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Completed

NCT Number: NCT06309901

Facial Distortion Model and Instrument Assisted Soft Tissue Mobilization Techniques

To compare the effects of facial distortion model and equipment assisted soft tissue mobilization techniques on the treatment process, which are among the applications in the rehabilitation process after meniscus repair.

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Key information

Conditions

Meniscus Injury

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Yıldırım Beyazıt University Yenimahalle Training and Research Hospital

Ankara, 06010, Turkey (Türkiye)

About this study

It is possible that pain, ROM, lower extremity flexibility and knee functions will be negatively affected after arthroscopic meniscus repair. This study searches and compares the effectiveness of fascial distortion model (FDM) and IASTM methods for these parameters that can be affected.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • The meniscus rupture and suspected magnetic resonance (MR) were diagnosed and operated by the surgeon during arthroscopy.
  • Those treated with the same surgical technique
  • Can walk independently before the operation
  • Can continue treatment for 4 weeks
  • Without chondral damage
  • Can continue treatment for 4 weeks
  • Those who have not had lower extremity surgery before
  • No fracture to prevent load transfer in the last 6 months
  • There is no full rupture of any ligament in the knee
  • Without knee instability
  • Those without abnormal changes in Q angle
  • According to Cooper classification, meniscus affected area is not in A and F regions.
  • Without protruded or extruded herniated disc
  • There is no contract in the directory

Exclusion criteria

  • Can not continue treatment for 4 weeks

Treatment and study plan

Exercise

Other

Home exercises were applied in 3 progressive phases.

1st phase: postoperative 0-4. week, 2nd phase: 5-12. week, 3rd phase 12-15. week.

In the 1st phase, ice application, strengthening for the hip, knee and ankle, and walking exercises were applied. 90 degrees knee flexion range of movement (ROM) was targeted.

In the 2nd phase, the resistance of the strengthening exercises was increased and closed kinetic chain exercises were added. Weight bearing, step climbing and balance exercises were performed. Full ROM targeted in the knee.

In the 3rd phase, pain-free full ROM was targeted, and progressive strengthening, balance and agility exercises for sports and recreational activities were applied.

Fascial Distortion Model

Other

At the beginning of the 2nd phase of the treatment, starting from the 5th week, twice a week for 4 weeks, a total of 8 sessions of FDM technique were applied.

In this study, trigger band technique was chosen to apply around the knee. Interventions were made directly to the skin in the form of medial, lateral, anterior, posterior techniques of the knee and posterior and lateral techniques of the thigh. The techniques was made after the exercises.

Instrument Assisted Soft Tissue Mobilisation

Other

At the beginning of the 2nd phase of the treatment, starting from the 5th week, twice a week for 4 weeks, a total of 8 sessions of IASTM technique were applied.

In this study, the Graston technique was chosen to apply IASTM around the knee. Technique was applied with using stainless steel and ultrasound gel to around the knee, m. quadriceps, m. hamstring, iliotibial band and medial thigh. The technique was performed for at least 2 minutes in each region.

Primary outcomes

  1. Visual Analog Scale

    Time frame: Change from postoperative 4. week at 8. week

    It is used to convert some values that cannot be measured numerically into numerical values. Two end definitions of the parameter to be evaluated on both ends of a 100 mm line are written and the patient is asked to indicate where his / her condition is appropriate on this line by drawing a line or by marking or pointing.

  2. environmental measurement

    Time frame: Change from postoperative 4. week at 8. week

    One of the anthropometric measurement techniques is measured using tape measure. Medial tibial plateau and 5 cm intervals at 5 cm, 10 cm and 15 cm points are marked and the circumference of the knee and the leg is measured.

  3. Power Track Manuel Muscle Tester

    Time frame: Change from postoperative 4. week at 8. week

    In the manual muscle test, a hand dynamometer was developed for the standardization of the given resistance, which determines the resistance given by the tester. This tool objectively shows the amount of force used in muscle testing. The tool is placed proximal to the tibia, the amount of force applied is read from the manometer on the dorsal side of the hand. It is placed on the front for extension and on the back for flexion.

  4. sit and reach test

    Time frame: Change from postoperative 4. week at 8. week

    To reach the farthest in a sitting position.

  5. Goniometric measurement

    Time frame: Change from postoperative 4. week at 8. week

    uses a goniometer to measure the hamstring flexibility during a passive straight leg lift.

  6. The Western Ontario Meniscal Evaluation Tool (WOMET )

    Time frame: Change from postoperative 4. week at 8. week

    In this inventory, there are 16 items that represent physical domains (nine items), sports / entertainment / work / lifestyle (four items) and the domains of emotions (three items). A value between 0-10 is requested in each item. The score of each subgroup is obtained by dividing the marked values of the questions of that section by the number of questions and multiplying by 10. The total score is obtained by summing all scores and dividing by 16 and multiplying by 10.

  7. Lysholm Knee Score

    Time frame: Change from postoperative 4. week at 8. week

    It is a scoring questioning situations such as pain, stair climbing, squatting, walking pattern and swelling of the knee while showing certain activities. In the Lysholm scoring system; It can be classified as 0-20 bad, 21-40 medium, 41-60 medium-good, 61-80 good, 81-100 perfect.

Sponsors and collaborators

Lead sponsor

Ankara Yildirim Beyazıt University

Other

Registry information

Official study title

Comparison of Facial Distortion Model and Instrument Assisted Soft Tissue Mobilization (IASTM) Techniques After Arthroscopic Meniscus Repair

Important dates

Study start
2019
Primary completion
2021
Study completion
2022
First posted
Mar 13, 2024
Registry last updated
Mar 13, 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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