Adding Deep Front Line Myofascial Release to Selected Exercises in Patients With Knee Osteoarthritis
- Conditions
- Knee Osteoarthritis
- Interventions
- Other: exercisesOther: myofascial release
- Registration Number
- NCT05812898
- Lead Sponsor
- Cairo University
- Brief Summary
the aim of the study is to investigate the effect of deep front line myofascial release to selected exercises in patients with knee osteoarthritis
- Detailed Description
: Knee osteoarthritis (KOA) also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage.
The myofascial meridian is a new approach to the facial restriction .the knee capsules, the adductor muscles and the tipialis posterior are part of the deep front line which is a line of the myofascial meridian.
Exercise is the highest evidence in the treatment of knee osteoarthritis. The myofascial release is effective in the treatment of knee osteoarthritis so the study will investigate the effect of adding deep front line myofascial release to selected exercises in patients with knee osteoarthritis.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 42
- Mild to moderate unilateral or bilateral medial tibiofemoral OA grade II-III (K/L).
- The age of the participants will range from 45 to 60 years old .
- BMI ranged from 20-30 kg/m2
- Severe knee OA (grade IV according to K/L classification).
- Congenital or acquired inflammatory, rheumatic or neurological (systemic or local) diseases involving the knee.
- Patients receiving oral or injected corticosteroids for the last 3 months .
- History of knee surgery/fracture.
- Patients with ACL and meniscus injury
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description study group myofascial release The study group received selective exercises therapy in the form of strengthening and stretching exercises for selective muscles of hip and knee, plus myofascial release technique of the deep front line. control group exercises The control group received selective exercises therapy in the form of strengthening and stretching exercises for selective muscles of hip and knee study group exercises The study group received selective exercises therapy in the form of strengthening and stretching exercises for selective muscles of hip and knee, plus myofascial release technique of the deep front line.
- Primary Outcome Measures
Name Time Method rang of motion up to four weeks using digital inclinometer
pain intensity up to four weeks The scale that will be used the visual analogue scale;each subject will instructed to record pain intensity on line of 100mm. Starting from no pain on the leftto the most sever pain imaginable on the right Patient will choose the point which describe his pain.the more the score toward the end the more severe pain
function up to four weeks The Arabic version of reduced Western Ontario and McMasters University Osteoarthritis Index (ArWOMAC) index will be used to measure functional disability.is a self-administered questionnaire consisting of 24 items divided into 3 subscales:
* Pain (5 items): During walking, using stairs, in bed, sitting or lying, and standing upright
* Stiffness (2 items): After first waking and later in the day Physical Function (17 items).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.Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitationsjoint position sense up to four weeks using digital inclinometer for target angle 30 degree knee flexion
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Hoda Mohamed Ahmed
🇪🇬Giza, Egypt