None listed
Conditions
Brief summary
In phase one, a single-blinded, randomized controlled trial will be conducted at (Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), China. The study will be a randomized into three groups: experimental group 1, experimental group 2, and a control group. Experimental group 1 will receive whole-body vibration training (WBVT) for 20 minutes combined with 30 minutes of conventional rehabilitation, with the knee flexed at 60 degrees. Experimental group 2 will receive the same intervention as experimental group 1 but will include the use of an elastic band placed around the middle of the thigh with hip abduction during the vibration training. The control group will receive only 30 minutes of conventional rehabilitation. The interventions will be performed 2-4 times per week over 8 weeks, for a total of 24 sessions. In phase two, Eighteen participants with knee osteoarthritis (KOA) will be invited to participate in this qualitative study, with 5-6 participants randomly selected for each group. The collected data will be imported into ATLAS.ti software for thematic analysis. The findings will aim to assist healthcare practitioners in selecting optimal rehabilitation strategies for managing KOA.
Interventions
Sixty-two participants with knee osteoarthritis will be randomly assigned to three groups: experimental group 1, experimental group 2, and the control group. Group allocation will be conducted using a computerized random number table. Using the Gymna Fitvibe medical vertical rhythmic trainer. Participants are required to stand on the vibration platform wearing slippers. A handrail is provided at the front for safety, but participants must focus their effort on the lower limbs and avoid relying on the handrail for support. Researcher will carry out this intervention in a safe and quiet treatment area, use direct observation to assess adherence to the intervention. Experimental group 1 will receive whole-body vibration training with knee flexion at 60 degrees for 20 minutes, followed by conventional rehabilitation for 30 minutes. Experimental group 2 will receive whole-body vibration training with knee flexion at 60 degrees, combined with an elastic band placed in the middle of the thigh and hip abduction, for 20 minutes, followed by conventional rehabilitation for 30 minutes,parameters include a vibration frequency of 35 Hz, amplitude displacement ranging from 4 mm to 6 mm, and a session duration of 20 minutes . The interventions will be performed 2-4 times per week over 8 weeks, for a total of 24 sessions.
Sponsors
Study design
Eligibility
Inclusion criteria
(i) Aged between 38 and 80 years old, (ii) diagnosed with unilateral or bilateral KOA based on the American College of Rheumatology criteria, (iii) categorized as mild-to-moderate KOA according to the Kellgren-Lawrence radiographic classification, and (iv) presented with knee pain; (v) if both knees were affected, the knee with worse symptoms was included in the outcome assessment.
Exclusion criteria
(i) Recent intra-articular knee injection; less than six months, (ii) any other pathological conditions such as rheumatic disease, hip or knee joint replacements, congenital dysplasia, septic arthritis, ligament or meniscus injury, plica syndrome, and Baker’s cyst, or (iii) those with comorbidities that would prevent participation in the intervention or physical evaluation.