Facial Distortion Model and Instrument Assisted Soft Tissue Mobilization Techniques

NCT ID: NCT06309901

Last Updated: 2024-03-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

33 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-06-30

Study Completion Date

2022-05-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Meniscus Injury

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Control Group

A progressive home exercise program consisting of 3 phases was applied.

Exercise

Intervention Type 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.

FDM Group

In addition to the progressive home exercise program consisting of 3 phases, the trigger band technique of the fascial distortion model was applied around the knee.

Exercise

Intervention Type 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

Intervention Type 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.

IASTM Group

In addition to the progressive home exercise program consisting of 3 phases, the IASTM was applied with Graston technique around the knee.

Exercise

Intervention Type 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.

Instrument Assisted Soft Tissue Mobilisation

Intervention Type 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.

Interventions

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Exercise

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.

Intervention Type OTHER

Fascial Distortion Model

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.

Intervention Type OTHER

Instrument Assisted Soft Tissue Mobilisation

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.

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ankara Yildirim Beyazıt University

OTHER

Sponsor Role lead

Responsible Party

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Bahar Anaforoglu Külünkoglu

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bahar Anaforoğlu, Assoc. Prof.

Role: PRINCIPAL_INVESTIGATOR

Ankara Yildirim Beyazıt University

Locations

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Yıldırım Beyazıt University Yenimahalle Training and Research Hospital

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Cheatham SW, Lee M, Cain M, Baker R. The efficacy of instrument assisted soft tissue mobilization: a systematic review. J Can Chiropr Assoc. 2016 Sep;60(3):200-211.

Reference Type RESULT
PMID: 27713575 (View on PubMed)

Kalichman L, Ben David C. Effect of self-myofascial release on myofascial pain, muscle flexibility, and strength: A narrative review. J Bodyw Mov Ther. 2017 Apr;21(2):446-451. doi: 10.1016/j.jbmt.2016.11.006. Epub 2016 Nov 14.

Reference Type RESULT
PMID: 28532889 (View on PubMed)

Thalhamer C. A fundamental critique of the fascial distortion model and its application in clinical practice. J Bodyw Mov Ther. 2018 Jan;22(1):112-117. doi: 10.1016/j.jbmt.2017.07.009. Epub 2017 Jul 25.

Reference Type RESULT
PMID: 29332733 (View on PubMed)

Other Identifiers

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ankaraYBU2019-199

Identifier Type: -

Identifier Source: org_study_id

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