Comparative Effects Of Dynamic And Static Stretching In Postmenopausal Females With Knee Osteoarthritis

NCT06658327 | Recruiting

• 1 other identifier: Tanzeela Majeed
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

As the aging population continues to grow, there is a pressing need to explore effective interventions to alleviate the symptoms of osteoarthritis, particularly in postmenopausal women who may experience unique challenges. Osteoarthritis (OA) is progressive joint disease characterized by joint inflammation and a reparative bone response and is one of the top five most disabling conditions that affects more than one-third of persons \>65 years of age, commonly affecting hands, feet, spine, hips, and knees. Among the various therapeutic modalities, stretching exercises, both dynamic and static, have gained attention for their potential to enhance joint flexibility, reduce pain, and improve functional outcomes.

Conditions

Postmenopausal; Knee Osteoarthritis

Keywords

Pain; Postmenopausal; knee Osteoarthritis; Dynamic Stretching; Static Stretching

Outcome Measures

Primary Outcomes (4)

• GONIOMETER

  Goniometer is a device used to measure joint ranges. Goniometric measurement of ROM is an important part of clinical examination in osteoarthritis knee and can give information about available knee joint motion, guide about pattern of management, and prognosis.

  6 Weeks

• LOWER EXTREMITY FUNCTION SCALE

  The LEFS scores demonstrated excellent test-retest reliability (intraclass correlation coefficients ranging between 0.85 and 0.99) and demonstrated the expected relationships with measures assessing similar constructs.

  6 Weeks

• STRENGTH MMT

  MMT is the most commonly used method for documenting impairments in muscle strength. Manual muscle testing is used in rehabilitation and recovery to evaluate contractile units, including muscles and tendons, and their ability to generate forces.

  6 Weeks

• Numerical Pain Rating Scale

  The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain.

  6 Weeks

Study Arms (2)

Group A

EXPERIMENTAL

Dynamic stretching

Other: Dynamic stretching

Group B

EXPERIMENTAL

Static Stretching

Other: Static stretching

Interventions

Dynamic stretching OTHER

Group A will receive 2\*10 repetitions of dynamic stretching of hamstrings and calf muscles in standing position after application of hot pack (standard size which had been stored in a hydro collator tank of 74.5-80°C for 30 minutes) with 6-8 layers of towel was applied on lower extremity for 10 minutes The subjects will be asked to stand upright with their feet parallel and facing forward with hands holding onto something. Each treatment session will last for 30 minutes. The protocol will be repeated every day for 5 days from the first day of treatment.

Group A

Static stretching OTHER

Group B will receive 2\*10 repetitions of static stretching of hamstrings and quads in standing position after application of hot pack (standard size which had been stored in a hydro collator tank of 74.5-80°C for 30 minutes) with 6-8 layers of towel was applied on lower extremity for 10 minutes. The subjects will be asked to stand upright with their feet parallel and facing forward with hands holding onto something. Each treatment session will last for 30 minutes. The protocol will be repeated every day for 5 days from the first day of treatment.

Group B

Eligibility Criteria

• Age: 50 Years - 65 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 50 to 65
• Diagnosed patients of OA with grade 3
• Multiparous (5 children)
• Fertile females
• Pain greater than 6 on NPRS

You may not qualify if:

• BMI \> 30
• Early menarche ≤10 or 11 years.
• Cancer i.e breast cancer ,Ovrian cancer
• Any bone deformity before menopause i.e limb length discrepancy, angulation

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Mafaza-Tul-Hayat Hospital

Lahore, Punjab Province, Pakistan

RECRUITING

Related Publications (2)

• Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian J Intern Med. 2011 Spring;2(2):205-12.

  PMID: 24024017 BACKGROUND

• Jung JH, Bang CH, Song GG, Kim C, Kim JH, Choi SJ. Knee osteoarthritis and menopausal hormone therapy in postmenopausal women: a nationwide cross-sectional study. Menopause. 2018 Dec 21;26(6):598-602. doi: 10.1097/GME.0000000000001280.

  PMID: 30586007 BACKGROUND

MeSH Terms

Conditions

Osteoarthritis, Knee; Pain

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

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

Study Officials

• Tanzeela Majeed, MS

  Ripah International university, Lahore

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Adeela Arif, Mphil

CONTACT

03320845723; adeela.arif@riphah.edu.pk

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: October 24, 2024
• First Posted: October 26, 2024
• Study Start: April 24, 2024
• Primary Completion: November 30, 2024
• Study Completion: November 30, 2024
• Last Updated: October 26, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)