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the aim of the study is to investigate the effect of deep front line myofascial release to selected exercises in patients with knee osteoarthritis
: Knee osteoarthritis (KOA) also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage.
The myofascial meridian is a new approach to the facial restriction .the knee capsules, the adductor muscles and the tipialis posterior are part of the deep front line which is a line of the myofascial meridian.
Exercise is the highest evidence in the treatment of knee osteoarthritis. The myofascial release is effective in the treatment of knee osteoarthritis so the study will investigate the effect of adding deep front line myofascial release to selected exercises in patients with knee osteoarthritis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Sham Comparator | The control group received selective exercises therapy in the form of strengthening and stretching exercises for selective muscles of hip and knee |
|
| study group | Experimental | The study group received selective exercises therapy in the form of strengthening and stretching exercises for selective muscles of hip and knee, plus myofascial release technique of the deep front line. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| exercises | Other | strengthening of the gluteus maximus and medius, calf muscles stretching for calf and hamstring muscles |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | The scale that will be used the visual analogue scale;each subject will instructed to record pain intensity on line of 100mm. Starting from no pain on the leftto the most sever pain imaginable on the right Patient will choose the point which describe his pain.the more the score toward the end the more severe pain | up to four weeks |
| function | The Arabic version of reduced Western Ontario and McMasters University Osteoarthritis Index (ArWOMAC) index will be used to measure functional disability.is a self-administered questionnaire consisting of 24 items divided into 3 subscales:
| up to four weeks |
| rang of motion | using digital inclinometer | up to four weeks |
| joint position sense | using digital inclinometer for target angle 30 degree knee flexion | up to four weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| hoda m Ahmed, bachelor | phyical therapist at Cairo university hospitals | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hoda Mohamed Ahmed | Giza | Egypt |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D000089803 | Myofascial Release Therapy |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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exercise plus myofascial release of the adductor and tipialis posterior muscles.
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| myofascial release | Other | myofascial release using instrument assisted soft tissue mobilization |
|
| D012216 |
| Rheumatic Diseases |
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |