Knee osteoarthritis
Conditions
Interventions
- Study setting – Clinical setting
- Randomisation - Is done using a computer generated random number
- Intervention - Combined lumbar strengthening program and usual osteoarthritis rehabilitation
Sponsors
None
Eligibility
Inclusion criteria
Inclusion criteria: • Age 18 years or above 18 years • Fulfills the American College of Rheumatology clinical classification criteria for knee osteoarthritis. In this criteria the presence of knee pain along with at least three of the following six items can classify the condition as knee osteoarthritis: o Age> 50 years old o Morning stiffness < 30 minutes o Crepitus on active knee motion o Bony tenderness o Bony enlargement o No palpable warmth of synovium knee joint osteoarthritis o Less than or equal to grade 2 (as diagnosed and graded by a Rheumatologist, based on the Kellgren and Lawrence radiological classification)
Exclusion criteria
Exclusion criteria: • Hip/Ankle/ Foot osteoarthritis • History of neurological, infectious, and systemic diseases, including cerebrovascular disease, spinal cord disease, spondylitis, cancer, rheumatologic disorders, which may cause long-term immobilization • Participants with structural lesions, such as spondylolisthesis (Lumbar spinous process palpation and stork test) • Vertebral bone fracture, visible significant scoliosis or kyphosis or lower limb radiculopathy (as confirmed by straight leg raise test to exclude radiculopathy from spinal origin) • Knee injection within previous three months • Participants who have prescribed exercise therapy in the past >3 months • Any history of spinal or lower extremity surgery • Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measures relate to knee joint Change in the measure and % of the change in, i. Pain intensity: (visual analogue scale (VAS)) ii. Active range of motion (AROM): flexion, extension iii. Disability/function: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [Pre-intervention, after 6 weeks post-intervention, after 6 months follow up] Measures relate to lumbar spine Change in the measure and % of the change in, i.Pain intensity: (VAS) ii.AROM: flexion, extension, side-flexion, rotation iii.Disability: Oswestry Disability Index (ODI) [ Pre-intervention, after 6 weeks post-intervention, after 6 months follow up] | — |
Secondary
| Measure | Time frame |
|---|---|
| None [] | — |
Countries
Sri Lanka
Contacts
Public ContactPiyumi Amarasinghe
Physiotherapist
Outcome results
None listed