Musculoskeletal Diseases
Conditions
Interventions
Myofascial release and exercises
Sponsors
physiotherapy outpatient clinic of EL Sheikh Zayed Specialized Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: • Pain for at least one month after TKR not relieved by oral medications and/or conventional physical therapy techniques (excluding the first 2 weeks postoperative). • Age between 50-80 years. • Patients post TKR due to Osteoarthritis. • Cemented TKR. • Patients who undergone conventional cemented TKR through a medial parapatellar approach & a midline skin incision at least 1 month ago. • Persistent pain despite conventional physical therapy techniques and analgesic drugs.
Exclusion criteria
Exclusion criteria: • Any other surgical procedure of the lower limbs in the previous 6 months. • Rheumatoid arthritis. • Initiation of opioid analgesia or corticosteroid or analgesic injection intervention for hip or knee pain within the previous 30 days (excluding the first 2 weeks postoperative). • Physical impairments unrelated to the hip or knee preventing safe participation in exercise and/or manual therapy, such as body weight greater than 120 kg and neurogenic disorder. • Orthopedic evaluation revealed instability and/or mechanical dysfunction of the arthroplasty. • Infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain assessment by the Arabic Numeric Pain Rating Scale (ANPRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| knee function by the Arabic Knee injury and Osteoarthritis Outcome Score (AKOOS);A pressure algometer is a method of quantifying soft tissue tenderness | — |
Countries
Egypt
Contacts
Public ContactSamah Saad Zahran
lecturer of physical Therapy department for musculoskeletal disorders and their Surgery Faculty of Physical Therapy Cairo University.
Outcome results
None listed