Knee Arthritis, Osteoarthritis, Osteearthritis
Conditions
Brief summary
This prospective single-blind randomized controlled study aims to investigate the effects of mobilized balance platform exercises on balance parameters, pain, functional status, fear of falling, and kinesiophobia in patients with knee osteoarthritis. A total of 36 patients diagnosed with knee osteoarthritis will be recruited from the outpatient clinic of Gaziler Physical Medicine and Rehabilitation Training and Research Hospital. Participants will be randomly assigned to one of two groups. The control group will receive conventional physical therapy including transcutaneous electrical nerve stimulation (TENS) and a home exercise program consisting of knee strengthening, balance, range of motion, proprioceptive, and stretching exercises. The intervention group will receive the same conventional treatment in addition to mobilized balance platform exercises using the Huber 360 system. Pain severity, functional status, balance parameters, fear of falling, and kinesiophobia will be evaluated before and after treatment by an assessor blinded to treatment allocation.
Interventions
DEVICEHuber 360 Balance Training
Participants will perform mobilized balance platform exercises using the Huber 360 system. The exercise protocol will include quadriceps and core strengthening, proprioceptive training, balance exercises, and neuromuscular exercises specifically designed for patients with knee osteoarthritis. Sessions will be performed 3 times per week for 20 minutes.
OTHERConventional Physical Therapy
Participants will receive conventional physical therapy including transcutaneous electrical nerve stimulation (TENS) and a home exercise program consisting of knee strengthening, balance, range of motion, proprioceptive, and stretching exercises performed 3 times per week for 20 minutes.
Sponsors
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged between 45 and 65 years * Diagnosis of knee osteoarthritis classified as Kellgren-Lawrence grade 2 or 3 * Willingness to participate voluntarily in the study
Exclusion criteria
* Presence of orthopedic knee implants * Kellgren-Lawrence grade 1 or grade 4 knee osteoarthritis * Sensory impairment * Diagnosis of malignancy * Unhealed fractures * Circulatory disorders * Infection around the knee joint * Severe hearing loss or visual impairment * Cognitive impairment * Uncontrolled hypertension or diabetes mellitus * Vestibular disorders causing balance problems, such as vertigo * Use of walking assistive devices such as canes or walkers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Static and Dynamic Balance Parameters | Before treatment and immediately after completion of the 8-week treatment program | Balance performance will be assessed using the Huber 360 balance assessment system. Measurements will include static balance with eyes open and eyes closed, single-leg balance performance, and limits of stability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Severity Assessed by Visual Analog Scale (VAS) | Before treatment and immediately after completion of the 8-week treatment program | Pain intensity will be assessed using a 10-cm Visual Analog Scale (VAS) for night pain, resting pain, and pain during movement. Higher scores indicate greater pain severity. |
| Functional Status Assessed by WOMAC | Before treatment and immediately after completion of the 8-week treatment program | Functional status will be evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Higher scores indicate worse pain, stiffness, and functional limitation. |
| Functional Mobility Assessed by Timed Up and Go Test | Before treatment and immediately after completion of the 8-week treatment program | Functional mobility and dynamic balance will be assessed using the Timed Up and Go Test. Shorter completion times indicate better functional mobility. |
| Fear of Falling Assessed by the International Falls Efficacy Scale | Before treatment and immediately after completion of the 8-week treatment program | Fear of falling during activities of daily living will be evaluated using the International Falls Efficacy Scale. Higher scores indicate greater concern about falling. |
| Kinesiophobia Assessed by Tampa Scale for Kinesiophobia | Before treatment and immediately after completion of the 8-week treatment program | Fear of movement and reinjury will be evaluated using the Tampa Scale for Kinesiophobia. Higher scores indicate greater fear of movement. |
Countries
Turkey (Türkiye)
Contacts
CONTACTSEFA GÜMRÜK ASLAN
PRINCIPAL_INVESTIGATORSefa Gümrük Aslan
gaziler physcial therapy and rehabilitation hospital
Outcome results
None listed