Knee Osteoarthritis.
Conditions
Interventions
Intervention 1: Intervention group: Intervention group: The participants in this group will receive10 treatment sessions during 4 weeks with at least one day between sessions by a therapist who is pro
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1) Age 40 to 70 years 2) Diagnosis of knee tibiofemoral joint arthrosis based on the criteria of the American College of Rheumatology (knee pain for at least the last 3 months, joint crepitation and morning stiffness lasting 30 minutes or less) by a specialist physician. 3) Pain intensity based on visual pain scale between 4 and 8 while walking at the time of evaluation 4) The severity of arthritis should be 2 and 3 based on the Kellgren and Lawrence classification system. 5) Ability to walk more than 6 meters 6) One-sided arthritis pain of the tibiofemoral joint of the knee (even if a person has bilateral arthritis, a knee that is painful will be included in the study) 7) Having knee pain for more than 3 months
Exclusion criteria
Exclusion criteria: 1) Any neurological problem that affects a person's walking, such as a stroke 2) Arthritis secondary to trauma or accident or fracture in the joint 3) Any surgery and fracture in any of the lower limbs in the last year 4) Injection of corticosteroid or hyaluronic acid or platelet-rich plasma in the last 6 months 5) Any pain in the upper or lower joints 6) Heart problems with medium and high risk, such as uncontrolled angina or heart infarction in the last month 7) Inflammation and infection in the knee 8) Any prohibition to manual treatments such as severe osteoporosis or unstable joint 9) Cognitive problem 10) Receiving physiotherapy intervention for knee arthritis in the last 12 months 11) Body mass index above 35 12) Using walking aids 13) Smoking 14) Systemic diseases such as rheumatoid arthritis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disability score in Western Ontario and McMaster Universities Osteoarthritis Index questionnaire. Timepoint: Measurement of Western Ontario and McMaster Universities Osteoarthritis Index questionnaire score at the beginning of the study and after 10 sessions of physiotherapy treatment. Method of measurement: Western Ontario and McMaster Universities Osteoarthritis Index. | — |
Secondary
| Measure | Time frame |
|---|---|
| Spatiotemporal and Kinematic characteristics of gait. Timepoint: Measurement of spatio-temporal and kinematic parameters of walking at the beginning of the study and after 10 sessions of physiotherapy treatment. Method of measurement: Vicon Motion Capture System.;Intensity of pain. Timepoint: Measurement of intensity of pain at the beginning of the study and after 10 sessions of physiotherapy treatment. Method of measurement: Visual Analogue Scale.;Characteristics of electromyographic activity of muscles during gait, sit to stand and static balance. Timepoint: Measurement of variables at the beginning of the study and after 10 sessions of physiotherapy treatment and after 12 sessions of home-based walking training. Method of measurement: Kistler force plates and Myon electromyography system. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHanieh Javan
Iran University of Medical Sciences
Outcome results
None listed