RecruitingACTRN12622000573752

Functional assessment of orthopedic patients undergoing selected methods of physiotherapy.


Sponsor

Jagiellonian University Medical College, Department of Orthopedics and Physiotherapy

Enrollment

250 participants

Start Date

May 2, 2022

Study Type

Interventional

Conditions

Summary

The purpose of the study will be to objectively assess the effectiveness of various methods of physiotherapy, individually customized for each patient, appropriate for a given group of patients. The following will be assessed: muscle activity, proprioception, mechanical properties of soft tissues, pain level and the function of the musculoskeletal system. Participants will be undergo 2-6-month (depending on the group of patients and the treatment method used: conservative or surgical) physiotherapy (one-on-one face-to-face consultation, the frequency/duration of the intervention: 2 hours of consultation every 5 days) with the use of various physiotherapeutic methods: manual therapy (soft tissue therapy, joint mobilisation), exercises (patterned movement and resistance exercises) appropriate for a given group of patients, physical therapy (mainly cryotherapy, electrostimulation). The study hypothesis: An individual process of physiotherapy aimed at treating areas with structural changes results in a long-lasting improvement in the function of the locomotor system in patients with orthopedic diseases.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 70 Yearss

Plain Language Summary

Simplified for easier understanding

Joint and soft tissue conditions such as carpal tunnel syndrome, Dupuytren's contracture, knee osteoarthritis, and ligament or meniscus injuries can significantly affect daily life and movement. Physiotherapy tailored to each person's specific condition is an important part of recovery, whether treated conservatively or after surgery. This study evaluates how well individualised physiotherapy programmes — using techniques such as manual therapy, targeted exercises, and physical modalities — improve function, reduce pain, and restore movement. Participants attend regular one-on-one physiotherapy sessions over two to six months. Researchers measure muscle activity, joint position sense, tissue properties, pain levels, and overall function both before and after treatment, using objective measurement tools. The goal is to build better evidence for which physiotherapy approaches work best for specific conditions. You may be eligible if you are between 18 and 70 years old and have been diagnosed with one or more of: carpal tunnel syndrome (confirmed by ultrasound or nerve test), Dupuytren's contracture in the hand, knee osteoarthritis on imaging, or a knee ligament or meniscus tear requiring surgery. People with rheumatoid arthritis, neurological diseases, or permanent locomotor system damage are not eligible.

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Interventions

Due to the continuity of the musculoskeletal system and the myofascial system, each patient will be examined by a physiotherapist before each individual physiotherapeutic session, and the therapy will

Due to the continuity of the musculoskeletal system and the myofascial system, each patient will be examined by a physiotherapist before each individual physiotherapeutic session, and the therapy will be carried out individually within the dysfunctional elements of the musculoskeletal system (including the myofascial system). Participants will be allocated to the various, available interventions on the basis of a test (functional and palpation assessment) carried out by a physiotherapist. Dysfunctional elements of the locomotor system (including the fascial system) of the study participants will be subjected to selected, personalized interventions: 1. Manual therapy: a) soft tissue therapy: targeted myofascial therapy (targeting: deep fascia of muscles and/or intermuscular furrows and/or trigger points and/or densification or fibrosis points/regions of deep and superficial fascia) and/or b) joint mobilisation depending on the treatment plan co-designed with the treating physiotherapist. Treatment will be targeted to areas with structural changes. 2. Exercises: a) patterned movement exercises (using regional and global movement patterns) and/or b) resistance exercises (using manual or instrument-generated resistance). 3. Physical therapy (targeting: cryotherapy and/or electrostimulation). The frequency/duration of the intervention: 2 hours of consultation every 5 days for 2-6 months. The mode of administration: one-on-one face-to-face consultation. The intervention will be performed by a physiotherapist with 15 years of experience. Session attendance checklists will be conducted.


Locations(1)

Poland

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ACTRN12622000573752


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