Knee Osteoarthritis
Conditions
Keywords
Knee Osteoarthritis, KOOS, Strengthening Exercises
Brief summary
The study will be Randomized controlled trail, Subject diagnosed with knee osteoarthritis meeting predetermined inclusion and exclusion criteria will be divided into two groups. Pre assessment will be done using pain, ROM, function, foot arches and knee alignment as subjective measurement through KOOS questionnaire, goniometer, 2D frontal plane projection, Berkemann foot prints using ink and paper ,30s chair stand test, nine step stair climb,40m fast paced walk test,Global rating of change score respectively . One group will be treated with hip abductor strengthening exercise along with conventional exercises and second group will be treated with intrinsic foot muscle strengthening exercise along with conventional exercises. Post treatment values recorded after the session.After data collection from defined study setting,data will be entered and analyzed at Riphah International University,Lahore
Detailed description
Knee osteoarthritis (OA) is a leading cause of joint pain1 and disability2 in middle- and older-aged individuals, and is one of the most commonly managed conditions in primary care3. Recent incidence rates suggest around 6% of people aged over 45 years develop knee symptoms. Knee OA symptoms and radiographic change that worsen over time can lead to costly surgical intervention. Compressive forces on the knee caused by knee adduction moment on the medial compartment of the joint are associated with the severity of the disease and intensity of pain. In addition, decreased strength of the quadriceps is one of the contributing factors for the onset of the disease. short foot exercises (SFE) have shown to be effective using the IFM and excluding the EFM found that SFE contracted the intrinsic muscles of the foot to increase the inner arch of the foot, thereby shortening the longitudinal arch.Pronated foot is deeply related to the medial longitudinal arch (MLA) where the presence of a pronated foot consequently leads to a decrease in the MLA.
Interventions
OTHERHip abductor strengthening exercise
in this group 15 participants will perform hip abductor streghtning along with conventional exercises .protocol for 8 weeks 24 sessions (3 sessions in a weak) and 10 sec rest between each segment,3 sets and 10 reputations will be performed.
OTHERIntrinsic foot muscle strengthening along with conventional exercises
in this group 15 participants will perform Intrinsic foot muscle strengthening along with conventional exercises .protocol for 8 weeks 24 sessions (3 sessions in a weak) and 10 sec rest between each segment,3 sets and 10 repitations will be performed.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
40 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* pain at medial side of the knee. * patient can walk without walking aids.
Exclusion criteria
* patient with previous hip, knee and ankle surgery. * patient who received intraarticular injection. * patient with neurologic and muscle problem.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee Osteoarthritis Outcome Score (KOOS) | 8 weeks | The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a questionnaire designed to assess short and long-term patient-relevant outcomes following knee injury.A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems). |
| Berkemann foot prints | 8 weeks | For arch measurement, the longitudinal and horizontal arch lengths were recorded for the left and right feet to create a static standing position using a Berkemann footprint |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30 seconds chair stand test | 8 weeks | This test used to measure physical function. |
| Overall self-perception by Global Rating of Change Score | 8 weeks | Overall self-perception will be evaluated by the Global Rating of Change Score, an 11-point scale designed to quantify a patient's improvement or deterioration over time. Higher scores indicate better recovery from KOA |
| Frontal plane projection | 8 weeks | Two-dimensional (2D) frontal-plane projection angles of hip and knee alignment were measured during a single-leg step-down performed from a 15-cm step |
| 40-m fast-paced walk test | 8 weeks | This test used to measure physical function. |
| 9 step stairs climb test. | 8 weeks | This test used to measure physical function. |
| Goniometer | 8 weeks | Universal Goniometer (UG) An instrument called a goniometer is used to measure a joint's range of motion. |
Countries
Pakistan
Outcome results
None listed