Total Knee Replacement
Conditions
Keywords
Instrument Assisted Soft Tissue Mobilization, Cross Fibre Massage, Pain, Range of motion, Total Knee Replacement
Brief summary
Comparative effect of Instrument Assisted Soft Tissue Mobilization and Cross Fiber Massage in patients with Total Knee Replacement
Detailed description
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.
Interventions
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
OTHERCross Fibre Massage
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.
Sponsors
Rashid Latif Medical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The assessor was kept blind and was not aware of any intervention groups.
Intervention model description
Group A: IASTM Patients received IASTM with baseline treatment. Group B: Cross Fiber Massage Patients received Cross fiber massage with baseline treatment.
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Baseline and 4th week | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range Of Motion | Baseline and 4th week | 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. |
Countries
Pakistan
Outcome results
None listed