Comparative Effect of Instrument Assisted Soft Tissue Mobilization and Cross Fiber Massage in Patients With Total Knee Replacement.

NCT07361770 | Completed DMC

• 1 other identifier: IRB/2024/168
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Comparative effect of Instrument Assisted Soft Tissue Mobilization and Cross Fiber Massage in patients with Total Knee Replacement

Conditions

Total Knee Replacement

Keywords

Instrument Assisted Soft Tissue Mobilization; Cross Fibre Massage; Pain; Range of motion; Total Knee Replacement

Outcome Measures

Primary Outcomes (1)

• Pain Intensity

  Visual Analogue Scale (VAS) is a widely used tool to measure pain intensity. The visual analog scale (VAS) for pain is a straight line with one end meaning no pain and the other end meaning the worst pain imaginable. It was used to assess pain.

  Baseline and 4th week

Secondary Outcomes (1)

• Range Of Motion

  Baseline and 4th week

Other Outcomes (1)

• Knee Funtion

  Baseline and 4th week

Study Arms (2)

Instrument Assisted Soft Tissue Mobilization

EXPERIMENTAL

The Graston Technique of Soft-Tissue Therapy (GT), also known as instrument-assisted soft tissue mobilization (IASTM), is used by chiropractors, physicians, and therapists to manage pain and range-of-motion limitations caused by scar tissue and musculoskeletal injuries. The GT treats tissue injuries and pain by separating scar tissue and producing heat, which increases blood flow to the areas affected by pain or trauma.

Other: Instrument-assisted soft tissue mobilization

Cross Fibre Massage

ACTIVE COMPARATOR

Deep tissue massage is a type of massage that focuses on the muscular tissue's most profound levels. In tight regions, therapists utilize a combination of gentle strokes and deep pressure with their fingers, palms, and forearms. Either following or by going over the muscle fibers. It is used for back pain Reduce high blood pressure, Relieve pain and stiffness Speed up the healing of muscle strains and sprains Chronic constipation.

Other: Cross Fibre Massage

Interventions

Instrument-assisted soft tissue mobilization OTHER

Each treatment session was of 15-20 minutes for all muscles, with the help of IASTM device assisted by friction-free oil or gel. The general principle is a six-step technique comprising examination, warm-up, IASTM, stretching, strengthening and icing. Data was collected by an independent assessor at baseline and after 4 weeks

Instrument Assisted Soft Tissue Mobilization

Cross Fibre Massage OTHER

The massage is deep and must be applied transversely to the specific tissue involved unlike the superficial massage given in the longitudinal direction parallel to the vessels which enhances circulation and return of fluid. The therapist's fingers and patient's skin must move as one, otherwise moving subcutaneous fascia against muscle or ligament could lead to blister formation or subcutaneous bruising. Data was collected by an independent assessor at baseline and after 4 weeks.

Cross Fibre Massage

Eligibility Criteria

• Age: 40 Years - 60 Years
• Gender Eligibility Details: Both male and female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Both male and female of Age 40-60
• Radiological diagnosis
• Advanced degenerative OA knee, undergoing a primary TKR
• Pain intensity \>3

You may not qualify if:

• Rheumatoid Arthritis patients
• Septic Arthritis and other inflammatory arthritis patients
• Secondary or traumatic O.A
• Congenital bony deformities
• Flexion contracture, patellar dislocation
• Fracture or pervious osteotomy
• Neurological dysfunction

Sponsors & Collaborators

• Rashid Latif Medical College: lead

Study Sites (1)

Arif Memorial Teaching Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (1)

• Bhosale P, Kolke Pt S. Effectiveness of instrument assisted soft tissue mobilization (IASTM) and muscle energy technique (MET) on post-operative elbow stiffness: a randomized clinical trial. J Man Manip Ther. 2023 Oct;31(5):340-348. doi: 10.1080/10669817.2022.2122372. Epub 2022 Sep 28.

  PMID: 36171728 RESULT

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The assessor was kept blind and was not aware of any intervention groups.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: House officer Physical Therapy

Model Details: Group A: IASTM Patients received IASTM with baseline treatment. Group B: Cross Fiber Massage Patients received Cross fiber massage with baseline treatment.

Study Record Dates

• First Submitted: January 15, 2026
• First Posted: January 23, 2026
• Study Start: August 15, 2024
• Primary Completion: December 25, 2024
• Study Completion: January 8, 2026
• Last Updated: January 23, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: It will available after publication of study.
• Access Criteria: The researchers and other scientists , but after publication.

Locations

PA (1)