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Osteoarthritis is a degenerative disease, the cartilage present in the joint gets damaged and the bones become hypertrophied. In US, the most commonly occuring arthritis is osteoarthritis. Myofascial release focuses on fascia. Strain counter strain is positional release
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental: Strain Counter Strain | Experimental | Strain Counter Strain involves positioning of hypertonic muscles and dysfunctional joints towards position of comfort. Initial session 2 to 3 times per week. Hot packs 2 to 3 times per week. Tens 2 to 3 times per week. Each session lasts 30 to 60 minutes holding the position for 90 seconds to 2 minutes. Exercises includes. |
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| Active Comparator: Myofascial Release | Active Comparator | Myofascial release focuses on the fascia , connective tissue that surrounds muscles, bones and organs which becomes tight and restrict movement. ,Myo fascial release 2 to 3 times per week. 60 seconds per area. Hot packs 2 to 3 times per week. Low frequency TENS. Foam rolling for Calves and Hamstrings. Quadriceps isometric Contraction holds for 10 to 15 seconds with 2 to 4 sets of each exercise. Hamstrings and Adductor isometric contractions. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Strain Counter Strain | Other | Strain Counter Strain involves passive positioning of hypertonic muscles and dysfunctional joints towards position of comfort. Conventional treatment includes Hot pack, Tens 2 to 3 times per week. Isometric exercises of Quadriceps, Hamstrings, Adductors and Calf muscles |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale | The Numeric Pain Rating Scale is a very common tool to asses pain in clinical settings. It is 0 to 10 pain rating scale in which 0 indicates no pain and 10 indicates worse pain. | at the baseline and at the end of 4 week |
| Quality of Life (QoL) | QoL is 26 item tool for reliability, validity and responsiveness to changes in health. | at the baseline of 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Time Up and Go Test TUG | In the Time Up and Go Test (TUG), Subjects are asked to rise from a standard armchair, walk from a marker 3m away, turn, walk back and sit down again. This test is reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time. | at the baseline and at the end of 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Naila kanwal, TPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PSRD Hospital | Lahore | Punjab Province | 54000 | Pakistan |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| D010146 | Pain |
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| D000089803 | Myofascial Release Therapy |
| ID | Term |
|---|---|
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
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| Myofascial Release | Other | Perform myofascial release technique 2 to 3 times per week. Time 60 seconds per area. Frequency 3 times a week. Hot packs applied 2 to 3 times per week Tens 2 to 3 times per week. Isometric contractions of Quadriceps, Hamstrings , Adductors and Calf muscles hold 10 to 15 seconds then gradually increase 30 seconds with 2 to 4 sets of each exercise |
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| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |