Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this clinical trial is to determine whether gastrocnemius myofascial release is effective in reducing pain and improving physical function in females with knee osteoarthritis.
The main question this study aims to answer are:
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GASTROCNEMIUS MYOFASCIAL RELEASE | Experimental | GM MFR and TrP pressure release with a combination of manual physical therapy (knee mobilization), supervised exercise (riding a stationary bike, muscle strengthening exercises for the hip and knee, and self-stretching of lower limb muscles), and TENS |
|
| sham GASTROCNEMIUS MYOFASCIAL RELEASE | Sham Comparator | sham GM MFR with a combination of manual physical therapy (knee mobilization), supervised exercise (riding a stationary bike, muscle strengthening exercises for the hip and knee, and self-stretching of lower limb muscles), and TENS |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GASTROCNEMIUS MYOFASCIAL RELEASE | Procedure | Gastrocnemius MFR Procedures :
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain during rest and single leg squat (Visual analogue scale) | Participants are instructed to draw a vertical mark on the line indicating their pain level during rest and single leg squat -single leg squat: The Participants stand on the limb being evaluated, with the other leg lifted off the ground so that the hip is flexed to approximately 45 degrees and the knee to approximately 90 degrees. The Participants' shoulders is forward flexed to 90 degrees with the elbows in full extension and the hands clasp together in front. The Participants are forward flexed to squat down until feeling pain and discomfort and return to the start position. | pain is measured at baseline at the first session and reassessed at the end of the second week, and at the end of four weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical function (40 m fast-paced walk test ) | - 40MFPW : The participants walk as quickly and safely as possible on a 10-m walkway, turn around a cone placed 2 m beyond each end of the walkway, and return for a total distance of 40 m. | Physical function is measured at baseline at the first session and reassessed at the end of the second week, and at the end of four weeks. |
Not provided
Inclusion Criteria:
A diagnosis of knee osteoarthritis was made when knee pain is present, plus Osteophytes on radiographs, plus at least 1 of the following 3:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hend Hammam Soliman, Bachelor's Degree | Contact | +201008380834 | hendhammam18@live.com | |
| Afaf Omar Tahoon | Contact | +201119870393 | afaf_tahoon@cu.edu.eg |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy, Cairo University | Recruiting | Giza | Giza Governorate | 12613 | Egypt |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
|
| sham Gastrocnemius MYOFASCIAL RELEASE | Procedure | Patient position: Prone, with feet off the end of the table to allow for adequate dorsiflexion. Therapist's position:, facing toward the feet while standing at the patient's side, at around mid-thigh level for techniques. Technique: one hand is positioned at the attachments of the GM at the epicondyles of the femur, and the other at the Achilles tendon without applying significant pressure or tissue deformation. Mimic the hand movements of real myofascial release (e.g., slow stroking, superficial gliding) but avoid: Deep pressure, Skin stretch, and Muscle compression.
|
|
|
| Physical function (the 30-s chair-stand test) | - 30sCST : The participants stand up completely from a sitting position from an unarmed and straight-backed chair ; and then completely back down until they are completely on the seat. The maximum number of chair-stand repetitions completed in 30 seconds is recorded. | Physical function is measured at baseline at the first session and reassessed at the end of the second week, and at the end of four weeks. |
| Physical function (a stair-climb test ) | - 9-s SCT: The participants ascend and descend nine stairs as quickly as possible but in a safe manner. The time for the participants to complete the ascending and descending tasks is recorded. | Physical function is measured at baseline at the first session and reassessed at the end of the second week, and at the end of four weeks. |
| Foot posture (foot posture index 6) | FPI-6 is considered a quick, easy, inexpensive, and multi-segmental clinical quantification tool, which can assess the posture of the foot. FPI-6 score consisted of six items: (1) Talar head palpation, (2) curves above and below the lateral malleolus, (3) Talonavicular joint bulging (4) Calcaneal frontal plane position, (5) Medial longitudinal arch height and congruence (6) Forefoot abduction or adduction. the participant are in a standing, relaxed stance position, arms by the side, and looking straight ahead. Then, take several steps in place before settling into a comfortable stance position. The assessor needs to be able to move around the patient during the assessment and to have uninterrupted access to the posterior aspect of the leg and foot. Approximately two minutes for the assessment to be conducted. the total score ranging from -12 to +12.
| Foot posture is measured at baseline at the first session and reassessed at the end of the second week, and at the end of four weeks. |
| Knee Disability (Arabic version of Algofunctional index of lequense) | The Lequesne Algofunctional Index is a 10-question interview format questionnaire that was designed as a single unit. These 10 parameters are divided into three sections to assess 'pain or discomfort' (L1), 'maximum distance walked' (L2), and 'activities of daily living' (L3). The Lequesne index directly aggregates symptoms and function, which results in a single global index score ranging from 0 (no pain, no disability) to 24 (maximum pain, stiffness, and disability). | Knee Disability is measured at baseline at the first session and reassessed at the end of the second week, and at the end of four weeks. |
| D012216 |
| Rheumatic Diseases |