DAPRE Exercises Technique and CKC Exercises on Extensor Lag in Post Knee Stiffness

NCT04790669 | Completed DMC

• 1 other identifier: REC/Lhr/20/021 Shanza Tanveer
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

This project was a Randomized clinical trial conducted on extensor lag in post-operative knee stiffness patient to compare the effects of The Daily Adjustable Progressive Resistive Exercise (DAPRE) technique versus Close kinetic chain (CKC) exercise training in people who had undergone knee stiffness, m so that we can have best treatment option for patients with extensor lag.

Conditions

Extensor Lag; Post-operative Knee Stiffness

Keywords

DAPRE; CKC exercises; Extensor lag

Outcome Measures

Primary Outcomes (4)

• Change in knee functional Improvement by WOMAC index

  By using WOMAC index, knee functional improvement was checked at baseline \& post interventional readings at 6th week.

  6 weeks (3 sessions per week).

• Change in knee range of motion by universal goniometer.

  Change in ROM at baseline \& post interventional readings at 6th week.

  6 weeks (3 sessions per week).

• Change in pain by 'Numeric Pain Rating Scale'

  Change in pain was measured at baseline \& post interventional readings at 6th week.

  6 weeks (3 sessions per week).

• Change in strength by Sphygmomanometer

  Change in strength was measured at baseline \& post interventional readings at 6th week.

  6 weeks (3 sessions per week).

Study Arms (2)

Daily adjustable progressive resistance exercises (DAPRE)

EXPERIMENTAL

DAPRE technique, hot pack, stretching exercises.

Procedure: Daily adjustable progressive resistance exercises (DAPRE)

Close kinetic chain exercises (CKC).

EXPERIMENTAL

CKC exercises, hot pack, stretching exercises

Procedure: Close kinetic chain exercises (CKC).

Interventions

Daily adjustable progressive resistance exercises (DAPRE) PROCEDURE

Daily adjustable progressive resistance exercises (DAPRE) In Group A, 11 participants were received Conventional physiotherapy treatment in addition to DAPRE technique by leg extension machine. In DAPRE technique, four sets of exercises were performed. The first two sets of exercise consisted of ten and then six repetitions, per- formed against one-half and three-fourths of the previously established working weight. Working weight is the amount of weight a patient uses during an individual session. The full working weight was used on the third set, and the patient performed as many repetitions as possible. After performing each of the third and fourth sets, patients rested for 1 min.6 weeks (3 sessions per week)• Hot pack: 10 min• Stretching of calf and hamstring muscle: 10 min. Assessment was done via WOMAC index, universal goniometer, numeric pain rating scale \& sphygmomanometer.

Daily adjustable progressive resistance exercises (DAPRE)

Close kinetic chain exercises (CKC). PROCEDURE

Close kinetic chain exercises (CKC). In Group B, 11 participants was received Conventional physiotherapy treatment in addition to close kinetic chain exercises. Close kinetic chain exercises for extensor lag was seated leg press, double or single one third knee bend, step up and down exercise, wall slide with weight. Treatment time was 30 minutes and three session per week was applied on alternate day for up to 6 weeks. Pre interventional readings will be taken at baseline \& post interventional readings at 6th week. 6 weeks (3 sessions per week) • Hot pack: 10 min • Stretching of calf and hamstring muscle: 10 min. Assessment was done via WOMAC index, universal goniometer, numeric pain rating scale \& sphygmomanometer.

Close kinetic chain exercises (CKC).

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Post-operative knee stiffness (patients with 1-3 month stiffness).
• Both male and female , age 30-60 years.
• Willing to participate in research.

You may not qualify if:

• Pre-operative knee stiffness
• Severe cardiopulmonary disease
• Patients undergoing chemotherapy
• Any traumatic injury/ Acute inflammatory muscular pathology
• TKR \& hip pathology and replacement
• Meniscal tear

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (3)

• Ardali G. A daily adjustable progressive resistance exercise protocol and functional training to increase quadriceps muscle strength and functional performance in an elderly homebound patient following a total knee arthroplasty. Physiother Theory Pract. 2014 May;30(4):287-97. doi: 10.3109/09593985.2013.868064. Epub 2014 Jan 7.

  PMID: 24397371 BACKGROUND

• Wawrzyniak JR, Tracy JE, Catizone PV, Storrow RR. Effect of closed chain exercise on quadriceps femoris peak torque and functional performance. J Athl Train. 1996 Oct;31(4):335-40.

  PMID: 16558420 BACKGROUND

• Knight KL. Quadriceps Strengthening with the DAPRE Technique: Case studies with Neurological Implications. J Orthop Sports Phys Ther. 1990;12(2):66-71. doi: 10.2519/jospt.1990.12.2.66.

  PMID: 18787253 BACKGROUND

MeSH Terms

Interventions

Conization

Intervention Hierarchy (Ancestors)

Biopsy; Cytodiagnosis; Cytological Techniques; Clinical Laboratory Techniques; Diagnostic Techniques and Procedures; Diagnosis; Specimen Handling; Diagnostic Techniques, Surgical; Surgical Procedures, Operative; Investigative Techniques

Study Officials

• Rabiya Noor, PhD

  Riphah International 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: SPONSOR

Study Record Dates

• First Submitted: March 6, 2021
• First Posted: March 10, 2021
• Study Start: October 15, 2020
• Primary Completion: May 20, 2021
• Study Completion: May 20, 2021
• Last Updated: September 2, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)