Adding Deep Front Line Myofascial Release to Selected Exercises in Patients With Knee Osteoarthritis

Effects of Adding Deep Front Line Myofascial Release to Selected Exercises in Patients With Knee Osteoarthritis

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.

Inclusion Criteria:

• Mild to moderate unilateral or bilateral medial tibiofemoral OA grade II-III (K/L).
• The age of the participants will range from 45 to 60 years old .
• BMI ranged from 20-30 kg/m2

Exclusion Criteria:

1. Severe knee OA (grade IV according to K/L classification).
2. Congenital or acquired inflammatory, rheumatic or neurological (systemic or local) diseases involving the knee.
3. Patients receiving oral or injected corticosteroids for the last 3 months .
4. History of knee surgery/fracture.
5. Patients with ACL and meniscus injury