Adding Deep Front Line Myofascial Release to Selected Exercises in Patients With Knee Osteoarthritis

NCT05812898 | Completed

• 1 other identifier: P.T.REC/012/004281
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

the aim of the study is to investigate the effect of deep front line myofascial release to selected exercises in patients with knee osteoarthritis

Conditions

Knee Osteoarthritis

Keywords

myofascial release; Knee osteoarthritis; Deep front line

Outcome Measures

Primary Outcomes (4)

• pain intensity

  The scale that will be used the visual analogue scale;each subject will instructed to record pain intensity on line of 100mm. Starting from no pain on the leftto the most sever pain imaginable on the right Patient will choose the point which describe his pain.the more the score toward the end the more severe pain

  up to four weeks

• function

  The Arabic version of reduced Western Ontario and McMasters University Osteoarthritis Index (ArWOMAC) index will be used to measure functional disability.is a self-administered questionnaire consisting of 24 items divided into 3 subscales: * Pain (5 items): During walking, using stairs, in bed, sitting or lying, and standing upright * Stiffness (2 items): After first waking and later in the day Physical Function (17 items).The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function.Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations

  up to four weeks

• rang of motion

  using digital inclinometer

  up to four weeks

• joint position sense

  using digital inclinometer for target angle 30 degree knee flexion

  up to four weeks

Study Arms (2)

control group

SHAM COMPARATOR

The control group received selective exercises therapy in the form of strengthening and stretching exercises for selective muscles of hip and knee

Other: exercises

study group

EXPERIMENTAL

The study group received selective exercises therapy in the form of strengthening and stretching exercises for selective muscles of hip and knee, plus myofascial release technique of the deep front line.

Other: exercises; Other: myofascial release

Interventions

exercises OTHER

strengthening of the gluteus maximus and medius, calf muscles stretching for calf and hamstring muscles

control group; study group

myofascial release OTHER

myofascial release using instrument assisted soft tissue mobilization

study group

Eligibility Criteria

• Age: 45 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Mild to moderate unilateral or bilateral medial tibiofemoral OA grade II-III (K/L).
• The age of the participants will range from 45 to 60 years old .
• BMI ranged from 20-30 kg/m2

You may not qualify if:

• Severe knee OA (grade IV according to K/L classification).
• Congenital or acquired inflammatory, rheumatic or neurological (systemic or local) diseases involving the knee.
• Patients receiving oral or injected corticosteroids for the last 3 months .
• History of knee surgery/fracture.
• Patients with ACL and meniscus injury

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Hoda Mohamed Ahmed

Giza, Egypt

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Exercise; Myofascial Release Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• hoda m Ahmed, bachelor

  phyical therapist at Cairo university hospitals

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: exercise plus myofascial release of the adductor and tipialis posterior muscles.

Study Record Dates

• First Submitted: April 1, 2023
• First Posted: April 14, 2023
• Study Start: January 1, 2023
• Primary Completion: April 1, 2023
• Study Completion: May 15, 2023
• Last Updated: February 7, 2024

Record last verified: 2024-02

Locations

EG (1)