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Completed

NCT Number: NCT05812898

Adding Deep Front Line Myofascial Release to Selected Exercises in Patients With Knee Osteoarthritis

the aim of the study is to investigate the effect of deep front line myofascial release to selected exercises in patients with knee osteoarthritis

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Key information

Age range

45 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hoda Mohamed Ahmed

Giza, Egypt

About this study

: 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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • 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

Treatment and study plan

Exercises

Other

strengthening of the gluteus maximus and medius, calf muscles stretching for calf and hamstring muscles

Myofascial Release

Other

myofascial release using instrument assisted soft tissue mobilization

Primary outcomes

  1. pain intensity

    Time frame: 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

  2. function

    Time frame: 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 limitations
  3. rang of motion

    Time frame: up to four weeks

    using digital inclinometer

  4. joint position sense

    Time frame: up to four weeks

    using digital inclinometer for target angle 30 degree knee flexion

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effects of Adding Deep Front Line Myofascial Release to Selected Exercises in Patients With Knee Osteoarthritis

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Apr 14, 2023
Registry last updated
Feb 7, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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