Chondromalacia
Conditions
Keywords
chondromalacia,females, myofascial release, and dry needles
Brief summary
Assessing Impact of Myofascial Release versus Dry Needling for Chondromalacia in Adult females. The study employed a Randomized Controlled Trial (RCT) design.
Detailed description
A total of 45 female patients diagnosed with chondromalacia and confirmed by physical examination using a patellar grind test to confirm Clarke's sign were recruited for this study from the out patient clinic and Soad Kafafi's educational hospital , Investigations that analyzed the H/Q ratio by the use of gravity corrected isokinetic strength testing. Inclusion criteria were: * Age between 18-50 years old, the anterior knee pain recorded while one of the following activities at least :ascending and descending stairs, prolonged sitting and kneeling. * Subject experiences pain during palpation of patellar facets or while performing a 25-cm step down test or double legged squat. * Exclusion criteria included meniscal or intra-articular pathological conditions, cruciate or collateral ligaments involvement, tenderness over the patellar tendon . * These participants were randomly assigned to one of three groups, each consisting of 15 patients all received treatment for 3 weeks, 2 sessions per weak. Group 1: Received dry needling combined with traditional treatment( straight leg raising and isometric quadriceps exercises) for 3 weeks, 2 sessions per weak. Group 2: Received myofascial release in addition to traditional treatment for 3 weeks, 2 sessions per week. Evaluation of fascial restriction was assessed using the therapists elbow. Myofascial chain release: Position of the patient: Supine lying, prone lying and side lying Position of the therapist: Side of the patient limb to be treated -Technique: Using the therapist elbow a vertical release proximal to the attachment of the muscle belly or fascia was applied. Once an end-feel was reached a slow stroke down the length of the target tissue was performed along with monitoring the indirect feedback and tissue tension to identify any additional restrictions. The long stroke was repeated in a line parallel to the first stroke. It was continued until an end-feel is reached throughout the entire muscle belly or fascia on the most restricted/ painful points. Traditional Treatment ( exercise) : Applied uniformly across all groups, comprising straight leg raising and isometric quadriceps exercises (2 days per week). Group 3: Received only the traditional treatment only for 3 weeks, 2 sessions per weak.
Interventions
OTHERDry Needling
dry needles Administered to patients in Group 1 as part of their treatment regimen( 2 days per week).
OTHERmyofascial release
Myofascial Release: Provided to patients in Group 2 along with traditional treatment( 2 days per week). Evaluation of fascial restriction was assessed using the therapists elbow. Any restrictions felt were assessed and given treatment.Myofascial chain release- Position of the patient- Supine lying, prone lying and side lying Position of the therapist- Side of the patient limb to be treated \- Technique-Using the therapist elbow a vertical release proximal to the attachment of the muscle belly or fascia was applied. Once an end-feel was reached a slow stroke down the length of the target tissue was performed along with monitoring the indirect feedback and tissue tension to identify any additional restrictions. The long stroke was repeated in a line parallel to the first stroke. It was continued until an end-feel is reached throughout the entire muscle belly or fascia on the most restricted/ painful points.
OTHER(traditional exercises)
comprising straight leg raising and isometric quadriceps exercises (2 days per week).
Sponsors
Badr University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
double blinding
Intervention model description
A total of 45 adult female diagnosed with chondromalacia and confirmed by physical examination using a patellar grind test to confirm clarke's sign were recruited for this study from the out patient clinic and soad kafafi's educational hospital , Investigations that analysed the H/Q ratio by the use of gravity corrected isokinetic strength testing
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Age between 18-50 years old, the anterior knee pain recorded while one of the following activities at least :ascending and descending stairs, prolonged sitting and kneeling. * Subject experiences pain during palpation of patellar facets or while performing a 25-cm step down test or double legged squat. (Iiona, 2020)
Exclusion criteria
* excluded meniscal or intra-articular pathological conditions, cruciate or collateral ligaments involvement, tenderness over the patellar tendon . * These participants were randomly assigned to one of three groups, each consisting of 15 patients all received treatment for 3 weaks, 2 sessions per weak.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The isokinetic muscle strength | 3 weeks | * Peak Torque (PT): Measured using the isokinetic dynamometer system to assess the strength of the muscles. * AGO/ANT Ratio: Evaluated using the isokinetic dynamometer system to examine the balance between agonist and antagonist muscle groups. |
| pain intensity by visual analogue scale. | 3 Weeks | Visual Analogue Scale (VAS): Utilized to measure the intensity of pain experienced by the patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life physical and mental states | 3 Weeks | Quality of Life Scale Questionnaire (QLS): Administered to assess both the physical and mental status of the patients. |
| Activity and functional levels of Lower Extremity | 3 weeks | Lower Extremity Scale Questionnaire (LES): Used to evaluate the activity levels and functionality of the patients' lower extremities. |
Countries
Egypt
Outcome results
None listed