Effectiveness of manual therapy targeting hamstring tightness in knee osteoarthritis: a systematic review of rehabilitation outcomes - Takeaways - MDSpire

Effectiveness of manual therapy targeting hamstring tightness in knee osteoarthritis: a systematic review of rehabilitation outcomes

  • By

  • Saeid Yahia Al Matif

  • Hussain Al Dera

  • Thamer Al Shammary

  • Ahmed Al Mansour

  • Amirah Alotaibi

  • Mona Idris

  • July 2, 2026

  • 0 min

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  • 1

    Knee osteoarthritis (KOA) is a major cause of pain and disability, affecting over 595 million people globally.

  • 2

    Manual therapy (MT) targeting hamstring tightness may reduce pain and improve function in KOA patients, according to a systematic review.

  • 3

    Twelve randomized controlled trials (RCTs) involving 652 participants were included, with nine showing significant within-group improvements.

  • 4

    Pain reductions from MT ranged from 1.5 to 3.2 points on the VAS/NPRS, exceeding minimal clinically important differences.

  • 5

    Methodological quality of the studies was moderate, with common biases including lack of therapist blinding and inadequate allocation concealment.

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