None listed
Conditions
Brief summary
Despite the advances in treatment there is lack of comparative studies on the effects of ESWT and other treatments such as KIN in patients with knee OA. Objectives of Study: to compare the effects of ESWT and KIN protocol on perceived health evaluated by the Western Ontario and McMaster Universities Questionnaire (WOMAC) Osteoarthritis Index, on severity of knee pain by Visual Analogue Scale (VAS), on Range of Motion (ROM) of the knees and also on functional exercise capacity by the Six-Minute Walk Test (6-MWT) physical function, decreased exercise capacity).
Interventions
ESWT - 1,000 pulses (during the first treatment), 1,500 (during the second and the third treatment), and 2,000 (during the fourth and the fifth treatment), respectively (pressure, 2.5 bar; frequency, 8 Hz; energy density, 0.4 mJ/mm2). ESWT - 1 treatment per week. Each treatment session will not exceed 10 minutes. Intervention will be delivered by a physiotherapist
KIN - 25 sessions of a physiotherapy program an hour a day, 5 days a week, for 5 weeks. Intervention will be delivered by a physiot
ESWT - 1,000 pulses (during the first treatment), 1,500 (during the second and the third treatment), and 2,000 (during the fourth and the fifth treatment), respectively (pressure, 2.5 bar; frequency, 8 Hz; energy density, 0.4 mJ/mm2). ESWT - 1 treatment per week. Each treatment session will not exceed 10 minutes. Intervention will be delivered by a physiotherapist KIN - 25 sessions of a physiotherapy program an hour a day, 5 days a week, for 5 weeks. Intervention will be delivered by a physiotherapist. The mode of delivery as face to face, The intervention will be provided individually. The Kinesiotherapy program: 1. Warm-up. 2. Stretching. 3. Strengthening. 4. Functional task-oriented training. 5. Endurance. 6. Cool down. Examples of exercises for all participants in Kin group: 1. Global flexion-extension of the lower limb. Alternated dorsal plantar flexion of the ankles. 2. Stretching of the hamstrings. 3. Isometric knee extensors: flex 0 degrees. Isometric knee extensors: flex 60 degrees. Isometric hamstrings: flex 60 degrees. Concentric-eccentric hip abductors. 4. Knee extensor strengthening while standing with Thera-Band. Controlled bilateral knee flexion-extension while standing . Climbing on a platform or a flight of stairs. Walking in place, with a large amplitude of hip and knee flexion and upper-limb movements. 5. Stationary cycling. 6. Ice for quadriceps, hamstrings, and calf. Intervention will be administered in physiotherapy department, Log of sessions attended will be maintained. Participants will never receive both intervention, two separate groups will receive only one intervention - ESWT or KIN.
Sponsors
Holycross College
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
female gender, minimum age of 40, ability to perform physical exercises, not currently receiving any physical therapy treatments for the knee OA condition, medication compliance (all patients were taking glucocorticoids at the time of the study), and the diagnosis of bilateral knee OA according to the American College of Rheumatology criteria
Exclusion criteria
unilateral knee OA, neurological disorders, cognitive limitations or history of cardiovascular, pulmonary or endocrinology disease
Outcome results
None listed