Combined Kinetic Chain Exercises on Knee Osteoarthritis

NCT06233175 | Unknown

• 1 other identifier: P.T.REC/012/004731
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength in knee osteoarthritis patients

Conditions

Knee Osteoarthritis

Keywords

static knee strength,; dynamic knee strength; combined kinetic chain exercises; osteoarthritis

Outcome Measures

Primary Outcomes (5)

• static quadriceps strength

  measuring static quadriceps from sitting position at angle 60 and 90

  Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure

• static hamstring strength

  measuring static hamstring strength from sitting position at angle 60 and 90

  Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure

• dynamic quadriceps strength

  measuring dynamic quadriceps strength from sitting position by randomised free weight and Brzycki formula

  Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure

• dynamic hamstring strength

  measuring dynamic hamstring strength from prone position by randomised free weight and Brzycki formula

  Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure

• Hamstring /Quadriceps ((H/Q) ratio

  dividing static hamstring on static quadriceps strength and dynamic hamstring on dynamic quadriceps strength

  Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure

Secondary Outcomes (2)

• change in neck pain

  Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure

• function

  Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure

Study Arms (2)

conventional group

ACTIVE COMPARATOR

patients take conventional trans cutaneous electrical stimulation (tens) with a frequency of 100 Hz , a pulse duration of 60 micro seconds for 20 min. ,hot backs for 15 min,stretching exercises for hamstring ,quadriceps ,calf muscles

Other: conventional

interventional group

EXPERIMENTAL

patients take conventional tens with a frequency of 100 Hz , a pulse duration of 60 micro seconds for 20 min. ,hot backs for 15 min,stretching exercises for hamstring ,quadriceps ,calf muscles with combined kinetic chain exercises (terminal knee extension,semi squat (wall slide) ,foreword step up and down ,straight leg raise ,seated knee extension )

Other: combined kinetic chain exercises

Interventions

combined kinetic chain exercises OTHER

combined kinetic chain exercises in form of wall slide ,terminal knee extension ,forward step up and down ,side step up and down ,straight leg raise ,seated knee extension ,stretching exercises , hot back and trans cutaneous electrical stimulation,

Also known as: experimental

interventional group

conventional OTHER

stretching exercises and hot back and trans cutaneous electrical stimulation,with out combined kinetic chain exercises

Also known as: control

conventional group

Eligibility Criteria

• Age: 38 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• the patients age from38 to 65
• recent radiographs confirming grade 2 and 3 (mild to moderate ) osteoarthritis
• primary and secondary Osteoarthritis
• both gender
• unilateral knee osteoarthritis
• pain in the knee for most days of prior month
• morning stiffness less than 30 min. in duration
• patient body mass index (BMI) between 18.5 and 29.9 kg/m2

You may not qualify if:

• neurological disorders
• wheelchair bound
• significant cognitive impairment
• present systemic inflammatory arthritis
• history of hip and knee arthroplasty
• history of trauma or surgical arthroscopy of either knee in the last 6 months
• received knee intra-articular injection within the last 3 months
• under anticoagulant therapy ,recent or imminent surgery (within 3 months)

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy

Cairo, Egypt

RECRUITING

MeSH Terms

Conditions

Osteoarthritis, Knee; Osteoarthritis

Interventions

Congresses as Topic

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Organizations; Health Care Economics and Organizations

Central Study Contacts

hadeer a el sayaad

CONTACT

01064125662; hadirelsayaad95@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: I will assess the patient before and after end of intervention programme
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: January 20, 2024
• First Posted: January 31, 2024
• Study Start: January 30, 2024
• Primary Completion: March 30, 2024
• Study Completion: April 30, 2024
• Last Updated: January 31, 2024

Record last verified: 2024-01

Locations

EG (1)