Comparison of Soft Tissue Techniques on Hamstring Flexibility Knee Osteoarthritis

Summary

The aim of this research is to compare the effects of Graston Technique, active release technique and PNF stretching on hamstring flexibility in Patients with Knee Osteoarthritis. Randomized controlled trials done at Riphah International University, Islamabad.. The sample size was 45. The subjects were divided in three groups, 15 subjects in Graston Technique group, 15 subjects in active release technique group and 15 in PNF stretching group. Study duration was of 6 months. Sampling technique applied was non probability purposive sampling technique. Male and female patients greater than 30 years of age, with unilateral or bilateral OA of grade 1 and 2 in Kellegren and Lawrence criteria for knee OA, having UL/BL hamstring tightness, Pain \> 3 on NPRS, ROM \> 200 from AKE test were included.

Tools used in the study are NPRS, AKE test by goniometer, Lower extremity functional index (LEFI) and WOMAC.

Conditions

• Knee Osteoarthritis

Interventions

OTHER

Graston technique group

Moist hot pack (10 minutes) Isometric quadriceps exercises (10 repetitions) Straight leg raise (10 repetitions) Graston technique steps 6 long strokes by the GT1 instrument on the hamstring muscle longitudinally. The Graston technique duration will be 5 minutes

OTHER

Active release technique group

* Moist hot pack (10 minutes) * Isometric quadriceps exercises (10 repetitions) * Straight leg raise (10 repetitions) ART steps: * Subject lies on the plinth in prone or in side lying position with the dominant side facing upwards. * Gentle tension is applied to the hamstring muscle along the entire length while stretching the leg in prone lying or side lying positions, depending on the level of pain and tightness of muscle (5 repetitions at 5 seconds interval). * Gentle tension is also applied at the origin and insertion of the hamstring muscle until the patient feels full release.

OTHER

Proprioceptive Neuromuscular Facilitation stretching group

* Moist hot pack (10 minutes) * Isometric quadriceps exercises (10 repetitions) * Straight leg raise (10 repetitions) PNF technique steps: * The subject is in supine position with his non-dominant leg strapped down the table while the dominant leg rests on the therapist right shoulder. * The therapist stretches the hamstring muscle until the subject first reports a mild stretch sensation; held for 7 sec by passively flexing the hip with knee fully extended, allowing no hip rotation. * Next, the subject isometrically contracts the hamstring muscle for 3 sec and then relax for 5 sec. * This sequence is repeated 5 times at a 20 second interval.

Sponsors & Collaborators

• Riphah International University

  lead OTHER

Principal Investigators

• Aisha Razzaq, MSPT-OMPT · Riphah International University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

30 Years

Max Age

50 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-12-01

Primary Completion

2022-07-20

Completion

2022-08-01

Countries

• Pakistan

Study Locations