Effect of iliotibial band myofascial release in treatment of knee osteorthritis / Ebtessam Fawzy Gomaa ; Supervised Nadia Abdelazim Fiyaz , Aly Osman Elmofty , Lilian Albert Zaky

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Ebtessam Fawzy Gomaa

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TextLanguage: English Publication details: Cairo : Ebtessam Fawzy Gomaa , 2016Description: 119 P. : charts , facsimiles ; 25cmOther title:

تأثير إنفراج النسيج الليفى العضلى للعصبة الحرقفية للساق فى علاج الالتهاب العظمى المفصلى للركبة [Added title page title]

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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders Summary: Background: knee osteoarthritis (KOA) is a heterogonous progressive disease; with different clinical presentations. Symptomatic KOA patients{u2019} need comprehensive assessment and treatment techniques to address specific problems around the knee such as myofascial trigger points (MTrPs) developing in iliotibial band (ITB); creating undue joint stress & pain. Purpose: the purpose of this study was to investigate the effect of ITB myofascial release (MFR) technique on hip adduction angle, patellar mal-tracking, functional performance, WOMAC score, pressure pain threshold (PPT) of MTrPs in patients' with KOA. Design and methods: parallel group randomized controlled trial;comprised four weeks intervention period, where patients in both groups assessed before and after treatment. Subjects: patients were randomly distributed into two groups: Group A (control): Consisted of 17 patients who were treated by exercise program, Group B (experimental): Consisted of 19 patients who were treated by the same exercise program in addition to ITB MFR technique. Intervention: two MFR techniques were used in combination; the ischemic compression (IC) technique and neuromuscular technique (longitudinal strokes). Assessment measures: hip adduction angle using digital protractor, patellar lateral displacement using Herrington{u2019}s clinical approach, functional performance using both step test and timed up & go test (TUG), subjective disability evaluation using WOMAC index, PPT using Wranger{u2019}s algometer. Results: Both groups showed a significant improvement (P-value <0.05) in all evaluated measures to the favor of experimental group (B) which was treated by ITB MFR; although adduction angle was significantly improved post-treatment in experimental group (B); between group difference was considered statistically insignificant. Conclusion: Adding ITB MFR technique to the exercise program had a more significant effect in improving patients with KOA

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Holdings
Item type	Current library	Home library	Call number	Copy number	Status	Date due	Barcode
Thesis	قاعة الرسائل الجامعية - الدور الاول	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.21.03.Ph.D.2016.Eb.E (Browse shelf(Opens below))		Not for loan		01010110069954000
CD - Rom	مخـــزن الرســائل الجـــامعية - البدروم	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.21.03.Ph.D.2016.Eb.E (Browse shelf(Opens below))	69954.CD	Not for loan		01020110069954000

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background: knee osteoarthritis (KOA) is a heterogonous progressive disease; with different clinical presentations. Symptomatic KOA patients{u2019} need comprehensive assessment and treatment techniques to address specific problems around the knee such as myofascial trigger points (MTrPs) developing in iliotibial band (ITB); creating undue joint stress & pain. Purpose: the purpose of this study was to investigate the effect of ITB myofascial release (MFR) technique on hip adduction angle, patellar mal-tracking, functional performance, WOMAC score, pressure pain threshold (PPT) of MTrPs in patients' with KOA. Design and methods: parallel group randomized controlled trial;comprised four weeks intervention period, where patients in both groups assessed before and after treatment. Subjects: patients were randomly distributed into two groups: Group A (control): Consisted of 17 patients who were treated by exercise program, Group B (experimental): Consisted of 19 patients who were treated by the same exercise program in addition to ITB MFR technique. Intervention: two MFR techniques were used in combination; the ischemic compression (IC) technique and neuromuscular technique (longitudinal strokes). Assessment measures: hip adduction angle using digital protractor, patellar lateral displacement using Herrington{u2019}s clinical approach, functional performance using both step test and timed up & go test (TUG), subjective disability evaluation using WOMAC index, PPT using Wranger{u2019}s algometer. Results: Both groups showed a significant improvement (P-value <0.05) in all evaluated measures to the favor of experimental group (B) which was treated by ITB MFR; although adduction angle was significantly improved post-treatment in experimental group (B); between group difference was considered statistically insignificant. Conclusion: Adding ITB MFR technique to the exercise program had a more significant effect in improving patients with KOA

Issued also as CD

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