Total Knee Arthroplasty
Conditions
Brief summary
Lower limb strengthening, especially the quadriceps training, is of much necessity for patients with knee arthroplasty. As the quadriceps strengthening exercises play a vital role in controlling gait pattern during walking and different activities. Vastus inetrmedius muscle responsible for the last 10 degree of knee extension. This enable the knee joint to be in locked position which is the stable position during gait.
Interventions
PROCEDUREQuadriceps Set Exercise
Quadriceps knee set exercises was introduced with the patient in sitting position and pillow was placed under his knee joint then ask patient to dorsiflex his ankle and extend knee make hold 10 second then relax. Two exercises session per week for four week.
PROCEDURETerminal Knee Extension
Terminal knee extension exercise using Thera band was introduced with the patient in sitting or standing position and the theraband was placed around his knee joint. Two exercises session per week for four week.
PROCEDURETraditional Physical Therapy
Traditional physical therapy program will include passive stretching exercise to the hamstrings while the patient is supine lying flex the hip while the knee extended and hold for 30-45 seconds, strengthening exercise to the guadriceps muscle by extending the knee whie the patient is in the sitting position.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Age (ranging from 40 to 60 years old). 2. Weight (ranging from 65 to 75 kg). 3. Height (ranging from 150 to 165 cm) 4. Sex ( male/ female). 5. Patients who undergoing total knee arthroplasty after 1 months until one year after operation.
Exclusion criteria
1. Cognitive impairment. 2. Neuromuscular impairment. 3. Patient can't walk alone (need of assistive device).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quadriceps Muscle Strength | 4 weeks | it will be measured using a hand held dynamometer. |
| Visual Analoge Scale (VAS) | Four weeks | VAS is a straight horizontal line of usually 100 mm. The ends are defined as the extreme limits of the pain . It is orientated from the left (worst) to the right (least) pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of Motion (ROM) | 4 weeks | ROM of last ten degree of knee extension measured by goniometer |
| Oxford Knee Score (OKS) | 4 weeks | The OKS is a patient reported outcome measure that consists of 12 questions about an individual's level of function, activities of daily living and how they have been affected by pain over the preceding four weeks.The Oxford Knee Score (OKS) ranges from 0 to 48, 0 = Worst possible knee pain/function. 48 = Best possible knee pain/function. |
| The Western Ontario and McMaster Universities Osteoarthritis Index (The WOMAC) | 4 weeks | It is a questionnaire of 24-item. Self-administered tool used to assess pain, stiffness, and physical function in patients with hip and knee osteoarthritis. WOMAC Likert Version (0-96 total) Each item scored: 0 = none 1. = mild 2. = moderate 3. = severe 4. = extreme Total score ranges from: 0 = best possible (no symptoms). 96 = worst possible (severe symptoms). |
Countries
Saudi Arabia
Outcome results
None listed