Effect of Graston Technique Versus MET on Improving Hamstring Flexibility and ADLS in Knee Osteoarthritis

Study Overview
=================
Brief Summary
-----------------
The objective of this study is to determine the comparison of Graston technique versus muscle energy technique to improve hamstring flexibility and ADL among patient of knee O.A.

Official Title
-----------------
Effect of Graston Technique Versus Muscle Energy Technique on Improving Hamstring Flexibility and ADLS in Knee Osteoarthritis

Conditions
-----------------
Knee Osteoarthritis

Intervention / Treatment
-----------------
* Diagnostic Test: Graston technique
* Diagnostic Test: muscle energy technique


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Knee osteoarthritis patient with bilateral (but tested only severe side) or unilateral limb involvement.(13) Knee osteoarthritis patient already diagnosed by orthopedic surgeon with x ray findings showing grade I or II in kellgren and Lawrence criteria for knee OA will be selected. (16) Ambulate independently with or without assistive devices and ascend and descend at least a flight of stairs.(13) Both male and female will be included in study. Age above 40 to 55years.(13) Exclusion Criteria: Patient with history of any known neurological, cardio or respiratory conditions. Patient present with history of open wound, Skin infection or tumors in the area of treatment. Any other orthopedic condition or fracture in the area of treatment limb. Patient will be excluded if they have low back pain, sciatica or deformities related to his spine and knee. Patient with history of recent lower limb or spinal surgeries.

Ages Eligible for Study
-----------------
Minimum Age: 40 Years
Maximum Age: 55 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Comparison of Graston technique versus muscle energy technique among patient of knee osteoarthritis
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Graston technique.<br>The Graston Technique is a form of manual therapy known as soft-tissue instrument-assisted mobilization | Diagnostic Test: Graston technique<br>* Graston technique among patient of knee osteoarthritis<br>|
| Experimental: muscle energy technique<br>Muscle Energy Technique (MET), uses a muscle's own energy in the form of gentle isometric contractions to relax the muscles via autogenic or reciprocal inhibition and lengthen the muscle | Diagnostic Test: muscle energy technique<br>* muscle energy technique among patient of knee osteoarthritis<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| knee osteoarthritis | Comparison of Graston technique versus muscle energy technique among patient of knee osteoarthritis. | 6 Months |