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

Dow University of Health Sciences

Status: Completed

Conditions: Knee Osteoarthritis; Pes Anserine Bursitis

Treatments: Other: Neuromuscular exercises; Other: Myofascial release; Other: Cold pack

Study type: Interventional

Funder types: Other

Identifiers

NCT05529914

RHassan

Details and patient eligibility

About

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.

Enrollment: 80 patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

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).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 2 patient groups

Myofascial release + Neuromuscular exercises + Cold pack

Experimental group

Treatment:

Other: Cold pack

Other: Myofascial release

Other: Neuromuscular exercises

Neuromuscular exercises + Cold pack

Active Comparator group

Treatment:

Other: Cold pack

Other: Neuromuscular exercises