Effectiveness of manual therapy targeting hamstring tightness in knee osteoarthritis: a systematic review of rehabilitation outcomes - Scorecard - MDSpire
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Effectiveness of manual therapy targeting hamstring tightness in knee osteoarthritis: a systematic review of rehabilitation outcomes
Clinical Scorecard: Efficacy of Manual Therapy on Hamstring Tightness in Patients with Knee Osteoarthritis: A Systematic Review of Rehabilitation Results
At a Glance
Category
Detail
Condition
Knee Osteoarthritis (KOA)
Key Mechanisms
Manual therapy targeting hamstring tightness to modulate pain and improve function.
Target Population
Adults with radiographically confirmed KOA.
Care Setting
Rehabilitation settings.
Key Highlights
Manual therapy showed significant pain reduction (1.5 to 3.2 points on VAS/NPRS).
Hamstring flexibility improved by 8 to 18 units.
Nine studies reported significant within-group improvements.
Moderate quality of evidence with PEDro scores ranging from 3 to 7.
Common biases included lack of therapist blinding and inadequate allocation concealment.
Guideline-Based Recommendations
Diagnosis
Use radiographs for classification of KOA severity.
Management
Consider manual therapy as an adjunct to exercise therapy for KOA.
Monitoring & Follow-up
Assess pain intensity and physical function using VAS/NPRS and WOMAC/KOOS.
Risks
Potential biases in study designs may affect the reliability of findings.
Patient & Prescribing Data
Adults with knee osteoarthritis experiencing hamstring tightness.
Manual therapy techniques such as post-isometric relaxation and soft-tissue mobilization may provide short-term benefits.
Clinical Best Practices
Incorporate manual therapy into rehabilitation protocols for KOA.
Utilize standardized protocols in future trials to enhance evidence quality.
