Knee Osteoarthritis
Conditions
Brief summary
Medial knee osteoarthritis (OA) remains a prevalent and debilitating condition, despite conventional physiotherapy interventions aimed at reducing pain and improving function. This study investigates the additional benefits of toe-in gait modification when combined with conventional physiotherapy in individuals with medial knee OA. Rooted in biomechanical theories suggesting that altering gait patterns can reduce medial knee load, this research employs a randomized controlled trial methodology.
Detailed description
Participants are divided into two groups: one receiving conventional physiotherapy alone, and the other receiving a combination of conventional physiotherapy and toe-in gait modification. Outcomes are assessed over a 8-week period, focusing on pain levels and physical function. The significance of this study lies in its potential to enhance current treatment protocols, offering a more effective, non-invasive intervention to alleviate symptoms and improve the quality of life for those suffering from medial knee OA. The findings could inform clinical practices and pave the way for personalized rehabilitation strategies that incorporate gait modifications, ultimately reducing the healthcare burden associated with knee osteoarthritis.
Interventions
DIAGNOSTIC_TESTConventional physiotherapy
Conventional physiotherapy of medial knee osteoarthritis patients: Isometric exercises, strengthening exercises, stretching exercises and electrotherapy.
COMBINATION_PRODUCTToe-in gait modification
A specific alteration in walking pattern where the toes are directed inward during walking. This modification should be clearly defined, including the degree of inward rotation of the foot and how it is taught and monitored in participants. Toe-in gait modification basically includes decrease foot progression angle from baseline through internal foot rotation. Participants are instructed to increase the Toe-in angle of their study limb by 5 degree and walk at least 5-10 minutes (progressed to 15-20 min after 4 week) with this progression angle.
Sponsors
Superior University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of MKOA having Grade 1-3 (radiographic evidence of MKOA) * Knee pain on most days of previous month. (The most symptomatic side will consider the study limb for participants with bilaterally eligible knees) * Age \> 45 * Ability to walk unaided for at least 25 min * Gender eligibility both male and female
Exclusion criteria
* Severe MKOA (Grade 4) * Lateral OA * Patella femoral OA * Previous or planned hip or knee surgery * Hip or ankle arthritis * Rheumatoid arthritis * Severe valgus and varus alignment requiring the use of an assistive device and the inability to walk independently * Neurological dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NUMERIC PAIN RATING SCALE (NPRS) | 12 Months | The NPRS is 11-point numeric scale ranges from '0' representing no pain to '10' representing pain as bad as you can imagine |
| WOMAC scale | 12 Months | The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis. It is a self-administered questionnaire consisting of 24 items divided into 3 subscales (Pain, Stiffness, and Physical Function) The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Usually a sum of the scores for all three subscales gives a total WOMAC score. |
Countries
Pakistan
Outcome results
None listed