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The purpose of this study is to investigate the effect of adding kinesotaping to quadriceps strengthening exercises on muscle strength, pain, function and range of motion of knee joint in patients with Osgood-Schlatter disease (OSD).
60 patients will be participated in this study. The patients of both genders with age ranges from 18 -25 years old. The sample will randomly be divided into two groups.
Group A: will receive strengthening exercise for quadriceps muscle and stretching exercises for hamstring and calf muscles Group B: will receive kinesoatping, strengthening exercises for quadriceps muscle and stretching exercises for hamstring and calf muscles .
All subject will receive the treatment for 6 weeks, All subjects will assign consent form before starting this study and will be explained the purpose of this study before any application.
Outcome measurements:
Data will be collected prior to first session as pre-test measure and at the end of last treatment session as post-test treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | Patients will receive strengthening exercises to quadriceps muscle and stretching exercises to hamstring and calf muscles |
|
| Group B | Experimental | Patients will receive kinesotaping, strengthening exercises to quadriceps muscle and stretching exercises to hamstring and calf muscles |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quadriceps Strengthening | Other | Static Quad Pull the toes up towards your shin, push your knee into the bed to tighten the quad muscles. This should cause your heel to slightly lift off the bed. Hold for 7 seconds. Repeat on affected leg. Straight leg raising
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| Measure | Description | Time Frame |
|---|---|---|
| Change in muscle strength | Quadriceps muscle strength will be assessed by hand held dynamo-meter. | at first week and after 6 weeks of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pain level | Pain threshold will be assessed by visual analogue scale | at first week and after 6 weeks of treatment |
| Change in functional disability | Functional disability will assessed by lower extremity functional scale |
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Inclusion Criteria:
1 - Age - 18 years to 25 years 2. Knee Osgood schlatter disease as per diagnosed by orthopaedisit 3. Duration of knee pain is 4-5 weeks during 6 months prior to study. 4- patients from both gender 5- BMI from 18 Kg/M2 to 25 Kg/M2
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Neveen Abdelatif Professor of physical therapy - Cairo University, Professor | Department of Basic sciences for physical therapy, Faculty of Physical Therapy , Cairo university, Cairo, Egypt | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Physical therapy College - Cairo university | Cairo | Egypt |
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| ID | Term |
|---|---|
| D055034 | Osteochondrosis |
| ID | Term |
|---|---|
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| Hamstring and calf stretching exercise | Other | Hamstring stretching exercise will be done in the long sitting position. The patient will be instructed to keep his affected knee always extended while folding the other leg to the side then he will bend his trunk forward as much as he could in order to touch his toes by his fingers. Calf muscle stretching: The patient will be positioned in the long-sitting with the knees extended. The patient will be instructed to pull his foot into dorsiflexion as much as he could with the assistance of a rolled towel holding this position for 30 seconds (Fig14). The patient will then be instructed to go back to starting position and relax for 30 seconds. This exercise will be done 5 times per session. |
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| Kinesotaping application | Other | 1 full 25cm strip of KT Tape cut in half. Apply one hour before beginning activity. Clean dirt, oils and lotions from area. After application rub tape vigorously to activate adhesive. Bend the knee at a 90 degree angle Anchor the middle of a half strip of tape diagonally over the point of pain with 80% stretch. Apply ends of tape without stretch. Anchor the middle of a second half strip across the first strip to form an X pattern over the point of pain with 80% stretch. |
|
| at first week and after 6 weeks of treatment |
| Knee joint range of motion | 11. Knee range of motion (flexion, extension) will be assessed by smart phone application (Doctor Goniometer) for range of motion measurement. | at first week and after 6 weeks of treatment |