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NCT Number: NCT07438561

Hold-relax and Muscle Energy Techniques in Patients With Post-traumatic Knee Stiffness

The study was conducted to compare the effects of hold-relax and muscle energy technique on pain, range of motion an lower extremity function in patients with post-traumatic knee stiffness.

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Key information

Conditions

Knee Discomfort Behavior Motor Activity

Age range

18 year–35 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Naseer Hospital

Lahore, Punjab Province, 54000, Pakistan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients who had fracture and treated either with POP or ORIF.
  • Fracture healing completed.
  • Both genders of age between 18-35.
  • Conservative treatment of fracture with POP for minimum 6 weeks.
  • NPRS more than or equal to 2.

Exclusion criteria

  • Pathological fracture.
  • Post-traumatic myositis ossificans.
  • Ligamental or Meniscal tears.
  • Any tumor in the knee region.
  • Osteoarthritis.

Treatment and study plan

Hold-Relax Technique

Other

Hold-Relax: Patient was in prone position, therapist was on the affected site, the affected knee was bent to the available and pain free range at that range therapist applied pressure and held it for 8-10 seconds repeated for 10 times. 3 sessions per week for a total of 8 weeks.

Muscle Energy Technique

Other

Muscle Energy Technique: Patient was in prone position, therapist was on the affected site, the affected knee was bent to the available and pain free range at that range therapist applied pressure and asked the patient to move his knee in extension against the resistance applied by therapist for 10 seconds. And then patient flexed his knee actively and process was repeated for 10 times. 3 sessions per week for a total of 8 weeks.

Standard physical therapy

Other
  • Hot packs were applied to patients for a period of 10 minutes.
  • Mulligan mobilization techniques were performed on the knee joint.
  • Knee isometrics were done.

Primary outcomes

  1. Numeric Pain Rating Scale (NPRS)

    Time frame: From enrollment to the end of the treatment at 8 weeks.

    Numeric Pain Rating Scale is a subjective measure using which patient's rate their pain. It consists of 11 points, having an overall score ranging from 0 to 10, where: 0, 1 - 3, 4 - 6, 7 - 10 represents no pain, mild, moderate and the most severe pain respectively

  2. Universal Goniometer

    Time frame: From enrollment to the end of the treatment at 8 weeks.

    Range of motion of joints are usually assessed by a device known as universal goniometer. meter has two arms stationary as well as movable arm. The Centre of the goniometer is known as fulcrum. Through goniometer in each plane joint ranges are measured.

  3. Lower Extremity Function Scale (LEFS)

    Time frame: From enrollment to the end of the treatment at 8 weeks.

    The Lower Extremity Functional Scale (LEFS) is a 20-item self-report questionnaire assessing functionality in patients with knee and other lower limb disorders. Patients rate their difficulty with activities on a 0-4 scale (0=extreme difficulty/unable, 4=no difficulty), with a total score out of 80; higher scores indicate better function.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparative Effects of Hold-relax and Muscle Energy Techniques on Pain, Range of Motion and Lower Extremity Function in Patients With Post-traumatic Knee Stiffness

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 27, 2026
Registry last updated
Feb 27, 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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