Effect Of Strengthening Hip Rotators And Ankle Muscles On Knee Osteoarthritis

NCT05855681 | Completed

• 1 other identifier: P.T.REC/012/004359
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to investigate the effect of adding strengthening exercise for hip rotators and ankle muscles to knee exercises on pain, function, muscles strength , and knee proprioception in patients with knee osteoarthritis. The main question it aims to answer is:

• What is the effect of adding strengthening exercise for hip rotators and ankle muscles to knee exercises on pain, function, strength of hip rotators and ankle muscles, and knee proprioception in patients with knee osteoarthritis?" Adult male and female diagnosed with unilateral or bilateral knee osteoarthritis, referred from orthopedic surgeons according to inclusion and exclusion criteria will be enrolled in this study, randomly allocated to groups and received exercise for 4 weeks.
• Control group Patients in this group will receive knee exercises in the form of stretching for hamstring and calf. Strengthening exercises in form of strengthening exercise for quadriceps.
• Experimental group In addition to the same knee exercise of control group patients will receive strengthening exercise for hip rotators and ankle muscles.

Conditions

Knee Osteoarthritis

Outcome Measures

Primary Outcomes (3)

• pain level

  assessed by visual analogue scale

  4 weeks

• functional level

  assessed by Knee injury and Osteoarthritis Outcome Score

  4 weeks

• knee proprioception

  assessed by joint position sense

  4 weeks

Secondary Outcomes (3)

• Hip internal and external rotator strength

  4 weeks

• Ankle dorsi flexors, planter flexor, invertor and evertor strength

  4 weeks

• Quadriceps strength

  4 weeks

Study Arms (2)

experimental group

EXPERIMENTAL

patients will receive strengthening exercise for hip rotators and ankle muscles in addition to quadriceps strengthening . stretching exercise for hamstring and calf muscle also will be received

Other: therapeutic exercises

control group

OTHER

patients will receive strengthening exercises for quadriceps and stretching exercise for hamstring and calf muscle.

Other: therapeutic exercises

Interventions

therapeutic exercises OTHER

strengthening exercise and stretching exercise

control group; experimental group

Eligibility Criteria

• Age: 40 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Chronic Knee osteoarthritis with pain for more than 3 months.
• Age between 40-55 years .
• BMI 25 - 34.9
• Kellgren \_ Lawrence grad1,2,3 .
• Subjects must be referred to the outpatient clinic of the faculty of Physical Therapy, Cairo University with a confirmed diagnosis of unilateral or bilateral (knee with primary affection included) knee osteoarthritis and having one or more of the following criteria:
• Morning stiffness for less than 30 min.
• Crepitus on active knee movement.
• Palpable or radiographic bony enlargement.
• Tenderness at joint margins or joint line.
• Knee pain over 30 mm on the Visual analogue scale.

You may not qualify if:

• \- 1- Physical therapy treatment for hip, knee and ankle in the last month. 2-Steroid knee injections in the previous 3 months. 3- hyaluronic acid intraarticular injections in the previous 6 months. 4- History of knee, ankle or hip surgery in the last 2 years. 5- Severe knee malalignment in varus or valgus that requires use of any gait-assistive device.
• Neurological disease in lower limb 7- Inflammatory arthritis (eg: rheumatoid arthritis). 8- Ankle instability

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Giza, Egypt

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Triple (Participant, Investigator, Outcomes Assessor) (assessor by research assistant, patients and statistician)
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant lecturer

Model Details: Triple blinded Randomized controlled trial

Study Record Dates

• First Submitted: May 4, 2023
• First Posted: May 11, 2023
• Study Start: August 1, 2023
• Primary Completion: October 15, 2023
• Study Completion: October 15, 2023
• Last Updated: October 24, 2023

Record last verified: 2023-10

Locations

EG (1)