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Effects of Muscle Energy Technique in Knee Osteoarthritis Patients

Not Applicable
Completed
Conditions
Knee Osteoarthritis
Interventions
Other: CONVENTIONAL PHYSICAL THERAPY
Other: MUSCLE ENERGY TECHNIQUE
Registration Number
NCT05349565
Lead Sponsor
Riphah International University
Brief Summary

To determine the effectiveness of muscle energy technique along conventional physical therapy after mesenchymal stem cell transplantation in knee Osteoarthritis patients regarding Pain, range of motion, functional disability and quality of life.

Detailed Description

Mesenchymal stem cells (MSCs) replacement is a regenerative therapeutic procedures for the early treatment of cartilaginous defects in knee osteoarthritis. MSCs may improve symptoms and function in osteoarthritic joints but also decrease inflammation and induce cartilage healing by differentiating into chondrocytes, osteoblasts and indicating appropriate extracellular matrix proteins (i.e. collagen I and II) through the secretion of cytokines, chemokines, and growth factors from MSCs.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria
  • Both male and female
  • Age > 40 years
  • Knee osteoarthritis patients undergone mesenchymal stem cell transplantation.
Read More
Exclusion Criteria
  • History of recent or past septic arthritis
  • Patients with neurological deficit
  • Uncontrolled diabetes
  • Malignancy
  • Vascular insufficiency
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CONVENTIONAL PHYSICAL THERAPYCONVENTIONAL PHYSICAL THERAPYTENS , Open chain knee flexion and extension, Calf stretch , Quad set
MUSCLE ENERGY TECHNIQUEMUSCLE ENERGY TECHNIQUEMET ( isometric contraction with 6-10 sec )
Primary Outcome Measures
NameTimeMethod
Numeric Pain Rating Scale (NPRS)NPRS used to measure changes from baseline pre and post 2 weeks physiotherapy session in knee OA patients after mesenchymal stem cell replacement and on 1 month follow up session.

The Numeric Pain Rating Scale (NPRS) is the simplest and most commonly used numeric scale to rate the pain from 0 (no pain) to 10 (worst pain).

Secondary Outcome Measures
NameTimeMethod
Goniometer (range of motion)baseline pre and post 2 weeks physiotherapy session in knee OA patients after mesenchymal stem cell replacement and on 1 month follow up session.

Knee flexion and extension ranges were taken using goniometer to measure changes in ROM.

Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)WOMAC index used to measure changes from baseline pre and post 2 weeks physiotherapy session in knee OA patients after mesenchymal stem cell replacement and on 1 month follow up session.

The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is widely used to measure symptoms and physical disability, originally developed for people with OA of the hip or knee. It evaluates three dimensions: pain, stiffness, and physical function with 5, 2, and 17 questions. 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, a total of 96, 0 (no symptoms/no limitation) and 96 (maximal symptoms/maximal limitation).

SF-12 (quality of life)SF-12 used to measure changes from baseline pre and post 2 weeks physiotherapy session in knee OA patients after mesenchymal stem cell replacement and on 1 month follow up session.

The SF-12 focuses on patient-based assessments of physical and mental health. Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning. A score of 50 or less on the PCS-12 has been recommended as a cut-off to determine a physical condition; while a score of 42 or less on the MCS-12 may be indicative of 'clinical depression.

Trial Locations

Locations (1)

Institute of Regenerative medicine

🇵🇰

Islamabad, Pakistan

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