Effectiveness of Stanley Paris Manual Therapy Concept Versus Conventional Physiotherapy in Pain Reduction and Functional Improvement in Grade II Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Pain Reduction Measured by Visual Analog Scale (VAS)
研究概览
简要总结
This study aims to compare two different physiotherapy approaches for people suffering from Grade II Knee Osteoarthritis (OA) - a condition that causes knee pain, stiffness, and difficulty in walking.
The first approach is the Stanley Paris Manual Therapy Concept, which involves hands-on treatment techniques such as joint mobilization, soft tissue massage, and movement correction. The second is Conventional Physiotherapy, which uses traditional exercises and electrotherapy (like heat, ultrasound, or TENS) to reduce pain and improve strength.
The study will include 50 patients aged 40-60 years who have moderate knee osteoarthritis. They will be randomly divided into two groups - one receiving manual therapy and the other receiving conventional physiotherapy - for 6 to 8 weeks.
Researchers will measure pain, knee function, range of motion, balance, and quality of life before and after treatment to see which method gives better results.
By identifying which therapy works more effectively, this study will help patients, families, and healthcare providers choose the most beneficial and evidence-based treatment for improving movement, reducing pain, and enhancing daily living activities in people with knee osteoarthritis.
详细描述
Knee osteoarthritis (OA) is a common degenerative joint disorder that causes pain, stiffness, and loss of mobility, often leading to functional limitations and reduced quality of life. In Grade II OA, cartilage damage is moderate and potentially reversible through appropriate rehabilitation strategies. This stage offers an important opportunity for physiotherapy interventions to restore function and delay further joint deterioration.
The Stanley Paris Manual Therapy Concept emphasizes a biomechanical and hands-on approach to rehabilitation. It includes joint mobilization, soft tissue manipulation, neural mobilization, and correction of faulty movement patterns to restore normal joint motion and neuromuscular control. In contrast, Conventional Physiotherapy typically focuses on pain management using electrotherapy modalities, strengthening exercises, and general mobility training.
This randomized controlled trial (RCT) is designed to compare the effectiveness of these two treatment approaches in individuals with Grade II knee osteoarthritis. Fifty participants will be randomly allocated into two equal groups: one receiving the Stanley Paris manual therapy and the other receiving conventional physiotherapy, for a period of 6-8 weeks. Standardized assessment tools - including the Visual Analog Scale (VAS) for pain, the Knee Injury and Osteoarthritis Outcome Score (KOOS) for function and quality of life, and the Berg Balance Scale for proprioception and stability - will be used to evaluate outcomes at baseline, mid-intervention, and post-intervention.
The study will generate clinical evidence on whether manual therapy provides superior outcomes in terms of pain relief, functional improvement, and patient satisfaction compared to conventional physiotherapy. Results are expected to assist clinicians in developing more effective rehabilitation protocols for managing knee osteoarthritis and improving patients' independence and overall well-being.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
盲法说明
This study will use a quadruple-blind design in which the participants, care providers, investigators, and outcomes assessors will all be masked to group allocation. Randomization will be conducted using a coded allocation system managed by an independent coordinator. Intervention protocols will be standardized and labeled by code to ensure blinding of treatment identity. Data collection and analysis will be performed without revealing group assignments to maintain objectivity and reduce bias.
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •diagnosed with Grade II knee osteoarthritis based on radiographic and clinical criteria.
- •Participants experiencing knee pain for at least three months.
- •Ability to walk independently without assistive devices.
- •Willingness to participate in a structured physiotherapy program.
排除标准
- •Presence of Grade III or IV knee osteoarthritis.
- •History of knee surgery or joint replacement.
- •Rheumatoid arthritis or other inflammatory joint diseases.
- •Neurological conditions affecting lower limb function.
- •Contraindications to manual therapy or exercise interventions.
结局指标
主要结局
Pain Reduction Measured by Visual Analog Scale (VAS)
时间窗: Change in pain intensity from baseline to 4th week and 8 weeks
The Visual Analog Scale (VAS) will be used to assess the intensity of knee pain. Participants will mark their pain level on a 10 cm line ranging from 0 ("no pain") to 10 ("worst imaginable pain"). Pain scores will be recorded at baseline, after 4 weeks, after 8 weeks of treatment.
Functional Improvement Measured by Knee Injury and Osteoarthritis Outcome Score (KOOS)
时间窗: Change in KOOS scores from baseline to 4th weeks and 8 weeks.
The KOOS questionnaire will assess knee function, daily living activities, sports and recreation function, and knee-related quality of life. Each subscale is scored from 0 (extreme problems) to 100 (no problems).
Knee Range of Motion Measured by Goniometer
时间窗: Change from baseline to 4th weeks and 8 weeks post-intervention.
Active knee flexion and extension will be measured using a standard universal goniometer to assess joint mobility.
Balance and Proprioception Measured by Berg Balance Scale
时间窗: Change from baseline to 4th week and 8 weeks post-intervention.
The Berg Balance Scale (14 items, score range 0-56) will assess participants' static and dynamic balance. Higher scores indicate better balance and lower fall risk.
次要结局
未报告次要终点
研究者
Dr Abdul Haseeb Bhutta
ASSISTANT PROFESSOR / HOD PHYSICAL THERAPY DEPARTMENT
Ibadat International University, Islamabad