Comparison of Active Release Technique and Bent Leg Raise In Osteoarthritis.

Study Overview
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Brief Summary
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The objective of the study was to compare the effects of active release technique and bent leg raise on hamstring flexibility, functional outcomes, and pain in patients with knee osteoarthritis.

Detailed Description
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Knee Osteoarthritis is a common progressive degenerative joint disease. Muscular weakness and other structural abnormalities can cause low back pain. Hamstring muscle being a postural muscle has an increased tendency to become tight. In this study, participants with knee osteoarthritis having hamstring tightness were included. Active Release Technique and Bent Leg Raise technique have been used to increase flexibility in hamstrings in these patients with knee osteoarthritis.

Official Title
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Comparison Of Effects Of Active Release Technique And Bent Leg Raise On Hamstring Flexibility In Patients With Knee Osteoarthritis

Conditions
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Knee Osteoarthritis

Intervention / Treatment
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* Other: Active Release Technique
* Other: Bent leg raise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed patients of Knee Osteoarthritis Hamstring length less than 160 degrees Minimum history of 3 months Willing to participate Exclusion Criteria: Patients who have passive knee extension more than 160 degrees Patients with less than 3 months history Patients who have osteoarthritis of other than the knee joint Patients with history of fracture Patients with post surgical history

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Active Release Technique<br>Hot pack, TENS, Quadriceps Isometric strengthening, Active Release Technique | Other: Active Release Technique<br>* Moist Hot pack 10 mins/1 set/ (6 days/ week), TENS 20 mins/1 set/ (6 days/ week), Quadriceps Isometric Strengthening 5 sec hold, 10 reps/ 1 set/(6 days/ week), Active release Technique 5 reps/ 1 set/ (6 days/ week) A total of 2 weeks (12 sessions, 6 sessions/ week) were given each consisting of 40 mins.<br>|
| Active Comparator: Bent leg raise<br>Hot pack, TENS, Quadriceps Isometric strengthening, Bent leg raise | Other: Bent leg raise<br>* Moist Hot pack 10 mins/1 set/ (6 days/ week), TENS 20 mins/1 set/ (6 days/ week), Quadriceps Isometric Strengthening 5 sec hold, 10 reps/ 1 set/(6 days/ week), Bent leg raise 5 sec hold/ 5 sec stretch/ 3 reps/ 1 min rest interval/ 1 set/ (6 days/ week). A total of 2 weeks (12 sessions, 6 sessions/ week) were given each consisting of 40 mins.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hamstring flexibility | Changes from baseline, Hamstring flexibility was measured through passive knee extension test with the help of Goniometer. Normal value of knee extension angle is 180 degrees. Values decreased than 160 degree represents hamstring tightness. | 12 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional outcome | Changes from baseline, Functional outcome was taken through western Ontario McMaster Universities Osteoarthritis Index tool. It comprises three sections containing 24 items. Score ranges from 0 to 96. 0 representing a healthy state and higher scores indicating worst health. | 12 days | 
| Pain on Visual analogue Scale | Changes from baseline, Pain was measured through Visual Analogue Scale. It comprises of a continuous scale of 10cm line. 0 to 4mm represents no pain, 5mm to 44mm indicates mild pain, whereas 45mm to 74mm indicates moderate pain and continues to the range of worst pain between 75mm to 100 mm. | 12 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Active Release Technique, Bent leg raise, Hamstring flexibility