Comparison of Soft Tissue Techniques on Hamstring Flexibility Knee Osteoarthritis

NCT05125289 | Completed DMC

• 1 other identifier: RiphahIU Ume habiba
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to compare the effects of Graston Technique, active release technique and PNF stretching on hamstring flexibility in Patients with Knee Osteoarthritis. Randomized controlled trials done at Riphah International University, Islamabad.. The sample size was 45. The subjects were divided in three groups, 15 subjects in Graston Technique group, 15 subjects in active release technique group and 15 in PNF stretching group. Study duration was of 6 months. Sampling technique applied was non probability purposive sampling technique. Male and female patients greater than 30 years of age, with unilateral or bilateral OA of grade 1 and 2 in Kellegren and Lawrence criteria for knee OA, having UL/BL hamstring tightness, Pain \> 3 on NPRS, ROM \> 200 from AKE test were included. Tools used in the study are NPRS, AKE test by goniometer, Lower extremity functional index (LEFI) and WOMAC.

Conditions

Knee Osteoarthritis

Keywords

Active release technique; Graston technique; Knee Osteoarthritis; PNF stretching; Hamstring tightness

Outcome Measures

Primary Outcomes (1)

• WOMAC

  WOMAC was used for evaluating Osteoarthritis patients. The WOMAC OA index included 24 questions and three sections that questioned pain, stiffness, and physical function. The scale included five pain-related questions, two stiffness-related questions, and 17 physical function- related questions. The maximum scores were 20 for the pain subgroup, eight for the stiffness subgroup and 68 for the physical function subgroup. High scores indicated that the patient had worse symptoms in the relevant group.

  4th week

Secondary Outcomes (3)

• Numeric pain rating scale (NPRS)

  4th week

• Active Knee Extension Test

  4th week

• Lower extremity functional index

  4th week

Study Arms (3)

experimental intervention group 1

EXPERIMENTAL

Graston technique group

Other: Graston technique group

Experimental :interventional group II

EXPERIMENTAL

Active release technique group

Other: Active release technique group

experimental group III

EXPERIMENTAL

Proprioceptive Neuromuscular Facilitation stretching group

Other: Proprioceptive Neuromuscular Facilitation stretching group

Interventions

Graston technique group OTHER

Moist hot pack (10 minutes) Isometric quadriceps exercises (10 repetitions) Straight leg raise (10 repetitions) Graston technique steps 6 long strokes by the GT1 instrument on the hamstring muscle longitudinally. The Graston technique duration will be 5 minutes

experimental intervention group 1

Active release technique group OTHER

* Moist hot pack (10 minutes) * Isometric quadriceps exercises (10 repetitions) * Straight leg raise (10 repetitions) ART steps: * Subject lies on the plinth in prone or in side lying position with the dominant side facing upwards. * Gentle tension is applied to the hamstring muscle along the entire length while stretching the leg in prone lying or side lying positions, depending on the level of pain and tightness of muscle (5 repetitions at 5 seconds interval). * Gentle tension is also applied at the origin and insertion of the hamstring muscle until the patient feels full release.

Experimental :interventional group II

Proprioceptive Neuromuscular Facilitation stretching group OTHER

* Moist hot pack (10 minutes) * Isometric quadriceps exercises (10 repetitions) * Straight leg raise (10 repetitions) PNF technique steps: * The subject is in supine position with his non-dominant leg strapped down the table while the dominant leg rests on the therapist right shoulder. * The therapist stretches the hamstring muscle until the subject first reports a mild stretch sensation; held for 7 sec by passively flexing the hip with knee fully extended, allowing no hip rotation. * Next, the subject isometrically contracts the hamstring muscle for 3 sec and then relax for 5 sec. * This sequence is repeated 5 times at a 20 second interval.

experimental group III

Eligibility Criteria

• Age: 30 Years - 50 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Aged \> 30years. Both male \& female. Uni/bilateral OA. Grade I or II OA. Uni/bilateral hamstring tightness ranging between 40 to 70 degrees of a straight leg raise.

You may not qualify if:

• Hamstring injury and strains within 2 months. Any skin infections History of any lower limb surgeries within last 6 months. Lumber disc herniation. Lower limb neurological compromise.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Railway General Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

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

Study Officials

• Aisha Razzaq, MSPT-OMPT

  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

Study Record Dates

• First Submitted: November 8, 2021
• First Posted: November 18, 2021
• Study Start: December 1, 2021
• Primary Completion: July 20, 2022
• Study Completion: August 1, 2022
• Last Updated: November 9, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)