Effects of Home Based Resistance Training as Compared to Supervised Resistance Training Exercise in the Management of Osteoarthritis.

NCT06076278 | Unknown

• 1 other identifier: FUI/CTR/2023/17
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Knee osteoarthritis is a degenerative pathology that is characterized by structural changes in the joint, such as joint space narrowing, thickening of the joint capsule, and cartilage degeneration that encourages friction between the bone surfaces and causes pain, which is thought to be a major symptom of knee osteoarthritis. Knee osteoarthritis (OA) treatment focuses on reducing pain while also enhancing function and quality of life by resistant training and Home-based exercise, a time-effective and practical treatment option for people with chronic conditions. As the past literature states that home based trainings are cost and time effective, However there is deficient evidence regarding effectiveness of home based strength training in case of knee osteoarthritis. More evidence is therefore needed in this regard.

Conditions

Osteoarthritis, Knee

Outcome Measures

Primary Outcomes (7)

• Pain severity

  Pain will be measured using the Numeric Pain Rating Scale, which is an 11-item scale.The higher the score the greater will be pain severity

  4 week

• Disability level of participant

  Disability will be assessed using Western Ontario and McMaster University Osteoarthritis Index. The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Usually a sum of the scores for all three subscales gives a total WOMAC score. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations

  4 weeks

• Muscle strength

  measured by using Modified Sphygmomanometer Dynamometry

  4 weeks

• Gait Cadence

  Cadence (steps/min) = steps counted x 60/time (s)

  4 weeks

• Range of motion

  Description measured by using Goniometer

  4 weeks

• Gait Stride length

  Stride length (m) = speed (m/s) x cycle time (s)

  4 weeks

• Gait Speed

  Gait Speed (m/s) = distance (m) / time (s)

  4 weeks

Study Arms (2)

Group A (Resistant Training)

ACTIVE COMPARATOR

Patients in this group will recieve Clinic based resistant training . A total of 12 sessions will be conducted over a period of 4 week 3 days a week.

Procedure: resistance exercise

Group B (Home Based resistant training)

EXPERIMENTAL

Patients will recieve home based resistant training. A total of 12 sessions will be conducted over a period of 4 week ,3 days a week .

Procedure: resistance exercise

Interventions

resistance exercise PROCEDURE

Isometrics contraction of quadriceps Supine straight leg raise Leg lifts in prone position Passive knee flexion Passive knee extension Resistance knee extension Resistance knee flexion Isometric terminal knee extension in lying and mini-squat Concentric and isometric knee extension and flexion in sitting Frequency: A total of 12 sessions, thrice a week, for 4 consecutive weeks. Time Duration: Approx. 25 to 30minutes

Group A (Resistant Training); Group B (Home Based resistant training)

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged 25 to 60 years experiencing knee pain.
• Both male and female.
• Patients with grade 1 to 3 OA based on Kellgren Lawrence classification of knee OA.
• Those participants with 4-8 on NPRS

You may not qualify if:

• Individuals with serious pathology such as malignancy, inflammatory disorder or infection.
• Individual with history of knee surgery or replacement.
• Those patients who have received physiotherapy from last 2 months.
• Those patients who have received any surgical treatment for SIJ dysfunction

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Resistance Training

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; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

Abdullah Khan, MS-MSKPT*

CONTACT

03160906437; abdullahkhan3402318843@gmail.com

Study Design

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

Model Details: This is a randomized controlled trial having two groups. One group will receive home based resistant training and the second will receive clinic based resistant training. Both groups will be recruited concurrently.

Study Record Dates

• First Submitted: September 13, 2023
• First Posted: October 10, 2023
• Study Start: August 30, 2023
• Primary Completion: January 1, 2024
• Study Completion: February 1, 2024
• Last Updated: October 10, 2023

Record last verified: 2023-10

Locations

PA (1)