Effects of Retro-walking in Patients With Knee OA

NCT06130774 | Completed DMC

• 1 other identifier: REC 01681 MAIRA KANWAL
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

Osteoarthritis is degenerative joint disease that cause deterioration of the articular cartilage and neighboring tissue and lead to osteophyte formation, weakening of surrounding muscles, ligamentous laxity and inflammation of synovium. Diagnosis can be made based on history and clinical features and risk factors including age, sex, body mass index , absence of whole leg pain, fixed flexion deformity, absence of traumatic event, restricted flexion range of motion, pain in descending stairs, palpable effusion and crepitus. Confirmation is usually based on radiological finding according to Kellgren and Lawrence diagnostic scale . Radio graphic changes of osteoarthritis of the knee are bilateral in 85% of patients .

Conditions

Osteo Arthritis Knee

Keywords

osteoarthritis; retrowalking; balance; gait

Outcome Measures

Primary Outcomes (3)

• NPRS

  The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. NPRS exhibited moderate reliability

  six weeks

• WOMAC

  The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a widely used, proprietary set of standardized questionnaires used by health professionals to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints. Higher scores indicate worse pain, stiffness, and functional limitations. The WOMAC measures five items for pain (score range 0-20), two for stiffness (score range 0-8), and 17 for functional limitation (score range 0-68),

  six weeks

• Calcon Calculator

  To calculate your walking stride length, divide the number of steps you took by two and divide that number into the measured distance. If it took you 18 steps to cover 21 feet, divide the number of steps (18) by 2 to get the number of strides. Then take the answer (9) and divide it into the distance. Distance in feet/number of strides = stride length. In this case, you took nine strides in 22 feet, so your stride length would be 2.4 feet. For step length divide the number of steps into the measured distance. Distance in feet/number of steps = step length.

  six weeks

Study Arms (2)

Retro walking and conventional

EXPERIMENTAL

Patient will start retro walking with first he/she will raise his/her one foot with toe off first then heel will be off from ground. swing phase of same leg would be done in backward direction with flexion on knee and extension will be performed on hip. Then patient will place the same foot on ground behind the other foot, with toe touch first on ground, and so this way patient would continue for 20 minutes continue his retro-walk for 20 minutes.

Other: Retro walking and conventional

conventional therapy

ACTIVE COMPARATOR

Hot pack in supine lying (10min) TENS (10min ) Tibiofemoral mobilization (grade 1,2 ,3) (10rep) Static quadriceps exercise in supine (10rep x 3sec x2set) hip abduction in side lying(10repx 2set) knee bending exercise in prone lying ( 10rep x 2set) Hamstring stretch in supine ( 10 rep x 2 set)

Other: conventional therapy

Interventions

Retro walking and conventional OTHER

Patient will start retro walking with first he/she will raise his/her one foot with toe off first then heel will be off from ground. swing phase of same leg would be done in backward direction with flexion on knee and extension will be performed on hip. Then patient will place the same foot on ground behind the other foot, with toe touch first on ground, and so this way patient would continue his retro-walk for 20 minutes

Retro walking and conventional

conventional therapy OTHER

Hot pack in supine lying (10min) TENS (10min ) Tibiofemoral mobilization (grade 1,2 ,3) (10rep) Static quadriceps exercise in supine (10rep x 3sec x2set) hip abduction in side lying(10repx 2set) knee bending exercise in prone lying ( 10rep x 2set) Hamstring stretch in supine ( 10 rep x 2 set)

conventional therapy

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Unilateral Knee OA .
• Kellgren-Lawrence grading (grade 1 and 2)
• Participants fulfilling three out of the six clinical criteria listed by the American College of Rheumatology The criteria are Age \>40 years, Morning stiffness lasting \<30 mins. Crepitus with active motion, Bony tenderness, Bony enlargement and No warmth to touch and diagnosed to have knee OA
• Pain more than 6 weeks

You may not qualify if:

• Trauma or surgery in the last 6 months.
• Hip, knee, and foot deformities.
• Stroke and other neurovascular issues.
• Severe pain (greater than 7 in NPRS)
• Difficulty in walking for 10 min continuously.
• Obesity (body mass index greater than 25 kg/m2 )
• Osteoporosis
• Patients having any systemic joint pathology, inflammatory joint disease (e.g. rheumatoid arthritis, gouty arthritis, psoriatic arthritis).
• Patients who had any neurological deficit, myelopathy any mental illness.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah international hospital Sihala

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Osteoarthritis

Interventions

Congresses as Topic

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Organizations; Health Care Economics and Organizations

Study Officials

• maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: November 9, 2023
• First Posted: November 14, 2023
• Study Start: November 1, 2023
• Primary Completion: February 1, 2024
• Study Completion: February 1, 2024
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)