Comparison Between the Effects of Two Different Muscle Energy Techniques on Hamstring Flexibility in Patients With Hamstring Tightness Secondary to Knee Osteoarthritis: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- The Numeric Pain Rating
研究概览
简要总结
The current study will compare the effect of using the muscle energy technique in 2 different methods on the hamstring muscle flexibility
详细描述
Osteoarthritis (OA) is a painful musculoskeletal disease that primarily affects the knee, resulting in the gradual degeneration of articular cartilage. Knee OA commonly affects the elderly population and may cause impairment throughout the world. About 4% of the world's population suffers from osteoarthritis, especially in those who are 50 years of age or older.
Age, trauma, congenital and acquired deformity, metabolic conditions, obesity, muscle weakness or imbalance, an occupation that requires prolonged sitting and knee bending, and female gender are all risk factors linked to the development of Knee OA.
Knee pain, morning stiffness, knee locking, or giving way, crepitus, and functional impairments are the common clinical symptoms of Knee OA.
Initial treatment always begins with conservative modalities and progresses to surgical treatment when conservative treatment fails. There is a variety of conservative techniques available for the treatment of knee OA.
The two main muscles that move the knee joint are the quadriceps and hamstrings, which help the knee joint's ambulatory growth factors move smoothly and precisely.
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 (Participant, Investigator, Outcomes Assessor)
盲法说明
The participants will be assigned to the groups using permuted block design. The number of blocks will be 4 and 6. The person (not involved in assessment nor treatment) who will be responsible for allocation will give each participant a code number indicating his/her group. only the therapist will be allowed to reveal the code number interpretation to provide the appropriate intervention, while patients, the assessor, and the data analyzer (statistician) will be kept blind throughout the study. regarding the statistician, the raw data will be sent after removal of the group name, which will be replaced by a code letter.
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Radiologically and clinically diagnosed cases of Osteoarthritis knee by a certified Orthopaedic surgeon or Physiotherapist. Patients with Grade 2 or
- •Osteoarthritis knee according to Kellgren - Lawrence classification,
- •Between the age group of 40-60 years, including both men and women.
- •Hamstring tightness of more than 20 from the active knee extension test (AKET)
排除标准
- •Other knee joint pathologies such as Chondromalacia patella, plica syndrome,
- •Neurological disorders.
- •Patients having lower extremity injury/surgeries in the past 6 months,
- •Hip or knee fractures or deformity,
结局指标
主要结局
The Numeric Pain Rating
时间窗: From baseline to the end of the treatment at 6 weeks
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). The NPRS will be used for subjective pain measurement that has good test-retest reliability.
The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
时间窗: From baseline to the end of the treatment at 6 months
The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) will be 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
Sit and reach test
时间窗: From baseline to the end of the treatment at 6 weeks
The Sit and reach test is one of the linear flexibility tests that helps to measure flexibility of the lower back and hamstring muscles. equipment required: sit and reach box (or alternatively a ruler can be used, and a step or box). procedure: This test involves sitting on the floor with legs stretched out straight ahead. Shoes should be removed. The soles of the feet are placed flat against the box. Both knees should be locked and pressed flat to the floor - the tester may assist by holding them down. With the palms facing downwards, and the hands on top of each other or side by side, the subject reaches forward along the measuring line as far as possible. After some practice reaches, the subject reaches out and holds that position for at least one to two seconds while the distance is recorded. Ayala et al. showed acceptable reproducibility measures for the sit and reach test with 8.74% coefficient of variation (CV) and 0.92 intraclass correlation coe
次要结局
未报告次要终点
研究者
Hisham Mohamed Hussein
associate professor
University of Hail