Total Knee Replacement
Conditions
Keywords
Knee Function, Muscle Strength, Pain
Brief summary
* To compare the effectiveness of in clinic rehabilitation versus tele rehabilitation in improving knee function in women diagnosed with knee OA. * To assess the impact of both rehabilitation approaches on improving strength. * To evaluate the effects of in-clinic and tele-rehabilitation on pain reduction in women with knee osteoarthritis.
Detailed description
Knee osteoarthritis (OA) is a chronic, progressive musculoskeletal disorder, which is marked by degeneration of articular cartilage, subchondral bone remodeling, inflammation of the synovium, and limitation of knee joint function. It is also among the primary causes of chronic pains, disability, and diminished physical functions in middle-aged and older adults across the world. Knee OA clinically appears with pain in the joints, stiffness, crepitus, reduced mobility, muscle weakness, and gradual impairment of activities of daily living, which eventually affects independence and quality of life.
Interventions
Hot Pack \& Strengthening Exercises
OTHERTele-Rehabilitaion
Hot Pack \& Strengthening Exercises
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Only female participant * Age 40 to 60 years * Radiographically confirmed OA (Grade II or III) * Self-limitation in walking, climbing or ADLs * Access to smartphone, tablet, or computer with internet
Exclusion criteria
* Advanced OA (G IV) * Other joint disorder * Recent surgeries * Pregnancy * Swelling and morning stiffness more than 30 min
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| WOMAC to assess knee function | 6 Weeks | The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is a widely used, self-administered 24-item questionnaire designed to evaluate pain, joint stiffness, and physical function in patients with knee or hip osteoarthritis. It measures these three dimensions to assess disease severity and treatment outcomes. |
| MMT to assess knee muscle strength | 6 Weeks | Manual Muscle Testing (MMT) is a generally valid and reliable tool for assessing muscle strength in patients with neuromusculoskeletal dysfunction, demonstrating good consistency, particularly in clinical settings with trained examiners. It is widely used for grading muscle strength (0-5 scale), though it has limited sensitivity in detecting small strength changes and may have a ceiling effect for high-functioning individuals. |
| VAS to assess pain | 6 Weeks | The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain." |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORAyesha Sadiq, MSPT (OMPT)
Riphah International University
Outcome results
None listed