Positional Release Technique of Iliotibial Band and Pes Anserine Versus Proprioception Exercise on Patients With Knee Osteoarthritis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Positional Release Technique, proprioception exercises, traditional exercise.
- Who it may be relevant to
- Registry conditions: Knee Osteoarthritis. Basic parameters: 45 years — 70 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
this studty was conducted to compare the effect of the positional release technique of the iliotibial band and Pes Anserine Versus Proprioception Exercise on Patients with knee osteoarthritis.
Detailed description
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
Interventions
- Other Positional Release Technique
Positional release of Pes Anserine:Slide the fingers approximately 1 inch (2.5 cm) medially from the tibial tuberosity onto the bony insertion site. On the well-developed patient, the mass of the tendons can be grasped as a group at the medial knee.Apply tibial traction or upward compression with the far hand for fine-tuning. Maintain for 90 seconds with repeation 3 times in a session with a break of 30 seconds. Positional release of iliotibial band:Stand on the side of the supine patient that i - Other proprioception exercises
the patients will receive proprioceptive exercises in the form of Heel Walk, Toe Walk, Sideways Knitting Walk, Sideways Step,Cross Walk, Semi Tandem Walk, Tandem Walk, High Knee Walk, Wedding Walk, Backward Wedding Walk, balance and coordination exercises. - Other traditional exercise
Stretch exercises: Rectus femoris, Iliotibial band, Hamstring and stretch for calf muscle (3sets, each stretch 30 sec hold, 30 second relaxation between each set 5sec rests). and repeated 3 times. Strengthen exercises: Isometric Exercises for quadriceps (10 rep,3sets), Hip abductors strengthening 45 degree (10 rep,3sets), Hip extensor strengthening 15 degree (10 rep,3sets), Straight leg raising 45-70 degree (10 rep,3sets), Short arc knee extension (10 rep,3sets)
Primary outcome measures
- knee disabiity [Time frame: up to 6 weeks]
Secondary outcome measures (4)
- pain intensity [Time frame: up to 6 weeks]
- range of motion [Time frame: up to six weeks]
- pressure pain threshold [Time frame: up to six weeks]
- knee joint position error [Time frame: up to six weeks]
Eligibility criteria
Inclusion criteria
- Both genders with knee osteoarthritis will participate in this study according to the American College of Rheumatology criteria
- An average pain intensity of ≥3 on a 10-cm visual analogue scale (VAS).
- Patients with unilateral knee osteoarthritis, for those patients with bilateral knee -Patients with grade II \&lll chronic knee osteoarthritis (clinical and imaging diagnosis X-ray.
- Patients were referred by orthopedic physician.
- Patients with body mass index <30Kg/cm2.
Exclusion criteria
- Previous knee surgery
- Serious valgus or varus deformity
- Past or present vascular disorder.
- Acute or chronic low back pain.
- Upper motor neuron lesion and lower motor neuron lesion.
- A history of rheumatoid arthritis.
- Presence of malignancy.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07286669 · P.T.REC/012/006112