Facial Distortion Model and Instrument Assisted Soft Tissue Mobilization Techniques

Completed

• Conditions: Meniscus Injury
• Interventions: Other: Exercise; Other: Instrument Assisted Soft Tissue Mobilisation; Other: Fascial Distortion Model

• Registration Number: NCT06309901
• Lead Sponsor: Ankara Yildirim Beyazıt University

Brief Summary

To compare the effects of facial distortion model and equipment assisted soft tissue mobilization techniques on the treatment process, which are among the applications in the rehabilitation process after meniscus repair.

Detailed Description

It is possible that pain, ROM, lower extremity flexibility and knee functions will be negatively affected after arthroscopic meniscus repair. This study searches and compares the effectiveness of fascial distortion model (FDM) and IASTM methods for these parameters that can be affected.

Study Timeline

• Study Start: 2019-06-30
• Primary Completion: 2021-12-01
• Study Completion: 2022-05-31
• Study First Submitted: 2024-02-16
• Status Verified: 2024-03
• Study First Submitted QC: 2024-03-12
• Last Update Submitted: 2024-03-12
• Study First Posted: 2024-03-13
• Last Update Posted: 2024-03-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 33

Inclusion Criteria

• The meniscus rupture and suspected magnetic resonance (MR) were diagnosed and operated by the surgeon during arthroscopy.
• Those treated with the same surgical technique
• Can walk independently before the operation
• Can continue treatment for 4 weeks
• Without chondral damage
• Can continue treatment for 4 weeks
• Those who have not had lower extremity surgery before
• No fracture to prevent load transfer in the last 6 months
• There is no full rupture of any ligament in the knee
• Without knee instability
• Those without abnormal changes in Q angle
• According to Cooper classification, meniscus affected area is not in A and F regions.
• Without protruded or extruded herniated disc
• There is no contract in the directory

Exclusion Criteria

• Can not continue treatment for 4 weeks

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Control Group	Exercise	A progressive home exercise program consisting of 3 phases was applied.
IASTM Group	Exercise	In addition to the progressive home exercise program consisting of 3 phases, the IASTM was applied with Graston technique around the knee.
FDM Group	Exercise	In addition to the progressive home exercise program consisting of 3 phases, the trigger band technique of the fascial distortion model was applied around the knee.
IASTM Group	Instrument Assisted Soft Tissue Mobilisation	In addition to the progressive home exercise program consisting of 3 phases, the IASTM was applied with Graston technique around the knee.
FDM Group	Fascial Distortion Model	In addition to the progressive home exercise program consisting of 3 phases, the trigger band technique of the fascial distortion model was applied around the knee.

Primary Outcome Measures

Name	Time	Method
Power Track Manuel Muscle Tester	Change from postoperative 4. week at 8. week	In the manual muscle test, a hand dynamometer was developed for the standardization of the given resistance, which determines the resistance given by the tester. This tool objectively shows the amount of force used in muscle testing. The tool is placed proximal to the tibia, the amount of force applied is read from the manometer on the dorsal side of the hand. It is placed on the front for extension and on the back for flexion.
Goniometric measurement	Change from postoperative 4. week at 8. week	uses a goniometer to measure the hamstring flexibility during a passive straight leg lift.
The Western Ontario Meniscal Evaluation Tool (WOMET )	Change from postoperative 4. week at 8. week	In this inventory, there are 16 items that represent physical domains (nine items), sports / entertainment / work / lifestyle (four items) and the domains of emotions (three items). A value between 0-10 is requested in each item. The score of each subgroup is obtained by dividing the marked values of the questions of that section by the number of questions and multiplying by 10. The total score is obtained by summing all scores and dividing by 16 and multiplying by 10.
environmental measurement	Change from postoperative 4. week at 8. week	One of the anthropometric measurement techniques is measured using tape measure. Medial tibial plateau and 5 cm intervals at 5 cm, 10 cm and 15 cm points are marked and the circumference of the knee and the leg is measured.
Visual Analog Scale	Change from postoperative 4. week at 8. week	It is used to convert some values that cannot be measured numerically into numerical values. Two end definitions of the parameter to be evaluated on both ends of a 100 mm line are written and the patient is asked to indicate where his / her condition is appropriate on this line by drawing a line or by marking or pointing.
sit and reach test	Change from postoperative 4. week at 8. week	To reach the farthest in a sitting position.
Lysholm Knee Score	Change from postoperative 4. week at 8. week	It is a scoring questioning situations such as pain, stair climbing, squatting, walking pattern and swelling of the knee while showing certain activities. In the Lysholm scoring system; It can be classified as 0-20 bad, 21-40 medium, 41-60 medium-good, 61-80 good, 81-100 perfect.

Trial Locations

Locations (1)

Yıldırım Beyazıt University Yenimahalle Training and Research Hospital; 🇹🇷 Ankara, Turkey