Manual khalifa therapy improves functional and morphological outcome of patients with anterior cruciate ligament rupture in the knee: a randomized controlled trial.
Michael OfnerAndreas KastnerEngelbert WallenboeckRobert PehnFrank SchneiderReinhard GroellDieter SzolarHarald WalachGerhard LitscherAndreas Sandner-KieslingPublished in: Evidence-based complementary and alternative medicine : eCAM (2014)
Rupture of the anterior cruciate ligament (ACL) is a high incidence injury usually treated surgically. According to common knowledge, it does not heal spontaneously, although some claim the opposite. Regeneration therapy by Khalifa was developed for injuries of the musculoskeletal system by using specific pressure to the skin. This randomized, controlled, observer-blinded, multicentre study was performed to validate this assumption. Thirty patients with complete ACL rupture, magnetic resonance imaging (MRI) verified, were included. Study examinations (e.g., international knee documentation committee (IKDC) score) were performed at inclusion (t 0). Patients were randomized to receive either standardised physiotherapy (ST) or additionally 1 hour of Khalifa therapy at the first session (STK). Twenty-four hours later, study examinations were performed again (t 1). Three months later control MRI and follow-up examinations were performed (t 2). Initial status was comparable between both groups. There was a highly significant difference of mean IKDC score results at t 1 and t 2. After 3 months, 47% of the STK patients, but no ST patient, demonstrated an end-to-end homogeneous ACL in MRI. Clinical and physical examinations were significantly different in t 1 and t 2. ACL healing can be improved with manual therapy. Physical activity can be performed without pain and nearly normal range of motion after one treatment of specific pressure.
Keyphrases
- anterior cruciate ligament
- magnetic resonance imaging
- physical activity
- end stage renal disease
- newly diagnosed
- contrast enhanced
- ejection fraction
- chronic kidney disease
- healthcare
- total knee arthroplasty
- double blind
- placebo controlled
- open label
- clinical trial
- diffusion weighted imaging
- randomized controlled trial
- risk factors
- blood pressure
- spinal cord injury
- phase iii
- chronic pain
- magnetic resonance
- body mass index
- case report
- neuropathic pain
- bone marrow
- electronic health record
- mass spectrometry
- knee osteoarthritis
- patient reported outcomes
- combination therapy
- working memory
- anterior cruciate ligament reconstruction