Effects of ITB Myofascial Release on Symptoms Associated With Knee OA.

Riphah International University

Status: Completed

Conditions: Knee Osteoarthritis

Treatments: Other: Conventional PT + ITB release with graston technique; Other: Conventional PT

Study type: Interventional

Funder types: Other

Identifiers

NCT06109038

Nida Anwar / REC-01686

Details and patient eligibility

About

The aim of this randomized controlled trial is to determine the effects of ITB myofascial release with graston technique on symptoms associated with knee Osteoarthritis for reducing pain, enhancing knee range of motion and decrease functional disability.

Full description

Graston technique, Instrument assisted soft tissue mobilization (IASTM) also known as myofascial release technique is a skilled myofascial intervention used for soft-tissue treatment. Graston is a myofascial release tool that decreases adhesions, trigger points and tension in muscles. Graston Technique on Iliotibial Band Syndrome resulted in a decrease in subjective symptoms and an improvement in muscle function.

Enrollment: 28 patients

Sex: All

Ages: 50 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• knee OA Grade 2 and Grade 3 according to kellgren and Lawrence grading scale
• Positive Ober's test

Exclusion criteria

• Patient with cardiovascular or medical illness.
• Patient with any severe trauma or surgery of knee.
• Knee deformity
• Low back pain with or without radiculopathy.
• Neurological illness
• Participants having any wound or scar on the site of treatment.
• Pregnant female
• Participants having co-morbidities such as neoplasm etc.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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28 participants in 2 patient groups

: Conventional PT + ITB release with graston technique

Experimental group

Description:

An emollient will be applied to the leg from the lateral joint line along the tibial condyle to just below the iliac crest. The instrument GT-4 will be used for treatment. The tool was used to assess the soft tissue in three locations on the lateral leg: anterior to the ITB, over the ITB, and posterior to the ITB. Brushing and strumming strokes were performed to the tissue utilising the instrument's convex surface. Treatment time with the instrument is 8 -10 mins . Conventional PT including Hot Pack for 5mins. Quadriceps setting exercises, short arc terminal knee extension, straight leg raise, ROM excercises, hamstring curls in prone lying position, quadriceps strengthening in high sitting position, gastrocnemius muscle stretching (10reps × 5sec × 2sets). Maitland mobilization (Grade 1, 2 and 3 for 10 repititions).

Treatment:

Other: Conventional PT + ITB release with graston technique

Conventional PT

Other group

Description:

Conventional PT including Hot Pack for 5mins. Quadriceps setting exercises, short arc terminal knee extension, straight leg raise, ROM excercises, hamstring curls in prone lying position, quadriceps strengthening in high sitting position, gastrocnemius muscle stretching (10reps × 5sec × 2sets). Maitland mobilization (Grade 1, 2 and 3 for 10 repititions).

Treatment:

Other: Conventional PT