Efficacy of Virtual Reality Based Exercise Regimes on Kinesiophobia, Pain and Functional Disability in Patients With Knee Osteoarthritis

NCT05777421 | Unknown

• 1 other identifier: FUI/CTR/2023/5
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Knee Osteoarthritis is one of the most prevalent degenerative conditions in Pakistan. Although a variety of Physical therapy treatments have been proven to be beneficial in patients with early stages of knee Osteoarthritis. However, a few secondary impairments like Kinesiophobia which is the fear of movement have been unaddressed. Usually after conventional physical therapy, patients find immediate or short-term relief and that leads to cessation of follow up sessions. In situations like these, kinesiophobia is the greatest threat to mobility and can eventually effect quality of life by decreasing functional disability.

Conditions

Knee Osteoarthristis

Keywords

Range of Motion, Proprioception

Outcome Measures

Primary Outcomes (3)

• Kinesiophobia

  Kinesiophobia will be measured using the Tampa Scale of Kinesiophobia

  6 weeks

• Pain intensity

  Will be Measured using the Numeric Pain rating scale

  6 weeks

• Functional Disability

  Will be measured using WOMAC Osteoarthritis Index

  6 weeks

Study Arms (2)

Conventional Physical Therapy Regime for Knee Osteoarthrithis

ACTIVE COMPARATOR

Pt will receive conventional therapy targeting stretching and stretching of knee musculature in combination with electrotherapy for pain modulation. Frequency : 2-3 times for a duration of 6 weeks Pt will be guided home plan based exercises.

Procedure: Conventional Physical Therapy for Knee Osteoarthriths

Virtual reality Based Therapeutic Exercise Regimes

EXPERIMENTAL

VR-based therapeutic exercise regimes utilizing Xbox, that focus on different activities like Partial squatting, lunges, side lunge, calf raises, and hamstring curls. Gaming exercises begin will an easy warm up round and get challenging with different rounds of each game as the patient progresses to week 6. Frequency: 2-3 times for a duration for 6 weeks Pt will be guided home plan based exercises

Procedure: Virtual Reality-Based Therapeutic Exercise regimes

Interventions

Conventional Physical Therapy for Knee Osteoarthriths PROCEDURE

Participants of Group A will receive the conventional physical therapy for Knee Osteoarthistis for a duration of 6 weeks atleast 2 times a week

Conventional Physical Therapy Regime for Knee Osteoarthrithis

Virtual Reality-Based Therapeutic Exercise regimes PROCEDURE

* Participants of Group B will receive Virtual Reality Based therapeutic exercises on the Xbox. The difficulty level of the games will progess each week. The duration of training will also also progress at treatment week progresses. * Frequency: 2-3 times a week for 6 weeks. Minimum 12 sessions in total.

Virtual reality Based Therapeutic Exercise Regimes

Eligibility Criteria

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

You may qualify if:

• Patients with unilateral knee OA involving mediolateral compartment
• Knee OA grade 2
• Aged 40-65 years
• Both Male and Female
• NPRS value greater than

You may not qualify if:

• Patients with history of
• History of systemic disorder (e.g., rheumatoid arthritis, ankylosing spondylitis).
• History of malignancy.
• History of trauma.
• Previous knee surgery.
• Congenital musculoskeletal deformity (e.g., scoliosis, kyphosis).
• Patients with history of fracture
• Patients with history of Chondropatella Malacia

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with Natural apophyseal glides and the second will receive Natural Apophyseal Glides in addition to cranial base release with conventional physical therapy. Both groups will be recruited concurrently.

Study Record Dates

• First Submitted: March 9, 2023
• First Posted: March 21, 2023
• Study Start: January 1, 2023
• Primary Completion: June 15, 2023
• Study Completion: July 1, 2023
• Last Updated: March 21, 2023

Record last verified: 2023-03

Locations

PA (1)