Comparative Effects of Strain Counter Strain and Myofascial Release in Patients With Knee Osteoarthritris

NCT07403383 | Completed

• 1 other identifier: REC/RCR & AHS/24/0194
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Osteoarthritis is a degenerative disease, the cartilage present in the joint gets damaged and the bones become hypertrophied. In US, the most commonly occuring arthritis is osteoarthritis. Myofascial release focuses on fascia. Strain counter strain is positional release

Conditions

Knee Osteoarthritis

Keywords

pain, quality of life, osteoarthritis

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale

  The Numeric Pain Rating Scale is a very common tool to asses pain in clinical settings. It is 0 to 10 pain rating scale in which 0 indicates no pain and 10 indicates worse pain.

  at the baseline and at the end of 4 week

• Quality of Life (QoL)

  QoL is 26 item tool for reliability, validity and responsiveness to changes in health.

  at the baseline of 4 weeks

Secondary Outcomes (1)

• Time Up and Go Test TUG

  at the baseline and at the end of 4 weeks

Study Arms (2)

experimental: Strain Counter Strain

EXPERIMENTAL

Strain Counter Strain involves positioning of hypertonic muscles and dysfunctional joints towards position of comfort. Initial session 2 to 3 times per week. Hot packs 2 to 3 times per week. Tens 2 to 3 times per week. Each session lasts 30 to 60 minutes holding the position for 90 seconds to 2 minutes. Exercises includes.

Other: Strain Counter Strain

Active Comparator: Myofascial Release

ACTIVE COMPARATOR

Myofascial release focuses on the fascia , connective tissue that surrounds muscles, bones and organs which becomes tight and restrict movement. ,Myo fascial release 2 to 3 times per week. 60 seconds per area. Hot packs 2 to 3 times per week. Low frequency TENS. Foam rolling for Calves and Hamstrings. Quadriceps isometric Contraction holds for 10 to 15 seconds with 2 to 4 sets of each exercise. Hamstrings and Adductor isometric contractions.

Other: Myofascial Release

Interventions

Strain Counter Strain OTHER

Strain Counter Strain involves passive positioning of hypertonic muscles and dysfunctional joints towards position of comfort. Conventional treatment includes Hot pack, Tens 2 to 3 times per week. Isometric exercises of Quadriceps, Hamstrings, Adductors and Calf muscles

experimental: Strain Counter Strain

Myofascial Release OTHER

Perform myofascial release technique 2 to 3 times per week. Time 60 seconds per area. Frequency 3 times a week. Hot packs applied 2 to 3 times per week Tens 2 to 3 times per week. Isometric contractions of Quadriceps, Hamstrings , Adductors and Calf muscles hold 10 to 15 seconds then gradually increase 30 seconds with 2 to 4 sets of each exercise

Active Comparator: Myofascial Release

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both males and females were included in the study.
• Patients aged 40 to 65 with clinical diagnosis of osteoarthritis
• Patient with Grade 2 osteoarthritis
• Patient with Grade 2 osteoarthritis
• Patients who have not undergone any surgical intervention on the Knee in the past 6 months.
• Overweight and obese people with (BMI of 25-29.9), BMI of 30 or above

You may not qualify if:

• Patients with history of knee surgery or joint replacement
• Patients with neurological conditions that could affect mobility or perception of pain.
• Patients with infections in the knee area
• Patients with any traumatic injury
• Pregnant Patients

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

PSRD Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Osteoarthritis, Knee; Pain; Osteoarthritis

Interventions

Myofascial Release Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Naila kanwal, TPT

  Riphah International University

  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: SPONSOR

Study Record Dates

• First Submitted: February 4, 2026
• First Posted: February 11, 2026
• Study Start: January 13, 2025
• Primary Completion: November 17, 2025
• Study Completion: November 17, 2025
• Last Updated: February 25, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)