Knee Osteoarthritis
Conditions
Keywords
Knee Osteoarthritis, Knee-Spine Syndrome, Trunk Exercise
Brief summary
This study aims to evaluate the effects of integrating trunk stabilization exercises with conventional rehabilitation in patients with knee-spine syndrome. It further examines whether improving trunk stability can reduce knee pain and enhance functional outcomes in knee osteoarthritis
Detailed description
This study aims to evaluate the effects of integrating trunk stabilization exercises with conventional rehabilitation protocols for patients with knee-spine syndrome. It seeks to determine whether improving trunk stability can positively influence knee joint mechanics, leading to a reduction in knee pain and improvements in physical function, mobility, and overall functional performance in individuals with knee osteoarthritis. The findings may support a more comprehensive rehabilitation approach addressing both spinal and knee involvement in osteoarthritis management.
Interventions
OTHERTrunk Stabilization exercises with conventional Rehab
The protocol for will be followed for 6 weeks, where individuals will perform trunk stabilization exercises with conventional rehabilitation for knee osteoarthritis.
OTHERConventional Rehabilitation
The protocol for will be followed for 6 weeks, where conventional rehabilitation for knee osteoarthritis will be implemented.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Age 40-60 years * Both Genders * Bilateral Knee osteoarthritis diagnosed according to the American College of Rheumatology Clinical Classification system * Kellgren \& Lawrence grade 2 and 3 with complaint of pain, crepitations, stiffness and bony enlargement * History of backpain for the past 3 months with no complaint of radiating pain * Able to walk independently/unaided
Exclusion criteria
* Kellgren \& Lawrence grade 4 * Intra-articular corticosteroid injections in the last 3 months or hyaluronic knee injection in the previous 6 months. * History of lower limb or lumbar trauma/surgery, presence of fracture or deformity, or planned surgery within the study period * Lumbar pathologies, for example, spondylolisthesis, ankylosing spondylitis, or any diagnosed severe cardiovascular, pulmonary, neurological, or psychological disease or impairment except lumbar spondylosis * BMI\>30 * Presence of infection, cauda equina syndrome, or meningitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | 6 weeks | The Visual Analog Scale (VAS) is a simple and reliable tool for assessing pain intensity on a continuous visual scale. The extreme limits of pain are represented by the straight line's ends, where 0 indicates no pain, and 10 indicates the worst pain a person has ever felt. |
| Western Ontario and McMaster Universities Arthritis Index (WOMAC) | 6 weeks | It is widely used in the evaluation of knee osteoarthritis to assess activities of daily living, functional mobility, gait, general health, and quality of life. It has 24 items divided into 3 subscales: pain (5 items), stiffness (2 items), and physical function (17 items). The scores range from 0 to 4 for each subscale. The score ranges from 0 to 96, where zero indicates no pain, stiffness, and functional limitation. Higher scores indicate worse pain, stiffness, and functional limitation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range Of motion (ROM) | 6 weeks | A Goniometer is used to measure active and passive ROM for knee flexion and extension while the patient lies supine |
| Time-Up-and-Go (TUG) | 6 weeks | This test is a widely used assessment of functional mobility, particularly in patients with knee osteoarthritis. The test measures the total time it takes for a patient to stand up from a chair, walk 3 meters at a comfortable pace, turn around, walk back to the chair, and sit down. A shorter time indicates better functional performance |
| Oswestry Disability Index (ODI) | 6 weeks | It is a questionnaire that gives a subjective percentage score of level of function/disability in activities of daily living of patients with low back pain. It contains 10 items, each scored from 0 to 5, with the total score converted to a percentage ranging from 0% to 100%. Higher percentages indicate greater disability, i.e., worse outcomes, while lower percentages indicate less disability/better outcomes. |
| Flexicurve (Lumbar Range of motion) | 6 weeks | Flexicurve is a flexible plastic-coated metal ruler molded to the lumbar spine's sagittal contour (typically T12 to S1) to non-invasively measure lordosis angle via traced perpendicular heights, serving as a radiation-free alternative to X-rays |
Countries
Pakistan
Contacts
CONTACTSuman Sheraz, PhD
CONTACTImran Amjad, PhD
PRINCIPAL_INVESTIGATORSuman Sheraz, PhD
Riphah International University
Outcome results
None listed