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The study was conducted to compare the effects of hold-relax and muscle energy technique on pain, range of motion an lower extremity function in patients with post-traumatic knee stiffness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hold-Relax Technique | Experimental |
| |
| Muscle Energy Technique | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hold-Relax Technique | Other | Hold-Relax: Patient was in prone position, therapist was on the affected site, the affected knee was bent to the available and pain free range at that range therapist applied pressure and held it for 8-10 seconds repeated for 10 times. 3 sessions per week for a total of 8 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | Numeric Pain Rating Scale is a subjective measure using which patient's rate their pain. It consists of 11 points, having an overall score ranging from 0 to 10, where: 0, 1 - 3, 4 - 6, 7 - 10 represents no pain, mild, moderate and the most severe pain respectively | From enrollment to the end of the treatment at 8 weeks. |
| Universal Goniometer | Range of motion of joints are usually assessed by a device known as universal goniometer. meter has two arms stationary as well as movable arm. The Centre of the goniometer is known as fulcrum. Through goniometer in each plane joint ranges are measured. | From enrollment to the end of the treatment at 8 weeks. |
| Lower Extremity Function Scale (LEFS) | The Lower Extremity Functional Scale (LEFS) is a 20-item self-report questionnaire assessing functionality in patients with knee and other lower limb disorders. Patients rate their difficulty with activities on a 0-4 scale (0=extreme difficulty/unable, 4=no difficulty), with a total score out of 80; higher scores indicate better function. | From enrollment to the end of the treatment at 8 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ali Raza, MS-OMPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Naseer Hospital | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Moradi MR. The effect of a muscle energy session on increasing knee extension in People with shortness of knee posterior muscles. National University. 2020 | ||
| 41114387 | Background | Xu L, Li J, Sheng Q, Wang G. Clinical Application of Muscle Energy Technique for Knee Function Recovery After Total Knee Arthroplasty. J Pain Res. 2025 Oct 14;18:5409-5416. doi: 10.2147/JPR.S537482. eCollection 2025. | |
| 27457916 |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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|
| Muscle Energy Technique | Other | Muscle Energy Technique: Patient was in prone position, therapist was on the affected site, the affected knee was bent to the available and pain free range at that range therapist applied pressure and asked the patient to move his knee in extension against the resistance applied by therapist for 10 seconds. And then patient flexed his knee actively and process was repeated for 10 times. 3 sessions per week for a total of 8 weeks. |
|
| Standard Physical Therapy | Other |
|
|
| Background |
| Valenza MC, Torres-Sanchez I, Cabrera-Martos I, Valenza-Demet G, Cano-Cappellacci M. Acute Effects of Contract-Relax Stretching vs. TENS in Young Subjects With Anterior Knee Pain: A Randomized Controlled Trial. J Strength Cond Res. 2016 Aug;30(8):2271-8. doi: 10.1097/JSC.0000000000000215. |
| 37330762 | Background | Nazary-Moghadam S, Yahya-Zadeh A, Zare MA, Ali Mohammadi M, Marouzi P, Zeinalzadeh A. Comparison of utilizing modified hold-relax, muscle energy technique, and instrument-assisted soft tissue mobilization on hamstring muscle length in healthy athletes: Randomized controlled trial. J Bodyw Mov Ther. 2023 Jul;35:151-157. doi: 10.1016/j.jbmt.2023.04.079. Epub 2023 Apr 21. |
| 36171728 | Background | Bhosale P, Kolke Pt S. Effectiveness of instrument assisted soft tissue mobilization (IASTM) and muscle energy technique (MET) on post-operative elbow stiffness: a randomized clinical trial. J Man Manip Ther. 2023 Oct;31(5):340-348. doi: 10.1080/10669817.2022.2122372. Epub 2022 Sep 28. |
| 29861257 | Background | Balasundaram AP, Sreerama Rajan S. Short-term effects of mobilisation with movement in patients with post-traumatic stiffness of the knee joint. J Bodyw Mov Ther. 2018 Apr;22(2):498-501. doi: 10.1016/j.jbmt.2017.06.007. Epub 2017 Jun 15. |
| 38802553 | Background | Khan T, Rizvi MR, Sharma A, Ahmad F, Hasan S, Uddin S, Sidiq M, Ammari A, Iqbal A, Alghadir AH. Assessing muscle energy technique and foam roller self-myofascial release for low back pain management in two-wheeler riders. Sci Rep. 2024 May 27;14(1):12144. doi: 10.1038/s41598-024-62881-8. |