Effects of Myofascial Release and Neuromuscular Training for Pes Anserine Syndrome Associated With Knee Osteoarthritis

NCT ID: NCT05529914

Last Updated: 2024-01-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 80 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-09-27
• Study Completion Date: 2023-04-30

Brief Summary

A randomized control trial will be conducted at the outpatient department of Dow Institute of Physical Medicine and Rehabilitation. A sample size of 80 is calculated using PASS version 11 software. The subjects will be first screened and those who fulfill the inclusion criteria, will be asked to fill the consent form. After selection, the participants will be randomly allocated by the help of computer generated randomization sheet, into two groups i.e. experimental and the control group. The group A will be provided with the myofascial release along with the neuromuscular training whereas the group B will only receive the neuromuscular training. Cold pack will be applied to both the groups. The neuromuscular training consists of warm-up phase, lunges, sideways exercises, wall squats, weight transfer exercises, step up and down and the cool down phase. Total 12 sessions of 35 minutes each will be given to all the participants for about 4 weeks on alternate days. Outcome measures will be analyzed by visual analogue scale (VAS) for pain assessment, goniometry for range of motion and the Knee injury and Osteoarthritis Outcome Score (KOOS) to evaluate the functional assessment of the patients at the baseline and the post intervention.

Conditions

Knee Osteoarthritis; Pes Anserine Bursitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Myofascial release + Neuromuscular exercises + Cold pack

Group Type: EXPERIMENTAL

Myofascial release

Intervention Type: OTHER

It is a type of physical therapy often used to treat myofascial pain syndrome with pressure.

Neuromuscular exercises

Intervention Type: OTHER

Exercises commonly utilized in neuromuscular training programs to improve strength, balance , speed and agility. It will comprised of Warm-up, Lunges, Sideways exercises, Wall squats, Weight transfer exercise, Step up \& down, Cool-down

Cold pack

Intervention Type: OTHER

Application of cold pack around the patient's body, and covered with dry towel

Neuromuscular exercises + Cold pack

Group Type: ACTIVE_COMPARATOR

Neuromuscular exercises

Intervention Type: OTHER

Exercises commonly utilized in neuromuscular training programs to improve strength, balance , speed and agility. It will comprised of Warm-up, Lunges, Sideways exercises, Wall squats, Weight transfer exercise, Step up \& down, Cool-down

Cold pack

Intervention Type: OTHER

Application of cold pack around the patient's body, and covered with dry towel

Interventions

Myofascial release

It is a type of physical therapy often used to treat myofascial pain syndrome with pressure.

Intervention Type: OTHER

Neuromuscular exercises

Exercises commonly utilized in neuromuscular training programs to improve strength, balance , speed and agility. It will comprised of Warm-up, Lunges, Sideways exercises, Wall squats, Weight transfer exercise, Step up \& down, Cool-down

Intervention Type: OTHER

Cold pack

Application of cold pack around the patient's body, and covered with dry towel

Intervention Type: OTHER

Other Intervention Names

Cold pack therapy

Eligibility Criteria

Inclusion Criteria

• Male and Females both with the age between 40-60 years.
• Patients with unilateral or bilateral knee osteoarthritis with pes anserine syndrome.
• Patients with knee pain more than 3.4 cm on visual analogue scale as minimum cut of value.
• Kellgren and Lawrence grade II and III on radiological findings.
• Duration of knee osteoarthritis more than 3 months (chronic).

Exclusion Criteria

• Patients with any neurological disorder.
• Knee deformities such as contractures, genu valgum and genu varum.
• Septic knee arthritis.
• History of ligamentous injury or meniscal tear.
• Cancer or any other malignancy or bone tumor.
• Any history of previous lower limb arthroplasty or other knee surgery.
• Comorbid like diabetes mellitus.
• Inflammatory rheumatic disease (R.A).

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Dow University of Health Sciences

OTHER

Sponsor Role: lead

Responsible Party

Rabia Hassan

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Farhan I Khan, PhD

Role: STUDY_DIRECTOR

Dow University of Health Sciences

Locations

Dow Institute of Physical Medicine and Rehabilitation

Karachi, Sindh, Pakistan

Sindh Institute of Physical Medicine and Rehabilitation

Karachi, Sindh, Pakistan

Countries

Pakistan

Other Identifiers

RHassan

Identifier Type: -

Identifier Source: org_study_id