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Completed

NCT Number: NCT07361770

Comparative Effect of Instrument Assisted Soft Tissue Mobilization and Cross Fiber Massage in Patients With Total Knee Replacement.

Comparative effect of Instrument Assisted Soft Tissue Mobilization and Cross Fiber Massage in patients with Total Knee Replacement

Completed

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Key information

Conditions

Total Knee Replacement Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

40 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Arif Memorial Teaching Hospital

Lahore, Punjab Province, 54000, Pakistan

About this study

Total knee replacement (TKR) is an elective procedure in which the knee joint is resurfaced with a metal or plastic implant intended to restore function, provide pain relief, and improve quality of life.IASTM helps to remove the scarring and decrease the pain caused by muscular tightness. The therapeutic benefits of the application of IASTM occur in a short period, including improvement in range of motion, reduction of pain, decreasing hypertonia.Cross fiber massage, is a form of massage technique that focuses on the body's deep tissues. The massage is deep and should be delivered in transverse direction to the particular tissue affected, as opposed to superficial massage applied longitudinally parallel to the vessels, which promotes circulation and fluid return.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Both male and female of Age 40-60
  • Radiological diagnosis
  • Advanced degenerative OA knee, undergoing a primary TKR
  • Pain intensity >3

Exclusion criteria

  • Rheumatoid Arthritis patients
  • Septic Arthritis and other inflammatory arthritis patients
  • Secondary or traumatic O.A
  • Congenital bony deformities
  • Flexion contracture, patellar dislocation
  • Fracture or pervious osteotomy
  • Neurological dysfunction

Treatment and study plan

Instrument-assisted Soft Tissue Mobilization

Other

Each treatment session was of 15-20 minutes for all muscles, with the help of IASTM device assisted by friction-free oil or gel. The general principle is a six-step technique comprising examination, warm-up, IASTM, stretching, strengthening and icing. Data was collected by an independent assessor at baseline and after 4 weeks

Cross Fibre Massage

Other

The massage is deep and must be applied transversely to the specific tissue involved unlike the superficial massage given in the longitudinal direction parallel to the vessels which enhances circulation and return of fluid. The therapist's fingers and patient's skin must move as one, otherwise moving subcutaneous fascia against muscle or ligament could lead to blister formation or subcutaneous bruising.

Data was collected by an independent assessor at baseline and after 4 weeks.

Primary outcomes

  1. Pain Intensity

    Time frame: Baseline and 4th week

    Visual Analogue Scale (VAS) is a widely used tool to measure pain intensity. The visual analog scale (VAS) for pain is a straight line with one end meaning no pain and the other end meaning the worst pain imaginable. It was used to assess pain.

Secondary outcomes

  1. Range Of Motion

    Time frame: Baseline and 4th week

    An inclinometer app is a tool that helps measure and track changes in joint mobility, flexibility, and range of motion. It provide objective, reliable degree measurements of knee range of motion and joint position sense error. These measurements are then compared against established normal ranges or the patient's own previous results to track progress.

Other outcomes

  1. Knee Funtion

    Time frame: Baseline and 4th week

    The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a self-reported outcome measure assessing the patient's opinion about the health, symptoms, and functionality of their knee. It is a questionnaire, including 5 subscales: symptoms, pain, ADLs, sports/recreation, and quality of life.

Sponsors and collaborators

Lead sponsor

Rashid Latif Medical College

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2026
First posted
Jan 23, 2026
Registry last updated
Jan 23, 2026

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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