Effects of Instrument Assisted Soft Tissue Mobilization in Addition to Conventional Physiotherapy in Knee Arthrofibrosis

Foundation University Islamabad

Status: Enrolling

Conditions: Knee Arthrofibrosis

Treatments: Procedure: Instrument Assisted Soft tissue mobilization; Procedure: Conventional therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06172231

FUI/CTR/2023/25

Details and patient eligibility

About

Arthrofibrosis is the abnormal proliferation of fibrous tissue within a joint and around the joint that leads to loss of motion, pain, muscle weakness, swelling, functional limitation. Study conducted to determine additional effects of IASTM along with conventional physiotherapy as compared to conventional physiotherapy alone on Range of motion, functional limitation and pain in knee arthrofibrosis.

Full description

Arthrofibrosis is common condition after surgeries, most of the arthrofibrosis literature addresses arthrofibrosis after arthroplasty or ligamentous reconstruction, and it is replete with manipulation under anesthesia or with arthroscopic interventions or both. Study will be conducted over period of 1 year at fauji foundation hospital.Ethical approval from ERC foundation university medical college. Participants recruited and written inform consent, following which they will be required to complete a self-reported demographic form. The data will be entered and analyzed on SPSS 22. IASTM is simple and effective intervention to improve Rom and functional limitation in patients with knee arthrofibrosis

Enrollment: 58 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• post Total knee replacement patients
• Extension lag >10
• Flexion deficit >25
• Age 18_60
• both male and female
• Numeric pain rating scale between 3-5

Exclusion criteria

• skin allergy
• Diabetic patient
• Any vascular disease
• Prolonged use of Corticosteroids
• Any infective or active inflammatory condition
• Fracture or dislocation
• Lower extremity functional scale score above 71.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

58 participants in 2 patient groups

Group A ( Conventional physiotherapy)

Active Comparator group

Description:

5 min moist Hot pack ,Patellar joint mobilizations and Tibiofemoral ,Maitland grades III and IV (5 oscillations in first week) ,PROMs of knee joint ( 5 reps) ,Quad sets ( 5 reps with 5 sec hold)Progression: 5 repetition of each exercise would be add in every week ,Frequency: 4 sessions in 4-week period Duration: 15_ 35 min each session.

Treatment:

Procedure: Conventional therapy

Group B ( IASTM along with conventional physiotherapy))

Experimental group

Description:

rst conventional Physiotherapy same as group A thenIASTM protocol.The treatment processes consist of Four phases: warm up (heat), Graston Technique®, passive stretching and cryotherapy.6_10 long strokes on Hamstring and Rectus femoris by using G1 instrument .Brief bouts (30 - 60 s) of deeper and more specific.Frequency: 4 sessions in 4-week period.Duration: 15_35 min each session.

Treatment:

Procedure: Conventional therapy

Procedure: Instrument Assisted Soft tissue mobilization