Home Based Hip Strengthening for Knee OA Patients

NCT05131048 | Unknown

• 1 other identifier: 890-V
• Study Type: interventional
• Target: 90
• Locations: 0 countries
• Sites: N/A

Brief Summary

In knee osteoarthritis patients, weakness of hip abductor muscles is considered an important contributing factor leading to the progression of the disease.

Conditions

Knee Osteoarthritis

Keywords

osteoarthritis; home-based exercise plan; functional disability; obesity

Outcome Measures

Primary Outcomes (6)

• intensity of Pain

  The numerical Pain Rating Scale will be used to measure pain.

  baseline data

• intensity of Pain

  The numerical Pain Rating Scale will be used to measure pain.

  at the end of 6th week

• Range of Motion

  A goniometer will be used to measure a range of motion.

  baseline data

• Range of Motion

  A goniometer will be used to measure a range of motion.

  at the end of 6th week

• Functional Disability

  KOOS Scale will be used to measure functional disability.

  baseline data

• Functional Disability

  KOOS Scale will be used to measure functional disability.

  at the end of 6th week

Study Arms (2)

Conventional group

ACTIVE COMPARATOR

Patients will be given thermal therapy with the hot pack for 20 minutes followed by Conventional physiotherapy will consist of a set of exercises. The exercise components willl be chosen based on previous studies (Deyle 2000) and will comprises of * stretches of lower limb muscles (gastrocnemius, soleus and hamstring) * isometric quadriceps work * straight leg raising * Joint mobilization includes anteroposterior (AP) glide of the tibia on the femur * the patella glides in all directions Subjects will participate in a 45-minute physical therapy session, on alternate days weekly for 6 weeks, in our centre under the close surveillance of a physical therapist. A total of 24 sessions will be given to this group.

Other: conventional group

interventional group

EXPERIMENTAL

Patients in this group will perform home-based hip Strengthening exercises to strengthen hip abductor and adductor muscles. Six different home-based exercises will be taught. This group will have 3 sessions in 1st week in the hospital under the supervision of a trained physiotherapist just to teach them and ensure that patients are doing exercises correctly on their own. After that, patients will perform exercises 5 days at home and 1 session at the hospital per week. The therapist will be trained to deliver different exercises and adjust the intensity of exercise accordingly advise the participants to complete 10 repetitions of every exercise at home96. * Abduction in side-lying * Abduction in standing * Standing wall isometric hip abduction * Hip Adduction in side-lying * Hip abduction in a standing position * Towel press

Other: experimental group

Interventions

conventional group OTHER

this group will perform conventional therapy

Conventional group

experimental group OTHER

this group will perform home based exercises

interventional group

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The age group was from 40 to 60 years.
• Both males and females were included.
• Average knee pain on walking \>3 on an 11-point scale (NPRS) (0 no pain; 10 maximal pain).
• participants can walk independently without any assistive devices
• Diagnosed patients of grade II \& III of Kallgren and Lawrence scale for knee osteoarthritis referred by an orthopaedic surgeon

You may not qualify if:

• History of osteoporosis.
• Leg length discrepancy or structural deformity
• Knee surgery or TKR.
• Corticosteroid injection in knee joint
• Systemic arthritic condition
• History of tibiofemoral and patellofemoral replacement
• Any other neurological and muscular condition affecting the lower limb
• Any history of radiculopathy.

Sponsors & Collaborators

• University of Lahore: lead

Related Publications (7)

• Valdes AM, McWilliams D, Arden NK, Doherty SA, Wheeler M, Muir KR, Zhang W, Cooper C, Maciewicz RA, Doherty M. Involvement of different risk factors in clinically severe large joint osteoarthritis according to the presence of hand interphalangeal nodes. Arthritis Rheum. 2010 Sep;62(9):2688-95. doi: 10.1002/art.27574.

  PMID: 20499385 BACKGROUND

• Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2010 Jan;18(1):24-33. doi: 10.1016/j.joca.2009.08.010. Epub 2009 Sep 2.

  PMID: 19751691 BACKGROUND

• Fatima S, Arslan SA, Sharif F, Ahmad A, Gillani SA, Zaheer A. Translation, cross-cultural adaptation and psychometric properties of the Urdu version of knee injury and osteoarthritis outcome score questionnaire for Pakistani population. BMC Musculoskelet Disord. 2021 Jun 26;22(1):592. doi: 10.1186/s12891-021-04477-1.

  PMID: 34174864 BACKGROUND

• Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bioallied Sci. 2013 Jan;5(1):30-8. doi: 10.4103/0975-7406.106561.

  PMID: 23559821 RESULT

• Farrokhi S, Voycheck CA, Tashman S, Fitzgerald GK. A biomechanical perspective on physical therapy management of knee osteoarthritis. J Orthop Sports Phys Ther. 2013 Sep;43(9):600-19. doi: 10.2519/jospt.2013.4121.

  PMID: 23756435 RESULT

• Safran-Norton CE, Sullivan JK, Irrgang JJ, Kerman HM, Bennell KL, Calabrese G, Dechaves L, Deluca B, Gil AB, Kale M, Luc-Harkey B, Selzer F, Sople D, Tonsoline P, Losina E, Katz JN. A consensus-based process identifying physical therapy and exercise treatments for patients with degenerative meniscal tears and knee OA: the TeMPO physical therapy interventions and home exercise program. BMC Musculoskelet Disord. 2019 Nov 4;20(1):514. doi: 10.1186/s12891-019-2872-x.

  PMID: 31684921 RESULT

• Arhos EK, Thoma LM, Grindem H, Logerstedt D, Risberg MA, Snyder-Mackler L. Association of Quadriceps Strength Symmetry and Surgical Status With Clinical Osteoarthritis Five Years After Anterior Cruciate Ligament Rupture. Arthritis Care Res (Hoboken). 2022 Mar;74(3):386-391. doi: 10.1002/acr.24479. Epub 2022 Jan 19.

  PMID: 33026698 RESULT

MeSH Terms

Conditions

Osteoarthritis, Knee; Osteoarthritis; Obesity

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• faizan asghar

  University of Lahore

  PRINCIPAL INVESTIGATOR

Central Study Contacts

faizan asghar

CONTACT

00923237018937; faianasghar@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: November 11, 2021
• First Posted: November 23, 2021
• Study Start: November 1, 2021
• Primary Completion: December 1, 2021
• Study Completion: January 1, 2022
• Last Updated: November 23, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share