Knee Osteoarthritis
Conditions
Keywords
knee, arthritis, tendon
Brief summary
Knee osteoarthritis (KOA) is a degenerative joint disease causing pain, stiffness, and reduced quality of life. While treatments often focus on drugs or surgery, noninvasive exercises like core stabilization and ankle/foot strengthening show potential but lack comparative studies. Understanding anatomical factors like Achilles tendon (AT) thickness is crucial for targeted rehabilitation, though measurement reliability remains an issue. This study aims to compare the effects of these exercises on KOA symptoms and evaluate the use of digital calipers for AT thickness measurement, aiming to enhance clinical management of KOA.
Detailed description
The objective of the study is: 1. To determine the interrater and intrarater reliability of digital calliper to measure the side to side Achilles tendon thickness. 2. To determine the impact of 24 sessions of core stability translated in gait ambulation. 3. determines the relationships between Achilles tendon thickness (ATT), knee symptoms/functions, and foot alignment in knee OA patients, considering their interconnected biomechanical nature. 4. compare the effects of core stability and ankle-foot strengthening exercises on clinical outcomes in KOA patients
Interventions
1. Isometric quadriceps exercises involving knee extension 2. Maximum isometric exercise for the quadriceps
OTHERfoot-ankle strengthening exercise
1. Isometric quadriceps exercises involving knee extension 2. Maximum isometric exercise for the quadriceps
Sponsors
Dow University of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 40 years old, had been diagnosed with KOA based on ACR, and * having Grade II or III osteoarthritis by K/L criteria.
Exclusion criteria
* post-traumatic osteoarthritis * lower limb sensorimotor dysfunction, * Any history of knee fracture/ tumor/ infection and hip/knee surgery. * Total Knee Replacement patients. * Neurological disease. * Patient received physical therapy treatment from last 6 months. * Inflammatory Arthritis (Rheumatoid Arthritis) * Use of any intra-articular injections (steroid/ hyaluronic acid/ PRP.) from last 3-6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS) at rest | 8 weeks | Changes from baseline, Visual Analogue Scale (VAS) is the most commonly used scale in which the pain rate ranges from 0 (no pain) to 10 (worst pain). The level of knee perception of pain is assessed by using the VAS. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee Injury and Osteoarthritis Outcome Score (KOOS) | 8 weeks | The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a 42-item, patient self-administered patient outcome measure designed to measure knee health in five subscales (Pain, Symptoms, Activities of Daily Living (ADL), Sport and Recreation and knee-related Quality of Life). |
| Achilles tendon thickness (ATT) | 8 weeks | measured side to side thickness using the digital calliper |
| 30 seconds chair stand test | 8 weeks | The 30-Second Chair Stand Test (or 30CST) is a quick physical test used to measure lower-body strength and endurance in adults, especially older individuals. |
| stair climb test | 8 weeks | Step Stair Climb Test (SCT) is a physical performance test used to evaluate functional strength, balance, and agility in individuals with mobility limitations. |
| Navicular/foot ratio | 8 weeks | It is calculated as the quotient of the height of the navicular tuberosity divided by the total length of the foot. |
| 40-m fast-paced walk test | 8 weeks | This test was conducted as per the guideline of OARSI. The 40-meter Fast-Paced Walk Test (40m FPWT) is a brief physical performance test primarily used to measure maximum short-distance walking speed and the ability to change directions. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSHAIKH NABI BUKHSH NAZIR, PhD Scholar
Dow University of Health Sciences/ Baqai Medical University
Outcome results
None listed