Effect of Tissue Flossing, AIS, PNF on Hamstring Among Knee OA Patients

NCT05169606 | Completed DMC

• 1 other identifier: REC/01068 Mohammad Jawwad
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Tissue flossing has been known to produce results such as pain relief and improved range of motion, this technique might yield positive results in knee OA patients as well. These effects can further be compared with existing treatment method for treatment of hamstring such as Active isolated stretch and Proprioceptive Neuromuscular facilitation. This study will be among the first to carry out the technique of flossing in knee OA patients.

Conditions

Knee Osteoarthritis

Keywords

Tissue Flossing; Active Isolated Stretch; Proprioceptive Neuromuscular Facilitation; Knee Osteoarthritis; Pain; Range of motion

Outcome Measures

Primary Outcomes (2)

• Straight Leg Raise for Flexibility

  The leg is raised straight raise test when performed when the subject is placed supine, the therapist grasps the ankle and lifts the leg straight up, while stabilises the same anterior superior iliac spine. If the leg cannot be raised beyond 80degrees the hamstrings is considered tight.

  for four weeks

• Passive Knee Extension Test for Flexibility

  The patient is positioned in supine with the hip of the tested leg in 90 degrees of flexion.The contralateral leg stays flat on the examination table. The clinician extends the knee until reaching the maximal tolerable stretch of the hamstring muscle as indicated by the patient with the ipsilateral hip remaining in 90 of flexion. The knee angle is then measured with a goniometer.

  For four weeks

Secondary Outcomes (2)

• Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

  For four weeks

• Numeric pain rating scale for pain

  for four weeks

Study Arms (3)

Tissue Flossing

EXPERIMENTAL

Tissue flossing is a technique that requires wrapping of a thick rubber band around a joint or muscle concomitantly performing ROM tasks for 1-3 minutes. The results include increase in range of motion and a decrease in pain of the effected muscles. The phenomenon behind getting results through this technique is hypothesized to be blood reperfusion to an occluded area via tissue flossing augments exercise performance mechanisms such as growth hormone, catecholamine responses, muscle force contractility and the efficiency of excitation-contraction coupling in the muscles. In addition, tissue flossing may influence fascia tightness via the fascial mechanoreceptors, therefore reducing muscle activity, resulting in a greater ROM. Nevertheless, the underlying mechanism for tissue flossing, these mechanisms remain speculative.

Other: Tissue Flossing; Other: Active Isolated Stretch; Other: Proprioceptive Neuromuscular Facilitation

Active Isolated Stretch

EXPERIMENTAL

Active Isolated Stretch is a specific stretching program developed by Aaron Mattes over 30 years ago. Active isolated stretch is also found to be effective to increase flexibility and improve ROM.

Other: Tissue Flossing; Other: Active Isolated Stretch; Other: Proprioceptive Neuromuscular Facilitation

Proprioceptive Neuromuscular Facilitation

EXPERIMENTAL

Proprioceptive neuromuscular facilitation (PNF) technique has already been found to have beneficial effects in improving hamstring flexibility and reducing pain in the knee joint of knee OA patients.

Other: Tissue Flossing; Other: Active Isolated Stretch; Other: Proprioceptive Neuromuscular Facilitation

Interventions

Tissue Flossing OTHER

Tissue flossing is a technique that requires wrapping of a thick rubber band around a joint or muscle concomitantly performing ROM tasks for 1-3 minutes. The results include increase in range of motion and a decrease in pain of the effected muscles. The phenomenon behind getting results through this technique is hypothesized to be blood reperfusion to an occluded area via tissue flossing augments exercise performance mechanisms such as growth hormone, catecholamine responses, muscle force contractility and the efficiency of excitation-contraction coupling in the muscles. In addition, tissue flossing may influence fascia tightness via the fascial mechanoreceptors, therefore reducing muscle activity, resulting in a greater ROM. Nevertheless, the underlying mechanism for tissue flossing, these mechanisms remain speculative.

Active Isolated Stretch; Proprioceptive Neuromuscular Facilitation; Tissue Flossing

Active Isolated Stretch OTHER

AIS is a specific stretching program developed by Aaron Mattes. This technique is based on these four basic principles: Isolate the muscle to be stretched. Repeat the stretch eight to 10 times. Hold each stretch for no more than two seconds. Exhale on the stretch; inhale on the release.

Active Isolated Stretch; Proprioceptive Neuromuscular Facilitation; Tissue Flossing

Proprioceptive Neuromuscular Facilitation OTHER

Proprioceptive neuromuscular facilitation (PNF) technique has already been found to have beneficial effects in improving hamstring flexibility and reducing pain in the knee joint of knee OA patients

Active Isolated Stretch; Proprioceptive Neuromuscular Facilitation; Tissue Flossing

Eligibility Criteria

• Age: 35 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Grade 1 and Grade 2 osteoarthritis patients
• Tight Hamstrings (pain in passive Straight Leg Raise \<70 degrees)
• Willing to participate

You may not qualify if:

• Patients who have latex allergy
• Hypertension (i.e., resting systolic 130-159 mm Hg and diastolic 85-99 mm Hg)
• Venous thrombotic disease
• Heart diseases
• Respiratory diseases apparent neurological, dermatitis, or neurological problems in their legs
• Patients who do not give consent.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Alees Medical centre

Islamabad, Punjab Province, 44150, Pakistan

Location

MeSH Terms

Conditions

Osteoarthritis, Knee; Pain

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 13, 2021
• First Posted: December 27, 2021
• Study Start: June 30, 2021
• Primary Completion: January 20, 2022
• Study Completion: January 20, 2022
• Last Updated: February 2, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)