Effect of Myofascial Release Combined with Kaltenborn Mobilization on Pain, Knee Movement, and Functional Disability in Patients with Unilateral Knee Osteoarthritis

INTERVENTION: Intervention1: Myofascial Release as adjunct to Kaltenborn Mobilization with conventional physiotherapy: Myofascial release, Quadriceps, Hamstrings, Gastrocnemius, Sustained longitudinal fascial release, thirty seconds, five repetitions per muscle group. Kaltenborn mobilization technique, Tibiofemoral traction, Posterior tibial glide, Anterior tibial glide, Grade one to Grade three mobilization, thirty seconds, two to three sets. Conventional physiotherapy will be given along with Kaltenborn mobilization and Myofascial release, three sessions per week for four weeks and progression will be based on pain, range of motion, stiffness and patient tolerance. Control Intervention1: Conventional physiotherapy: Hydrocollator hot pack for ten to fifteen minutes, Static quadriceps for Ten repetitions with five second hold , Vastus medialis oblique activation exercises for Ten repetitions with five second hold , static hamstrings for Ten repetitions with five second hold, straight leg raise two sets of ten repetitions , dynamic quadriceps strengthening two sets of ten repetitions, Gastrocnemius stretching will be performed three repetitions with thirty second hold. Treatment will be given three sessions per week for four weeks and progression will be based on patients tolerance and clinical improvement. CONDITION: Health Condition 1: M171‐ Unilateral primary osteoarthritisof knee PRIMARY OUTCOME: 1.Visual Analog Scale for Pain. ; 2.Universal Goniometer for. ; 3.Western Ontario and McMaster Universities Osteoarthritis Index Functional Disability.Timepoint: 1.At Baseline ; 2.4 Weeks SECONDARY OUTCOME: NILTimepoint: NIL INCLUSION CRITERIA: 1.Patients aged between 40 to 60 years. 2.Radiographic evidence of Knee Osteoarthritis, Kellgren and Lawrence Grade I and Grade II. 3.Pre‐diagnosed cases of unilateral Knee Osteoarthritis 4.Average knee pain greater than or equal to 3 on the Visual Analog Scale VAS. 5.Presence of quadriceps,hamstrings and gastrocnemius muscle tightness. 6.Both male and female participants willing to participate in the study.