Knee Osteoarthritis
Conditions
Brief summary
This study is a randomized controlled trial which aims to compare the effect of weight bearing exercises and non-weight bearing exercises on the dynamic balance in knee osteoarthritis patients as 60 patients will divided in three groups where one group is control group and others two groups one of them perform weight bearing exercises and the other perform non weight bearing exercises.
Interventions
COMBINATION_PRODUCTTranscutaneous electrical nerve stimulation
it is one of the electrical stimulation modalities which is used to relief pain, each patient receive it on both knees every session.
COMBINATION_PRODUCTstretching exercises
stretching exercises for Hamstring, quadriceps and calf muscle for both lower limbs of the same patients. each exercise was repeated 5 times and each repetition hold for 30 seconds in the same session.
COMBINATION_PRODUCTweight bearing strengthening exercises
strengthening exercises for quadriceps, gluteus maximus, gluteus Medius and calf muscle in the form of weight bearing from standing position each exercise was repeated for 10 times with 5 seconds hold in the same set and patient perform three sets in the same session for both lower limbs.
COMBINATION_PRODUCTNon-weight bearing strengthening exercises
strengthening exercises for quadriceps, gluteus maximus, gluteus Medius and calf muscle in the form of non-weight bearing from lying and setting positions each exercise was repeated for 10 times with 5 seconds hold in the same set and patient perform three sets in the same session for both lower limbs.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* The patient's age \> 50 years. * Recent radiographs confirming the presence of knee OA, grade II-III (mild to moderate) Kellgren Lawrence (K/L). * Body mass index (BMI) from 20 to 30 kg/m2. * Met the American College of Rheumatology clinical criteria for mild to moderate knee OA. * knee pain \> 3 cm on a 10 cm visual analog scale (VAS) on most days of the previous week. * Bilateral knee osteoarthritis.
Exclusion criteria
* Congenital or acquired inflammatory or neurological (systemic or local) diseases involving the knee. * Patients who have mental or cognitive illness that interfere their ability to perform the exercises or the evaluation tests. * Intra articular knee injection of steroids in the past 6 months. * Patients who had received joint replacement surgery in either Knee or hip. * Patients with rheumatoid arthritis. * Patients who received physical therapy sessions on the knee in the past 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change happened in the dynamic balance from the baseline | one day after the end of treatment | Biodex Balance System which is a device used to measure the balance of a person who stand on the platform of the device that give a measurement called over all stability index where 0 score means the best balance and the largest number indicate bad balance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change happened in pain from the baseline | one day after the end of treatment | Visual Analog Scale which is a scale for pain from 0 to 10 where 0 mean no pain and 10 is the maximum pain. |
| change happened in the joint angle repositioning from baseline | one day after the end of treatment | Joint Repositioning Accuracy where the knee is moved passively to a certain angel and the patient hold it in this angle and then it moved to the start position and then the patient asked to move his knee joint actively to the previous the same previous angle then the absolute error between the true angle and the reproduced angle is measured. |
Countries
Egypt
Outcome results
None listed