Effects of ELDOA Versus Post Facilitation Stretching Technique in Patients With Knee Osteoarthritis

Comparative Effects of Elongation Longitudinaux Avec Decoaption Osteo Articulaire and Post Facilitation Stretching Technique in Patients With Knee Osteoarthritis- A Randomized Controlled Trial

This study aims to assess whether Elongation Longitudinaux Avec Decoaption Osteo Articulaire versus post assistance extending strategy have effects on knee torment. and to check its impact on actual capacity.

A randomized controlled trial will be conducted at Safi Teaching Hospital, Faisal Teaching Hospital and Allied Hospital Fsd after the synopsis has been approved. Patients will be enrolled using a simple random sampling technique. Patients with Knee Osteoarthritis will be chosen based on pre-established inclusion and exclusion requirements. Patients will receive Elongation Longitudinaux Avec Decoaption Osteo Articulaire, and post-facilitation stretching techniques. Two tools will be used to find out the comparison of both groups; Numeric Pain Rating Scale; for knee pain and Lower Extremity Functional Scale; to check the ability of the patient to perform the everyday task and for evaluation of functional impairments for patients with a disorder of lower extremities. The assessment will need to be done at baseline and follow up will be 15 days after treatment. Each patient will be asked to give their informed consent. Statistical Package of Social Sciences Version 20 will be used for data entry and analysis.

Comparative, Elongation Longitudinaux Avec Decoaption Osteo Articulaire, Post Facilitation Stretching Technique, Knee Osteoarthritis, Randomized Control Trial

In this we will use myofascial stretching Elongation Longitudinaux Avec Decoaption Osteo Articulaire for knee osteoarthritis. Each patient perform half kneeling posture with homolateral foot and knee in alignment with hip while knee flex to 90° and retrovulsion of the pelvis. Chin tucked in and head towards ceiling. Patient elbow and wrist in extension and arms in external rotation. In this homolateral arm directed anteriorly and pushing arm away from body and contralateral arm directed superiorly and tibia externally rotated. This position maintained for 1 minute with 15 secs rest. This group will receive 40 mins of session.

This group will receive post facilitation stretching technique. In this all the major muscles of the lower limb (quadriceps, hamstrings ,upper and lower calf muscles) are stretched .And the physiotherapist instruct the patient how to perform stretch . When we target a muscle and perform stretch patient feels sensation of stretch . The stretch was hold on to 60 secs and repeated 3 times on each muscle group on each leg.

It creates tension in the spine and stretch the fascia and is a myofascial stretch technique and manual physical therapy tool

Post Facilitation Stretching effectively decreases hamstring muscle tightness while also increasing popliteal angle range. Post-facilitation exercise can help to relieve knee pain. It effectively raises ROM or aligns collagen fibers due to the muscle contraction performed immediately before stretching.

The Numerical Pain Rating Scale is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0; no pain at all to 10; worst imaginable pain.

The Lower Extremity Functional Scale is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals.

Inclusion Criteria: It includes both male and female diagnose with knee Osteoarthritis according to history, physical examination and radiological findings and also patient who score more than 3 on Numeric Pain Rating Scale Osteoarthritis grade of 3 and lower as determined by using Kallgran and Lawrence Radiographic classification. Exclusion Criteria: If patient is unable to walk or exercise without functional aid and have previous knee surgery. Patient with heart condition.