knee osteoarthritis disease. Primary generalized (osteo)arthritis
Conditions
Interventions
Intervention 1: Intervention group: gait retraining. Intervention 2: Intervention group:change the walking pattern(Toe in or Toe out) on the basis the first session assessment.
Sponsors
Tarbiat modares university
Eligibility
Sex/Gender
All
Age
45 Years to 65 Years
Inclusion criteria
Inclusion criteria: Definite OA Grade II & III as defined by the Kellgren-Lawrence scale in one knee or, if bilateral, being mild in one side BMI: Between 25 and 30 Ability to walk independently on an even surface without any assistive devices Minimum age 45 and maximum 65 years old
Exclusion criteria
Exclusion criteria: History of intra-articular injections over the past 6 months (such as hyaluronic acid, hydrocortisone and PRP) History of regular physical activity in the past 3 months (at least 2 or 3 times per week and at least half an hour each time History of musculoskeletal disorders and lower extremity joint injuries affecting balance Severe TI or TO (57/7 ± 5/7) Pes Planus (Flat foot) (rigid and flexible), Pes cavus (High arch) Any malalignment of lower extremity which is evident by observation (Varus angel > 5? and Valgus angel > 15?) History of knee and lower extremity surgery, severe muscle weakness in lower extremity, MMT lower than 3/5 History of neurological, vestibular, neuromuscular diseases (Diabetes and Neurapathy), chronic orthopedic disorders of the trunk and lower extremities (Rheumatoid Arthritis), visual impairments, inability to comprehend commands Osteoporosis Taking medications not prescribed by a Rheumatologist. Unwillingness to participate in the study for any reason
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Knee adduction moment. Timepoint: before and after six-week retraining. Method of measurement: motion analysis system, nexus software.;Knee flexion moment. Timepoint: before and after six-week retraining. Method of measurement: motion analysis system, nexus software.;Muscle activation. Timepoint: before and after six-week retraining. Method of measurement: Electromyography. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: before and after six-week retraining. Method of measurement: visual analog scale.;Quality of life. Timepoint: before and after six-week retraining. Method of measurement: SF-36 questionnaire and WOMAC.;Functional activity. Timepoint: before and after six-week retraining. Method of measurement: 8-walking test and Timed up and go test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactGiti Torkaman
Tarbiat modares university
Outcome results
None listed