Positional Release Technique of Iliotibial Band and Pes Anserine Versus Proprioception Exercise on Patients With Knee Osteoarthritis

Osteoarthritis (OA) is one of the most common chronic diseases in the world. It is frequently accompanied by high levels of persistent pain. Osteoarthritis is the most common degenerative disease, primarily affects the articular cartilage and the subchondral bone of a synovial joint, eventually resulting in joint failure. It is a disease involving multiple alterations on the joint tissues, including cartilage degradation, bone remodeling, and osteophyte formation; this leads to clinical manifestations, including pain, stiffness, swelling, and limitations in joint function. The positional release technique is a type of manual therapy that can be used effectively in treating pain and disability that is associated with musculoskeletal dysfunctional conditions and decrease tissue tenderness by altering nociceptor activity in the soft tissues. The positional release appears to affect inappropriate proprioceptive activity, thus helping to normalize tone and set the normal length-tension relationship in the muscle. Proprioceptive exercise is an effective way to strengthen knee joint muscle function and reduce pain in patients with knee osteoarthritis. The current study, it may be useful to compare the effect of the positional release technique, as it is a new modality and has proven its effectiveness in several studies on decreasing pain and dysfunction and increasing range of motion, versus the proprioception exercises which also have an improvement on pain, range, and function. The knee proprioception and pain pressure threshold will be also tested to compare these techniques on knee osteoarthritis patients