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Hold-relax and Muscle Energy Techniques in Patients With Post-traumatic Knee Stiffness

Comparative Effects of Hold-relax and Muscle Energy Techniques on Pain, Range of Motion and Lower Extremity Function in Patients With Post-traumatic Knee Stiffness

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07438561
Enrollment
68
Registered
2026-02-27
Start date
2025-01-01
Completion date
2025-10-31
Last updated
2026-02-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee Discomfort

Keywords

Knee Stiffness, Range of motion, exercise, exercise therapy, muscle energy technique

Brief summary

The study was conducted to compare the effects of hold-relax and muscle energy technique on pain, range of motion an lower extremity function in patients with post-traumatic knee stiffness.

Interventions

Hold-Relax: Patient was in prone position, therapist was on the affected site, the affected knee was bent to the available and pain free range at that range therapist applied pressure and held it for 8-10 seconds repeated for 10 times. 3 sessions per week for a total of 8 weeks.

OTHERMuscle Energy Technique

Muscle Energy Technique: Patient was in prone position, therapist was on the affected site, the affected knee was bent to the available and pain free range at that range therapist applied pressure and asked the patient to move his knee in extension against the resistance applied by therapist for 10 seconds. And then patient flexed his knee actively and process was repeated for 10 times. 3 sessions per week for a total of 8 weeks.

OTHERStandard Physical Therapy

* Hot packs were applied to patients for a period of 10 minutes. * Mulligan mobilization techniques were performed on the knee joint. * Knee isometrics were done.

Sponsors

Riphah International University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
No

Inclusion criteria

* Patients who had fracture and treated either with POP or ORIF. * Fracture healing completed. * Both genders of age between 18-35. * Conservative treatment of fracture with POP for minimum 6 weeks. * NPRS more than or equal to 2.

Exclusion criteria

* Pathological fracture. * Post-traumatic myositis ossificans. * Ligamental or Meniscal tears. * Any tumor in the knee region. * Osteoarthritis.

Design outcomes

Primary

MeasureTime frameDescription
Numeric Pain Rating Scale (NPRS)From enrollment to the end of the treatment at 8 weeks.Numeric Pain Rating Scale is a subjective measure using which patient's rate their pain. It consists of 11 points, having an overall score ranging from 0 to 10, where: 0, 1 - 3, 4 - 6, 7 - 10 represents no pain, mild, moderate and the most severe pain respectively
Universal GoniometerFrom enrollment to the end of the treatment at 8 weeks.Range of motion of joints are usually assessed by a device known as universal goniometer. meter has two arms stationary as well as movable arm. The Centre of the goniometer is known as fulcrum. Through goniometer in each plane joint ranges are measured.
Lower Extremity Function Scale (LEFS)From enrollment to the end of the treatment at 8 weeks.The Lower Extremity Functional Scale (LEFS) is a 20-item self-report questionnaire assessing functionality in patients with knee and other lower limb disorders. Patients rate their difficulty with activities on a 0-4 scale (0=extreme difficulty/unable, 4=no difficulty), with a total score out of 80; higher scores indicate better function.

Countries

Pakistan

Contacts

PRINCIPAL_INVESTIGATORAli Raza, MS-OMPT

Riphah International University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026