Strengthening Exercises Versus Proprioception and Balance Exercises in the Treatment of Knee Osteoarthritis

NCT03893981 | Completed

• 1 other identifier: 99984023-302.99
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to investigate and compare the effect of balance and proprioception exercises with strengthening exercises on muscle strength, pain, proprioception, function and quality of life in knee osteoarthritis patients.

Conditions

Osteo Arthritis Knee; Pain

Keywords

Rehabilitation; Pain; Functionality; Proprioception

Outcome Measures

Primary Outcomes (1)

• Western Ontario and McMaster Universities Arthritis Index (WOMAC)

  The WOMAC is widely used self-administered health status measure used in assessing pain, stiffness and function in patients with OA of the knee or hip. The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.

  WOMAC will be filled first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program . After treatment "change" will be assessed

Secondary Outcomes (10)

• Visual Analogue Scale (VAS)

  Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.

• Pressure Algometer

  Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.

• Hand-Held Dynamometer

  Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.

• Isokinetic Dynamometer for measuring position sense

  Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.

• Short Form-36

  Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.

Study Arms (2)

Proprioception and Balance Training

EXPERIMENTAL

Proprioception and Balance Program

Other: Proprioception and Balance Program

Strengthening Training

EXPERIMENTAL

Strengthening Program

Other: Strengthening Program

Interventions

Proprioception and Balance Program OTHER

Balance Trainer device and playing ball in tandem position for using to improve balance, vibration and reposition exercises for using to improve proprioception. Progressive of training will increase after each 2 weeks.Patients will be taken to the treatment program 3 days in a week for 8 weeks.

Proprioception and Balance Training

Strengthening Program OTHER

Exercises which include open and closed kinetic chain exercise will be applied to strength knee and hip muscle. Progressive of training will increase after each 2 weeks. Patients will be taken to the treatment program 3 days in a week for 8 weeks.

Strengthening Training

Eligibility Criteria

• Age: 45 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who have a diagnosis of knee Osteoarthritis according to the American Society of Rheumatology (ACR) criteria,
• Between 45 to 75 years of age
• Can read and write in Turkish language

You may not qualify if:

• Active synovitis
• Taking any physical therapy section in the last 6 months
• Have a neurological problems that affect walking
• Have an arthritis problem in the ankle and hip joint
• Have a history of lower extremity surgery
• Intraarticular steroid injection in the last 6 months
• Use psychoactive drug
• Have a severe defect of vision and hearing, speech disorders
• Vestibular dysfunction

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University-Cerrahpasa, Faculty Of Health Sciences

Istanbul, Bakirkoy, 34147, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain

Interventions

Proprioception; Resistance Training

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Vestibulocochlear Physiological Phenomena; Physiological Phenomena; Sensation; Nervous System Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena

Study Officials

• Gamze Kuş, MsC

  Istanbul University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 7, 2019
• First Posted: March 28, 2019
• Study Start: July 16, 2019
• Primary Completion: August 11, 2020
• Study Completion: August 11, 2020
• Last Updated: August 12, 2020

Record last verified: 2020-08

Locations

TU (1)