Bowen Technique With Retro-walking on Hamstring Flexibility in Knee Osteoarthritis

NCT07238751 | Recruiting

• 1 other identifier: Aqsa Butt
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized controlled trial is to find the effects of Bowen technique with retro-walking on hamstring flexibility, pain, dynamic mobility and knee related disability in knee Osteoarthritis patients

Conditions

Knee Osteoarthritis

Keywords

Knee Osteoarthritis; Hamstring tightness; Bowen technique; Retro-walking

Outcome Measures

Primary Outcomes (5)

• Visual Analogue scale VAS

  The VAS is psychomotor response scales to investigate a unidimensional measure of pain intensity. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.

  4 weeks

• Active knee extension test

  Active knee extension will use to access the flexibility of the hamstring muscle. Ask the patient to lay down in spine position while flexing the hip 90-degree, other leg down with couch and leg to be test with both hands. The goniometer will place on knee and ask the patient to extend the knee holding hip flex 90 degree

  4 weeks

• SLR

  A goniometer will be used to measure the range of hip flexion on passive SLR and range less than 80 degree indicate that the hamstring muscle tightness

  4 weeks

• Timed Up and Go (TUG) Test

  The TUG test measures the time taken by a participant to stand up from a standard chair, walk a distance of 3 meters, turn around, walk back to the chair, and sit down. It assesses dynamic balance and functional performance.

  4 weeks

• Knee injury and osteoarthritis score

  In KOOS include 42 items in five subscales to check different categories i.e. pain (9 items), symptoms (7 items), functions in the activity of daily living (ADLs) (17) items), sports and recreational activities (5 items), and quality of life (4 items).

  4 weeks

Study Arms (2)

Bowen technique with Retro-walking

OTHER

Bowen technique with Retro-walking

Other: Bowen technique with Retro-walking

Conventional PT

OTHER

Conventional PT

Other: Conventional Treatment

Interventions

Bowen technique with Retro-walking OTHER

In initially step the patient in prone position and therapist approach on the same side of the treatment limb. Use the thumb by applying the pressure on the lateral side of the target muscle. The treatment sequence will begin with thumb gradually involve the finger. a single treatment consists of a series of specific sequences of these moves with frequent pauses 2 to 5 minutes to allow time for the body to respond. Treatment session duration 15-20 minutes occur 3 days per week, for 4 weeks. Week 1(retro-walking on flat surface for 5 minutes) week 2(retro walking on flat surface for 7 minutes) week 3(retro-walking on flat surface for 10 minutes) week 4 (retro-walking on flat surface for 15 minutes) .Conventional PT including 1- hot pack 2-isometric quadriceps exercise(1 set of 10 reps twice a day)2-SLR stretch (1set of 10 reps twice a day)4-isometric hip adduction exercise( 1 set of 10 reps twice a day)5-Terminal knee extension( 1 set of 10 reps twice a day) total duration is 3 sessions

Bowen technique with Retro-walking

Conventional Treatment OTHER

Conventional PT including 1-. Hot pack 2- isometric quadriceps exercise (1 set of 10 reps twice a day) 3-SLR Stretch (1set of 10 reps twice a day) 4 -isometric hip adduction exercise (1 set of 10 reps twice a day) 5-Terminal knee extension (1 set of 10 reps twice a day) Total duration is 3 sessions per week for 4 consecutive weeks.

Conventional PT

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 40-60 years
• Both gender: male and female
• Less than 80-degree hip flexion angle on passive SLR, Active knee extension greater than 20 indicates hamstring muscle tightness
• Kellgren and Lawrence classification (stage I and stage II)
• Bilateral hamstring tightness
• Visual analogue scale value greater than 3
• Pain duration more than 3 months

You may not qualify if:

• Meniscal injury or ligamentous injury
• Muscle/tendon injuries of hamstring
• Spinal Injuries and any other co- morbidity
• Any surgery, infection, trauma, pregnancy, fracture and fall
• Involvement in regular flexibility yoga program
• Patient with intra articular steroidal therapy with in last 6 months
• Patient involvement in another intervention study
• Malignancy
• Pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Shaafi international hospital,ISLAMABAD

Islamabad, Punjab Province, 46600, Pakistan

RECRUITING

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

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

Study Officials

• KINZA ANWAR, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

KINZA ANWAR, MS-OMPT

CONTACT

+92-3239735427; kinza.anwar@riphah.edu.pk

Study Design

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

Study Record Dates

• First Submitted: September 25, 2025
• First Posted: November 20, 2025
• Study Start: October 25, 2025
• Primary Completion (Estimated): September 20, 2026
• Study Completion (Estimated): September 25, 2026
• Last Updated: November 20, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)