Effects of Voodoo Flossing Technique in Knee Osteoarthritis Patients
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-65
SponsorRiphah International University
About this trial
Knee osteoarthritis (KOA) is a prevalent degenerative joint disease characterized by pain, stiffness, and reduced physical function, significantly impacting quality of life especially in elderly population. This study aims to evaluating the effectiveness of an emerging technique, known as 'Voodoo Flossing' on pain, range of motion and physical function in KOA to provide evidence-based insight of voodoo flossing as a potential therapeutic adjunct in KOA management.
This randomized controlled trial will be conducted at Riphah Rehabilitation Clinic, Lahore and Horizon Hospital Lahore in a time span of 8 months. A sample size of 42 subjects selected through non-probability convenient sampling with age group between 45 to 65 having present complain confirmed through Kellgren-Lawrence (KL) scale of grade-II will be divided into two groups, will undergo aerobic exercises, strengthening exercises and conventional physiotherapy protocol either with or without Voodoo Flossing technique.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 45 and ≤ 65
Both Male and Female
Knee Pain persisting for at-least 3 months
Pain severity during walking ≥ 2/10 on a Numeric Pain Rating Scale
Disqualifiers
Age < 45 and > 65
Severe Knee pain during Walking ≥ 9/10 on a Numeric Pain Rating Scale
Knee OA Grade I, III & IV (according to Kellgren-Lawrence method)
Physical or Mental co-morbidity severely affecting daily life of patient
Trial design
Design model
Parallel
Treatments tested in this trial
Group A will receive Voodoo Flossing Technique along with aerobic and strengthening exercises & conventional physiotherapy protocol for Knee OA.
Other interventionPatient will sit or lie down comfortably with affected knee exposed and in extension. Start by wrapping voodoo floss band at the shin bone just below the knee joint with 50% tension in the band and 50% overlapping on each wrap by working your way up towards the thigh. Keep the flossing band on for at least 1-2 minutes and perform gentle knee movements to promote mobility. * Knee flexion and extension in full range of motion in standing position 20-30 sec. * Knee squats with/without support 20-30 sec. * Abduction and Adduction 20-30 sec. Perform each exercise with 10-15 seconds of rest between each set. After completing ROM exercises, allow the knee to rest in comfortable position and then carefully unwrap the voodoo band from the knee joint. Also monitor the knee for any changes.
Group B will receive aerobic and strength training and conventional physiotherapy protocol for knee OA only.
Other interventionAerobic Exercises: Walking or Stationary Cycling 2 times a week for 4 weeks Walking: On flat surface/Treadmill * 10 minutes warm-up, 30 minutes brisk walking, 5 minutes cool down. Cycling: Ergometer cycling * 10 minutes warm-up, 30 minutes on moderate loading (75% of max. heart rate), 5 minutes cool down. Strengthening Exercises: Quadriceps, Hamstrings, Hip Abductors, Adductors and Calf Muscles Strengthening and Balance Training 2 times a week for 4 weeks. * Hip Abduction in standing 8-10\*2 RM * Hip Adduction in standing 8-10\*2 RM * Knee Flexion and Extension in standing 10\*2 RM * Knee Squats 8-10\*2 RM * Sit/stand from chair 10\*2 RM * Step up and down 10\*2 RM * Heel raises 10\*2 RM * Hip Bridges 10\*2 RM Conventional Exercise Program: 2 times per week for 4 weeks Heat Therapy Ultrasound Therapy * Static Quads activation 10\*2 RM * SLR 10\*2 RM * VMO activation 10\*2 RM * Knee to Chest 5\*2 RM * Quadriceps, Hamstrings and Calf stretches 5\*2 RM
Treatment groups
42 Participants
are divided into 2 treatment groupsGroup A: Voodoo Flossing technique along with aerobic & strengthening exercises and conventional protocol.Experimental treatment 1 intervention
Group B: Aerobic and strength training and conventional physiotherapy protocol for knee OA.Active comparator 1 intervention
Trial outcomes
Primary outcomes
1
Numeric Pain Rating Scale
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain". In this study, participants rating ≥2 and ≤9 on NPRS will be taken.
Time frame
4th week2
The Western Ontario and McMaster Universities Osteoarthritis Index
WOMAC index is a widely used questionnaire designed to assess the three dimensions of pain, stiffness, and physical function in individuals with OA of the hip or knee. It is a 24-item questionnaire divided into three sub-categories: Pain (5 items), Stiffness (2 items), Physical Function (17 items). Participants having poor scoring on WOMAC scale for pain, stiffness and physical activities will be considered for this study.
Time frame
4th weekSecondary outcomes
1
Time Up & Go Test
Time Up and Go (TUG) test is a simple, quick, and reliable clinical tool used to assess functional mobility, balance, and gait speed by measuring the time it takes for an individual to rise from a chair (or seated position), walk a short distance (typically 3 meters or 10 feet), turn around, walk back to the chair, and sit down again. A score of ≤ 14 seconds has been shown to indicate high risk of falls.
Time frame
4th week2
Universal Goniometer
The range of motion will be measured by using Universal Goniometer.
Time frame
4th weekSponsors and contacts
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Source ClinicalTrials.gov