Effect of Exercises on Dynamic Balance in Knee Osteoarthritis Patients.

NCT05941117 | Completed

• 1 other identifier: P.T.REC/012/003919
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomized controlled trial which aims to compare the effect of weight bearing exercises and non-weight bearing exercises on the dynamic balance in knee osteoarthritis patients as 60 patients will divided in three groups where one group is control group and others two groups one of them perform weight bearing exercises and the other perform non weight bearing exercises.

Conditions

Knee Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• change happened in the dynamic balance from the baseline

  Biodex Balance System which is a device used to measure the balance of a person who stand on the platform of the device that give a measurement called over all stability index where 0 score means the best balance and the largest number indicate bad balance.

  one day after the end of treatment

Secondary Outcomes (2)

• change happened in pain from the baseline

  one day after the end of treatment

• change happened in the joint angle repositioning from baseline

  one day after the end of treatment

Study Arms (2)

weight bearing exercises group

ACTIVE COMPARATOR

20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and weight bearing strengthening exercises.

Combination Product: stretching exercises; Combination Product: Transcutaneous electrical nerve stimulation; Combination Product: weight bearing strengthening exercises

non-weight bearing exercises group

ACTIVE COMPARATOR

20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and Non-weight bearing strengthening exercises.

Combination Product: stretching exercises; Combination Product: Transcutaneous electrical nerve stimulation; Combination Product: Non-weight bearing strengthening exercises

Interventions

stretching exercises COMBINATION_PRODUCT

stretching exercises for Hamstring, quadriceps and calf muscle for both lower limbs of the same patients. each exercise was repeated 5 times and each repetition hold for 30 seconds in the same session.

non-weight bearing exercises group; weight bearing exercises group

Transcutaneous electrical nerve stimulation COMBINATION_PRODUCT

it is one of the electrical stimulation modalities which is used to relief pain, each patient receive it on both knees every session.

Also known as: TENS

non-weight bearing exercises group; weight bearing exercises group

weight bearing strengthening exercises COMBINATION_PRODUCT

strengthening exercises for quadriceps, gluteus maximus, gluteus Medius and calf muscle in the form of weight bearing from standing position each exercise was repeated for 10 times with 5 seconds hold in the same set and patient perform three sets in the same session for both lower limbs.

weight bearing exercises group

Non-weight bearing strengthening exercises COMBINATION_PRODUCT

strengthening exercises for quadriceps, gluteus maximus, gluteus Medius and calf muscle in the form of non-weight bearing from lying and setting positions each exercise was repeated for 10 times with 5 seconds hold in the same set and patient perform three sets in the same session for both lower limbs.

non-weight bearing exercises 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:

• The patient's age \> 50 years.
• Recent radiographs confirming the presence of knee OA, grade II-III (mild to moderate) Kellgren Lawrence (K/L).
• Body mass index (BMI) from 20 to 30 kg/m2.
• Met the American College of Rheumatology clinical criteria for mild to moderate knee OA.
• knee pain \> 3 cm on a 10 cm visual analog scale (VAS) on most days of the previous week.
• Bilateral knee osteoarthritis.

You may not qualify if:

• Congenital or acquired inflammatory or neurological (systemic or local) diseases involving the knee.
• Patients who have mental or cognitive illness that interfere their ability to perform the exercises or the evaluation tests.
• Intra articular knee injection of steroids in the past 6 months.
• Patients who had received joint replacement surgery in either Knee or hip.
• Patients with rheumatoid arthritis.
• Patients who received physical therapy sessions on the knee in the past 6 months.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy Cairo University

Giza, Egypt

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Muscle Stretching Exercises; Transcutaneous Electric Nerve Stimulation

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Electric Stimulation Therapy; Analgesia; Anesthesia and Analgesia

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: MSc, PhD candidate

Study Record Dates

• First Submitted: June 25, 2023
• First Posted: July 12, 2023
• Study Start: October 25, 2022
• Primary Completion: June 15, 2023
• Study Completion: June 15, 2023
• Last Updated: July 12, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)