Comparative Effect of Instrument Assisted Soft Tissue Mobilization and Cross Fiber Massage in Patients With Total Knee Replacement.

Rashid Latif Medical College50 enrolled

Overview

Comparative effect of Instrument Assisted Soft Tissue Mobilization and Cross Fiber Massage in patients with Total Knee Replacement

Total knee replacement (TKR) is an elective procedure in which the knee joint is resurfaced with a metal or plastic implant intended to restore function, provide pain relief, and improve quality of life.IASTM helps to remove the scarring and decrease the pain caused by muscular tightness. The therapeutic benefits of the application of IASTM occur in a short period, including improvement in range of motion, reduction of pain, decreasing hypertonia.Cross fiber massage, is a form of massage technique that focuses on the body's deep tissues. The massage is deep and should be delivered in transverse direction to the particular tissue affected, as opposed to superficial massage applied longitudinally parallel to the vessels, which promotes circulation and fluid return.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Total Knee Replacement

Interventions

Instrument-assisted soft tissue mobilizationOTHER

Each treatment session was of 15-20 minutes for all muscles, with the help of IASTM device assisted by friction-free oil or gel. The general principle is a six-step technique comprising examination, warm-up, IASTM, stretching, strengthening and icing. Data was collected by an independent assessor at baseline and after 4 weeks

Cross Fibre MassageOTHER

The massage is deep and must be applied transversely to the specific tissue involved unlike the superficial massage given in the longitudinal direction parallel to the vessels which enhances circulation and return of fluid. The therapist's fingers and patient's skin must move as one, otherwise moving subcutaneous fascia against muscle or ligament could lead to blister formation or subcutaneous bruising. Data was collected by an independent assessor at baseline and after 4 weeks.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Both male and female of Age 40-60 * Radiological diagnosis * Advanced degenerative OA knee, undergoing a primary TKR * Pain intensity \>3 Exclusion Criteria: * Rheumatoid Arthritis patients * Septic Arthritis and other inflammatory arthritis patients * Secondary or traumatic O.A * Congenital bony deformities * Flexion contracture, patellar dislocation * Fracture or pervious osteotomy * Neurological dysfunction

Locations (1)

Arif Memorial Teaching Hospital

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Pain Intensity

Visual Analogue Scale (VAS) is a widely used tool to measure pain intensity. The visual analog scale (VAS) for pain is a straight line with one end meaning no pain and the other end meaning the worst pain imaginable. It was used to assess pain.

Time frame: Baseline and 4th week

Secondary Outcomes

Range Of Motion

An inclinometer app is a tool that helps measure and track changes in joint mobility, flexibility, and range of motion. It provide objective, reliable degree measurements of knee range of motion and joint position sense error. These measurements are then compared against established normal ranges or the patient's own previous results to track progress.

Time frame: Baseline and 4th week

Data from ClinicalTrials.gov

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