RecruitingNot ApplicableNCT06986694

Effects of Voodoo Flossing Technique in Knee Osteoarthritis Patients

Effects of Voodoo Flossing Technique on Pain, Range of Motion and Physical Function in Patients With Knee Osteoarthritis: A Randomized Control Study

Sponsor

Riphah International University

Enrollment

42 participants

Start Date

Jun 12, 2025

Study Type

INTERVENTIONAL

Conditions

Physiotherapy Pain Knee Osteoarthritis Range of motion

Summary

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

Min Age: 45 YearsMax Age: 65 Years

Inclusion Criteria8

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
Walking and Balance (Mobility) problems according to Time Up \& Go (TUG) test
Poor scoring on WOMAC scale for pain, stiffness and physical activities
Knee OA Grade II (according to Kellgren-Lawrence method)
Participants must provide informed consent for participation in RCT

Exclusion Criteria9

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
Any Contraindication to provide Exercise Therapy
Suspicion of chronic widespread pain (i.e., pain present for at least 3 months in at least three joints including left and right side of the body, above and below the waist, and the axial skeleton)
Participant undergone total knee arthroplasty or on waiting list for total knee arthroplasty in any knee
Any other reasons for knee pain than knee OA (e.g., rheumatoid arthritis and gout)
Received intraarticular injections in past 6 months because of knee pain (Hyaluronic Gel or steroid)

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Interventions

OTHERGroup A will receive Voodoo Flossing Technique along with aerobic and strengthening exercises & conventional physiotherapy protocol for Knee OA.

Patient 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.

OTHERGroup B will receive aerobic and strength training and conventional physiotherapy protocol for knee OA only.

Aerobic 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