Knee Osteoarthritis
Conditions
Brief summary
Joint mobilization and resistance exercise training are effective conservative treatment options for the management of osteoarthritis. However, currently no study has highlighted the supplementary effects of resistance training in addition to joint mobilization in people suffering from knee osteoarthritis. The current study is aimed at bridging the gap in literature and providing evidence regarding the additive impact of resistance training to joint mobilization in knee osteoarthritis.
Interventions
PROCEDUREJoint Mobilization
Patellofemoral and tibiofemoral joint mobilization
PROCEDUREResistance Exercise Training
Lower limb resistance exercise training
Transcutaneous Electric Nerve Stimulation (TENS)
DEVICEHeating Pad
Heating pad for heat therapy
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Intervention model description
Double arm parallel design RCT
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Knee OA grade I-III * Individuals of either gender aged 40-70 years * Knee OA history of no less than 3 months * Knee pain no more than 8/10 cm on the visual analogue scale (VAS) * Radiological evidence of grade III or less on Kellgren classification.
Exclusion criteria
* Those with signs of serious pathology such as malignancy, inflammatory disorder or infection. * History of trauma or fractures in lower extremity * Signs of lumbar radiculopathy or myelopathy * History of knee surgery or replacement and/or receiving intra-articular steroid therapy in the preceding two months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Walking related performance fatigability | 4 weeks | Walking related performance fatigability will be measured using 6 minute walk test. Greater fatigability indicates poorer outcome. |
| Stride Length | 4 weeks | Gait analysis will be done to analyze stride length. A greater stride length signifies positive outcome and prognosis. |
| Gait velocity | 4 weeks | Gait analysis will be done to analyze gaot velocity. A greater gait velocity signifies positive outcome and prognosis. |
| Knee Pain | 4 weeks | Knee Pain will be measured using visual analogue scale (VAS) from 0-100mm. A higher score on VAS indicated greater pain. |
| Knee range of motion | 4 weeks | Knee range of motion will be measured using a goniometer. A higher ROM signifies positive outcome. |
| Functional Disability | 4 weeks | Knee functional disability will be assessed using Knee Osteoarthritis and Outcome Score (KOOS) with a score ranging from 0-100. A lower score on KOOS signifies greater functional disability. |
| Isometric Muscle Strength | 4 weeks | Isometric Muscle Strength will be quantified using dynamometer. A higher score on dynamometer signifies greater muscle strength and good prognosis. |
| Functional capacity | 4 weeks | 5 repetition sit to stand test will be used to determine knee related functional capacity, which will be quantified in terms of time. A smaller time will denote greater functional capacity. |
Countries
Pakistan
Outcome results
None listed