4)

You may not qualify if:

• history of recent trauma to knee
• History of hip disease
• Past history of knee surgery/arthroplasty
• Intraarticular corticosteroid injection

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Bone and joints centre

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Railway General Hospital

Rawalpindi, Punjab Province, Pakistan

Location

Related Publications (24)

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  BACKGROUND

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  BACKGROUND

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  BACKGROUND

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  BACKGROUND

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  BACKGROUND

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  BACKGROUND

• Manheim CJ. The Myofascial Release Manual: SLACK; 2008

  BACKGROUND

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  PMID: 22828288 BACKGROUND

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Lal Gul Khan, MScPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: the purpose of this study is to compare the effects of compressive myofascial release on lateral patellar tracking inpatients with knee osteoarthritis. an RCT trial was conducted at Railway general hospital, Ahad medi care clinics and physiotherapy centre rawat and THP Bahria town phase 6.sample size was 52 calculated through open-epi tool. participants divided into control and experimental group.participants diagnosed with grade 2and 3 K\&L classification of knee OA included.

Study Record Dates

• First Submitted: June 11, 2021
• First Posted: September 22, 2021
• Study Start: August 14, 2020
• Primary Completion: July 30, 2021
• Study Completion: July 31, 2021
• Last Updated: September 22, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)