Home Based Exercise and Myofascial Release Technique Effectively Decrease Hamstring Tightness, Pain, and Disabilityin Eldery with Knee Osteoarthritis
DOI:
https://doi.org/10.37287/ijghr.v8i3.1251Keywords:
disability, exercise, myofascial, osteoarthritis, painAbstract
Osteoarthritis is one of the most common age-related diseases and is a primary cause of disability and pain. Cases of osteoarthritis cause pain, hamstring tightness, and limited range of motion, which reduce productivity and quality of life. Physiotherapy management for this condition may include Home-Based Exercise (HBE) and the Myofascial Release Technique (MRT).The purpose of this study was to compare the effectiveness of HBE and MRT in reducing hamstring tightness, pain, and disability caused by knee osteoarthritis in the elderly. This study employed an experimental design with a single-blinded randomized pre-test and post-test control group design. A total of 30 participants were recruited using consecutive purposive sampling and randomly divided into two groups. Knee disability was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), pain was measured using the Visual Analog Scale (VAS), and hamstring tightness was evaluated using the active knee extension test.The Paired T-Test revealed a significant reduction in knee disability, pain, and hamstring tightness before and after intervention in both the Myofascial Release Technique group (p < 0.001) and the Home-Based Exercise group (p < 0.001). However, Home-Based Exercise demonstrated greater effectiveness compared to the Myofascial Release Technique.
References
Ahmad Muhyi, Brilian Sinta Adiratna, S. M. B. P. (2023). Prevalensi Osteoarthritis Genu berdasarkan Karakteristik Demografi pada Pasien Geriatri di RSUD K.R.M.T Wongsonegoro. JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama, 11(2), 152, 152–160.
Farshchi, F. (2025). The Role of Myofascial Release Techniques as an Adjunct to Other Therapies in Knee Osteoarthritis : A Systematic Review. https://doi.org/10.1002/hsr2.71507
Gao, B., Li, L., Shen, P., Zhou, Z., Xu, P., Sun, W., Zhang, C., & Song, Q. (2023). Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial. PLoS ONE, 18(2 February), 1–14. https://doi.org/10.1371/journal.pone.0280941
Guede-Rojas, F., Benavides-Villanueva, A., Salgado-González, S., Mendoza, C., Arias-Álvarez, G., Soto-Martínez, A., & Carvajal-Parodi, C. (2024). Effect of strength training on knee proprioception in patients with knee osteoarthritis: A systematic review and meta-analysis. Sports Medicine and Health Science, 6(2), 101–110. https://doi.org/10.1016/j.smhs.2023.10.005
Kim, H. I., Ahn, S. H., Kim, Y., Lee, J. E., Choi, E., & Seo, S. K. (2022). Effects of sarcopenia and sarcopenic obesity on joint pain and degenerative osteoarthritis in postmenopausal women. Scientific Reports, 1–8. https://doi.org/10.1038/s41598-022-17451-1
Long, H., Liu, Q., Yin, H., Wang, K., Diao, N., Zhang, Y., Lin, J., & Guo, A. (2022). Prevalence Trends of Site-Specific Osteoarthritis From 1990 to 2019: Findings From the Global Burden of Disease Study 2019. Arthritis and Rheumatology, 74(7), 1172–1183. https://doi.org/10.1002/art.42089
Mao, Y., Qiu, B., Wang, W., Zhou, P., & Ou, Z. (2024). Efficacy of home-based exercise in the treatment of pain and disability at the hip and knee in patients with osteoarthritis: a systematic review and meta-analysis. BMC Musculoskeletal Disorders, 25(1), 1–14. https://doi.org/10.1186/s12891-024-07585-w
Maras, G., Arikan, H., & Citaker, S. (2024). Comparison of the effects of 4-week instrument assisted soft tissue mobilization and static stretching on strength, ROM, flexibility, and painthreshold in hamstring muscle shortness. Journal of Bodywork and Movement Therapies, 40(May), 575–583. https://doi.org/10.1016/j.jbmt.2024.05.008
Masyhurrosyid, H., Kumboyono, & Wiji Utami, Y. (2014). Effect of Ginger Stew Warm Compresses Against Subacute and Chronic Pain Levels In Elderly with Knee Osteoarthtritis in Arjuna Public Health Center, Klojen Malang. Majalah Kesehatan FKUB, 1, 39–44.
Nouman, M., Shabnam, J., Anwar, S., Perveen, W., Alexe, D. I., Sánchez-Gómez, R., Sava, M. A., & Alexe, C. I. (2024). Effect of Iliotibial Band Myofascial Release Combined with Valgus Correction Exercise on Pain, Range of Motion, Balance, and Quality of Life in Patients with Grade II Knee Osteoarthritis: A Randomized Clinical Trial. Life, 14(11). https://doi.org/10.3390/life14111379
Page, P. (2014). Clinical Commentary Current Concepts In Muscle Stretching For Exercise And Rehabilitation. The International Journal of Sports Physical Therapy, 7(1), 109. http://link.springer.com/10.1007/s00421-018-3874-3%0Ahttp://journal.frontiersin.org/Article/10.3389/fpsyg.2015.01128/abstract%0Ahttp://www.ncbi.nlm.nih.gov/pubmed/26642915%0Ahttp://content.ebscohost.com/ContentServer.asp?T=P&P=AN&K=104054298&S=R&D=ccm&Ebs
Rahman, S., Habibur, B., Deepthi, G., Singh, K., & Wah, Y. C. (2022). Effect of Myofascial Release on Hamstring Tightness among Knee Osteoarthritis Patient. 6(3), 4027–4034.
Santos, A. C. G., Caiado, V. da S., Moreira-Marconi, E., Teixeira-Silva, Y., De Meirelles, A. G., Seixas, A., Lacerda, A. C. R., Sonza, A., Mendonça, V. A., Bernardo-Filho, M., & De Sá-Caputo, D. da C. (2024). The Influence of Physical Exercises on the Flexibility of Older Individuals with Knee Osteoarthritis: A Systematic Review. Iranian Journal of Public Health, 53(2), 255–267. https://doi.org/10.18502/ijph.v53i2.14911
Si, J., Sun, L., Li, Z., Zhu, W., Yin, W., & Peng, L. (2023). Effectiveness of home-based exercise interventions on pain, physical function and quality of life in individuals with knee osteoarthritis: a systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research, 18(1), 1–18. https://doi.org/10.1186/s13018-023-04004-z
Sorkpor, S. K., Galle, K., Teixeira, A. L., Colpo, G. D., Ahn, B., Jackson, N., Miao, H., & Ahn, H. (2021). The Relationship Between Plasma BDNF and Pain in Older Adults With Knee Osteoarthritis. Biological Research for Nursing, 23(4), 629–636. https://doi.org/10.1177/10998004211012479
Sur, M., Roy, S. D., & Singha, P. (2024). Unlocking relief : Myofascial release in chronic musculoskeletal pain management. 6(1), 17–20.
Xu, H., Xiao, W., Ding, C., Zou, J., Zhou, D., Wang, J., Ding, L., Jin, C., Sun, L., & Li, Y. (2025). Global burden of osteoarthritis among postmenopausal women in 204 countries and territories : a systematic analysis for the Global Burden of Disease Study 2021. 1–11. https://doi.org/10.1136/bmjgh-2024-017198
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