Positional Release Technique of Iliotibial Band and Pes Anserine Versus Proprioception Exercise on Patients With Knee Osteoarthritis

NCT07286669 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006112
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

this studty was conducted to compare the effect of the positional release technique of the iliotibial band and Pes Anserine Versus Proprioception Exercise on Patients with knee osteoarthritis.

Conditions

Knee Osteoarthritis

Keywords

Positional Release Technique; Proprioception Exercise; Knee Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• knee disabiity

  The Western Ontario and McMaster Universities Arthritis Index (WOMAC) was widely used in the evaluation of Hip and Knee Osteoarthritis. It is a self-administered questionnaire consisting of 24 items divided into 3 subscales;Pain (5 items),Stiffness (2 items), Physical Function (17 items): The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). 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. Usually a sum of the scores for all three subscales gives a total WOMAC score, however there are other methods that have been used to combine scores. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations

  up to 6 weeks

Secondary Outcomes (4)

• pain intensity

  up to 6 weeks

• range of motion

  up to six weeks

• pressure pain threshold

  up to six weeks

• knee joint position error

  up to six weeks

Study Arms (3)

Positional Release Technique

EXPERIMENTAL

Twenty patients will receive positional release technique in addition to traditional exercises. The treatment protocol will be 3 sessions per week for six weeks

Other: Positional Release Technique; Other: traditional exercise

proprioception exercises

EXPERIMENTAL

Twenty patients will receive proprioception exercises in addition to traditional exercise. The treatment protocol will be 3 sessions per week for six weeks.

Other: proprioception exercises; Other: traditional exercise

traditional exercise

ACTIVE COMPARATOR

Twenty patients receive only traditional exercise. Treatment protocol will be 3 session per week for six weeks

Other: traditional exercise

Interventions

Positional Release Technique OTHER

Positional release of Pes Anserine:Slide the fingers approximately 1 inch (2.5 cm) medially from the tibial tuberosity onto the bony insertion site. On the well-developed patient, the mass of the tendons can be grasped as a group at the medial knee.Apply tibial traction or upward compression with the far hand for fine-tuning. Maintain for 90 seconds with repeation 3 times in a session with a break of 30 seconds. Positional release of iliotibial band:Stand on the side of the supine patient that is opposite the band to be palpated. With your hands flat, align them over the lateral thigh just below the greater trochanter of the femur. Apply cephalad compression of the limb with the far hand or your body to fine-tune. Maintain for 90 seconds with repetition 3 times in a session with a break of 30 seconds

Positional Release Technique

proprioception exercises OTHER

the patients will receive proprioceptive exercises in the form of Heel Walk, Toe Walk, Sideways Knitting Walk, Sideways Step,Cross Walk, Semi Tandem Walk, Tandem Walk, High Knee Walk, Wedding Walk, Backward Wedding Walk, balance and coordination exercises.

proprioception exercises

traditional exercise OTHER

Stretch exercises: Rectus femoris, Iliotibial band, Hamstring and stretch for calf muscle (3sets, each stretch 30 sec hold, 30 second relaxation between each set 5sec rests). and repeated 3 times. Strengthen exercises: Isometric Exercises for quadriceps (10 rep,3sets), Hip abductors strengthening 45 degree (10 rep,3sets), Hip extensor strengthening 15 degree (10 rep,3sets), Straight leg raising 45-70 degree (10 rep,3sets), Short arc knee extension (10 rep,3sets)

Positional Release Technique; proprioception exercises; traditional exercise

Eligibility Criteria

• Age: 45 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both genders with knee osteoarthritis will participate in this study according to the American College of Rheumatology criteria
• An average pain intensity of ≥3 on a 10-cm visual analogue scale (VAS).
• Patients with unilateral knee osteoarthritis, for those patients with bilateral knee -Patients with grade II \&lll chronic knee osteoarthritis (clinical and imaging diagnosis X-ray.
• Patients were referred by orthopedic physician.
• Patients with body mass index \<30Kg/cm2.

You may not qualify if:

• Previous knee surgery
• Serious valgus or varus deformity
• Past or present vascular disorder.
• Acute or chronic low back pain.
• Upper motor neuron lesion and lower motor neuron lesion.
• A history of rheumatoid arthritis.
• Presence of malignancy.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Nabil Abdel-Aal, phd

CONTACT

01200133613; nabil.mahmoud@cu.edu.eg

Dina Magdy, master

CONTACT

01128016646; dinamagdy365@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : nabil mahmoud ismail

Model Details: positional release technique and proprioception exrecises

Study Record Dates

• First Submitted: December 3, 2025
• First Posted: December 16, 2025
• Study Start: December 15, 2025
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: December 16, 2025

Record last verified: 2025-12