Effects of IASTM With and Without CT on Pain, ROM, and Functional Disability in Post-Operative Knee Stiffness Patients

University of Lahore

Status: Completed

Conditions: Pain, Joint; Knee Pain Chronic; Pain, Postoperative; Pain

Treatments: Combination Product: Instrumental Soft Tissue Mobilization Technique with Conservative Treatment; Combination Product: Conservative Treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT06551922

REC-UOL-/198/08/24

Details and patient eligibility

About

This single-blinded randomized control study aimed to determine the effects of instrumental soft tissue mobilization technique with and without conservative treatment in post-operative knee stiffness patients. This study recruited 84 participants who fulfilled the inclusion criteria and were randomly divided into experimental and control groups using the lottery method. The assessor was unaware of the treatment given to both groups. Data were collected at baseline, at the end of the third week, and at the end of the sixth week. Baseline assessments were conducted before the intervention. Post-intervention assessments were conducted immediately after the intervention. This study aimed to investigate the effectiveness of IASTM, both with and without traditional conservative treatment methods, in improving pain, range of motion, and functional ability in patients experiencing post-operative knee stiffness. By examining these factors, we gained valuable insights into the potential of IASTM as a therapeutic intervention for this challenging condition.

Full description

Instrument-Assisted Soft Tissue Mobilization (IASTM) is emerging as a valuable tool for physiotherapists, offering a range of benefits for both practitioners and patients. By integrating IASTM with traditional methods, physiotherapists can elevate the standard of care, improve patient outcomes, and even contribute to a healthier community.

Study Design:

• Randomized Control Trial

Screening:

• Patients were screened to meet inclusion criteria. The consent form was taken from patients and then randomly allocated into two groups ( 42 in each group).

Randomization:

• Patients fulfilling the inclusion criteria were randomly divided into experimental and control groups using the lottery method.

Blinding:

• The study was single-blinded. The assessor was unaware of the treatment given to both groups.

Assessment:

• Data was collected at baseline, at the end of the third week and the end of 6th week. Baseline assessments were conducted before the intervention. Post-intervention assessments were conducted immediately after the intervention.

Intervention:

• Group A (Instrumental Soft Tissue Mobilization Technique with Conservative Treatment)
• Group B (Conservative Treatment Only)

Progress Monitoring:

• Treatment intensity and exercise difficulty were progressively adjusted for both groups throughout the intervention based on participant tolerance and progress.

Ethical Considerations:

• This study has received ethical approval from the Institutional Review Board (IRB). Informed consent was obtained from all participants.

Data Analysis:

• Statistical software was used to analyze the data, with appropriate tests employed based on data normality to compare outcomes between groups.

Enrollment: 84 patients

Sex: All

Ages: 25 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants aged 25 to 50 years (Meena et al., 2023)
• Participants of both genders (Meena et al., 2023)
• Participants who have undergone post-operative knee stiffness surgery (Meena et al., 2023)
• Patients having knee fracture (Poliakov et al., 2020).

Exclusion criteria

• Patients with total knee replacement (Poliakov et al., 2020).
• Participants with knee osteoarthritis or other knee conditions not related to post-operative knee stiffness (Meena et al., 2023)
• Participants with other joint conditions not related to the knee (Mezey et al., 2023)
• Post-operative knee stiffness patients with comorbidities that may affect the outcome of the study (Mezey et al., 2023)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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84 participants in 2 patient groups

Instrumental Soft Tissue Mobilization Technique with Conservative Treatment

Experimental group

Description:

Apply TENS for 10 minutes to administer a microcurrent therapy to participants. The IASTM was applied for 90 seconds- 2 minutes on each muscle along with the stretching exercises. The intervention was applied 3 times per week. Muscle involved: * Hip Adductors * Hamstrings * Quadriceps * Patellar tendon * Iliotibial band * Calf muscles.

Treatment:

Combination Product: Instrumental Soft Tissue Mobilization Technique with Conservative Treatment

Conservative Treatment

Experimental group

Description:

For conservative treatment apply TENS for 10 minutes to administer a micro current therapy to participants. Than Stretching exercises ( Hamstrings and Quadriceps), Strengthening exercises (Quadriceps, Hamstring, Calf ), Balance exercises and Ice Therapy.

Treatment:

Combination Product: Conservative Treatment