Osteoarthritis, Knee
Conditions
Keywords
Knee osteoarthritis
Brief summary
Patients with neuropathic pain had longer duration of symptoms increased severity of pain, functional limitation and disability as compare to the patient with general knee osteoarthritis. Objective: To find out the effects of corrective exercise training for improving neuropathic pain and function in knee OA patients.
Detailed description
This study was a Quasi experimental study. It was conducted at Horizon Hospital Johar Town Lahore. The study was completed in Six months. Consecutive sampling technique was used to collect the data. The sample size of 16 patients was taken in this study to find out the effects of corrective exercises training for improving neuropathic pain and function in patients with knee osteoarthritis. For descriptive analysis we used frequency, percentages and charts. For quantitative measure. Repeated Measured ANOVA was used.
Interventions
All patients received 12 weeks (3 days per week) physiotherapy sessions with hot pack, TENS and Ultrasound session for 10 mints and knee isometric, quad strengthening, adductor and abductor strengthening, calf stretch, hamstring stretch, Maitland mobilization, Unconventional Corrective knee exercise protocol treatment: standing on one extremity, up and down on bosu exercise, walking to lateral direction, walking to anterio-posterior direction, walking to anterio-posterior and lateral for 20 mints. Data were collected at baseline, at week 4 and at post treatment (week 12).
Sponsors
Study design
Eligibility
Inclusion criteria
* ACR Criteria for osteoarthritis * Neuropathic pain * Age over 65 * DN4 cut off value is 4/10 * Less than 30 minutes of morning stiffness * Grade I and II * Crepitus on active motion * Bony tenderness * Bony enlargement * No palpable warmth of synovium
Exclusion criteria
* Knee complain that require urgent medical attention (fracture and infection) * Diabetes mellitus * Patients with malignancies * Neurological disorders * Systematic musculoskeletal diseases (Parkinson's, rheumatoid arthritis etc) * Incapability of understanding implication of participants
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Western Ontario and McMaster Osteoarthritis Index | 6 months | 0-100, 0 means no disability 100 means maximum disability |
| Numeric pain rating scale | 6 months | 0-10,no pain and the worse pain, on an 11 point scale |
| Douleur Neuropathique 4 Questionnaire | 6 months | The total score is calculated as the sum of 10 items and the cut off value for the diagnosis of neuropathic pain is a total score of 4/10 |
Countries
Pakistan