Effect of Hip Abductors Versus Knee Extensor Strengthening in Knee Osteoarthritis

NCT04503304 | Completed

• 1 other identifier: Hip Abductors strength in KOA
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

This study will try to answer the following question: Would strengthening of hip abductors be equal to, or more effective than, knee extensors strengthening in improving pain, function and knee extensors isometric strength in patients with knee Osteoarthritis

Conditions

Knee Osteoarthritis

Keywords

Knee Osteoarthritis AND Hip Abductors AND Quadriceps

Outcome Measures

Primary Outcomes (3)

• Quadriceps Muscle Strength assessment

  Quadriceps Muscle Strength assessment using Hand held Dynamometer

  6 weeks

• lower limb functional disability

  Measuring lower limb functional disability using The Arabic version of reduced WOMAC (ArWOMAC) index

  6 weeks

• Knee function

  Measuring function using The Timed Up \& Go Test (TUG):

  6 weeks

Study Arms (2)

HAS group

EXPERIMENTAL

hip abductors strengthening group 1. Hip abduction -standing\[Ferber et al.,2015\]. 2. Sidelying hip abduction(clamshell)\[Schache et al.,2016\]. 3. lateral leg raise: in brief, the patients lie down on bed on the unaffected side, with the resistance band positioned around the distal thigh of the affected limb.;later, they raise the above lower limbs upwards for about 30 degrees, stay for 5- 10 s and slowly lay down\[Xie et al.,2018\]. 4. pelvic lift training, specifically, patients stand single-leg off the side at a 10-cm step. Later, they begin with the other limb that is lower than the step level, and contract the stance-limb hip abductor to raise the free leg to the step level while keeping the stance knee extended\[Xie et al.,2018\]. 5. Stretching Hamstrings \[Fukuda et al.,2012\]. Number of sets = 3, Repetitions =10 repetitions for each set

Other: Exercises

KES group

ACTIVE COMPARATOR

knee extensors strengthening group 1. Isometric quadriceps setting 2. Knee extensions from sitting with knee bend to 90 3. Terminal knee extension from sitting. 4. Stretching Hamstrings Number of sets = 3, Repetitions =10 repetitions for each set

Other: Exercises

Interventions

Exercises OTHER

already included in arm/group descriptions.

HAS group; KES group

Eligibility Criteria

• Age: 50 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with knee OA grade II- III Kellgren- Lawrence scores
• Their age is 50-70\[Wang et al.,2019\].
• Body mass index (BMI) 25-30.

You may not qualify if:

• Patients who had surgical intervention in the knee and/or hip.
• Fracture in the lower limbs.
• Malignancy
• Any associated ligamentous injuries in knee or ankle.
• Spinal Cord Injury.
• Hormonal imbalance or on hormonal therapy
• Knee injection within the last 6 months prior to the study.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy

Cairo, Egypt

Location

Related Publications (47)

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MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Exercise

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Teaching Assistant

Model Details: 2 groups; hip abductors strengthening (HAS) group a will receive hip abductors strengthening exercises, and knee extensors strengthening (KES) group will receive quadriceps strengthening exercise.

Study Record Dates

• First Submitted: August 1, 2020
• First Posted: August 7, 2020
• Study Start: July 1, 2020
• Primary Completion: November 1, 2020
• Study Completion: November 1, 2020
• Last Updated: May 4, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF

Locations

EG (1)