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Home Based Hip Strengthening for Knee OA Patients

Primary Purpose

Knee Osteoarthritis

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
conventional group
experimental group
Sponsored by
University of Lahore
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Osteoarthritis focused on measuring osteoarthritis, home-based exercise plan, functional disability, obesity

Eligibility Criteria

40 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The age group was from 40 to 60 years.
  • Both males and females were included.
  • Average knee pain on walking >3 on an 11-point scale (NPRS) (0 no pain; 10 maximal pain).
  • participants can walk independently without any assistive devices
  • Diagnosed patients of grade II & III of Kallgren and Lawrence scale for knee osteoarthritis referred by an orthopaedic surgeon

Exclusion Criteria:

  • History of osteoporosis.
  • Leg length discrepancy or structural deformity
  • Knee surgery or TKR.
  • Corticosteroid injection in knee joint
  • Systemic arthritic condition
  • History of tibiofemoral and patellofemoral replacement
  • Any other neurological and muscular condition affecting the lower limb
  • Any history of radiculopathy.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Conventional group

    interventional group

    Arm Description

    Patients will be given thermal therapy with the hot pack for 20 minutes followed by Conventional physiotherapy will consist of a set of exercises. The exercise components willl be chosen based on previous studies (Deyle 2000) and will comprises of stretches of lower limb muscles (gastrocnemius, soleus and hamstring) isometric quadriceps work straight leg raising Joint mobilization includes anteroposterior (AP) glide of the tibia on the femur the patella glides in all directions Subjects will participate in a 45-minute physical therapy session, on alternate days weekly for 6 weeks, in our centre under the close surveillance of a physical therapist. A total of 24 sessions will be given to this group.

    Patients in this group will perform home-based hip Strengthening exercises to strengthen hip abductor and adductor muscles. Six different home-based exercises will be taught. This group will have 3 sessions in 1st week in the hospital under the supervision of a trained physiotherapist just to teach them and ensure that patients are doing exercises correctly on their own. After that, patients will perform exercises 5 days at home and 1 session at the hospital per week. The therapist will be trained to deliver different exercises and adjust the intensity of exercise accordingly advise the participants to complete 10 repetitions of every exercise at home96. Abduction in side-lying Abduction in standing Standing wall isometric hip abduction Hip Adduction in side-lying Hip abduction in a standing position Towel press

    Outcomes

    Primary Outcome Measures

    intensity of Pain
    The numerical Pain Rating Scale will be used to measure pain.
    intensity of Pain
    The numerical Pain Rating Scale will be used to measure pain.
    Range of Motion
    A goniometer will be used to measure a range of motion.
    Range of Motion
    A goniometer will be used to measure a range of motion.
    Functional Disability
    KOOS Scale will be used to measure functional disability.
    Functional Disability
    KOOS Scale will be used to measure functional disability.

    Secondary Outcome Measures

    Full Information

    First Posted
    November 11, 2021
    Last Updated
    November 11, 2021
    Sponsor
    University of Lahore
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05131048
    Brief Title
    Home Based Hip Strengthening for Knee OA Patients
    Official Title
    Effects of Home-based Hip Strengthening Exercises on Pain, Range of Motion and Functional Disability in Knee Osteoarthritis Patients: a Randomized Controlled Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 2021 (Anticipated)
    Primary Completion Date
    December 2021 (Anticipated)
    Study Completion Date
    January 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of Lahore

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    In knee osteoarthritis patients, weakness of hip abductor muscles is considered an important contributing factor leading to the progression of the disease.
    Detailed Description
    Osteoarthritis is the most common type of disease that results from an abnormality in joint function. Osteoarthritis(OA) is a condition that is characterized by progressive loss of articular cartilage of a joint and causes pain. Yamda et al. found that the strength of hip adductors increases with the severity of the disease. This reflects that more use of these muscles lower knee adductor moment 54. Considering this research, knee loads can be altered by strengthening hip muscles. Pakistan is listed in 3rd world countries and the poverty index is high. Many patients show reluctance in going to clinics for the physiotherapeutic management of knee OA. So, the present research intends to investigate the effects of home-based hip strengthening exercise on pain, functions, and range of motion in elderly knee osteoarthritis patients.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Knee Osteoarthritis
    Keywords
    osteoarthritis, home-based exercise plan, functional disability, obesity

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    InvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    90 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Conventional group
    Arm Type
    Active Comparator
    Arm Description
    Patients will be given thermal therapy with the hot pack for 20 minutes followed by Conventional physiotherapy will consist of a set of exercises. The exercise components willl be chosen based on previous studies (Deyle 2000) and will comprises of stretches of lower limb muscles (gastrocnemius, soleus and hamstring) isometric quadriceps work straight leg raising Joint mobilization includes anteroposterior (AP) glide of the tibia on the femur the patella glides in all directions Subjects will participate in a 45-minute physical therapy session, on alternate days weekly for 6 weeks, in our centre under the close surveillance of a physical therapist. A total of 24 sessions will be given to this group.
    Arm Title
    interventional group
    Arm Type
    Experimental
    Arm Description
    Patients in this group will perform home-based hip Strengthening exercises to strengthen hip abductor and adductor muscles. Six different home-based exercises will be taught. This group will have 3 sessions in 1st week in the hospital under the supervision of a trained physiotherapist just to teach them and ensure that patients are doing exercises correctly on their own. After that, patients will perform exercises 5 days at home and 1 session at the hospital per week. The therapist will be trained to deliver different exercises and adjust the intensity of exercise accordingly advise the participants to complete 10 repetitions of every exercise at home96. Abduction in side-lying Abduction in standing Standing wall isometric hip abduction Hip Adduction in side-lying Hip abduction in a standing position Towel press
    Intervention Type
    Other
    Intervention Name(s)
    conventional group
    Intervention Description
    this group will perform conventional therapy
    Intervention Type
    Other
    Intervention Name(s)
    experimental group
    Intervention Description
    this group will perform home based exercises
    Primary Outcome Measure Information:
    Title
    intensity of Pain
    Description
    The numerical Pain Rating Scale will be used to measure pain.
    Time Frame
    baseline data
    Title
    intensity of Pain
    Description
    The numerical Pain Rating Scale will be used to measure pain.
    Time Frame
    at the end of 6th week
    Title
    Range of Motion
    Description
    A goniometer will be used to measure a range of motion.
    Time Frame
    baseline data
    Title
    Range of Motion
    Description
    A goniometer will be used to measure a range of motion.
    Time Frame
    at the end of 6th week
    Title
    Functional Disability
    Description
    KOOS Scale will be used to measure functional disability.
    Time Frame
    baseline data
    Title
    Functional Disability
    Description
    KOOS Scale will be used to measure functional disability.
    Time Frame
    at the end of 6th week

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: The age group was from 40 to 60 years. Both males and females were included. Average knee pain on walking >3 on an 11-point scale (NPRS) (0 no pain; 10 maximal pain). participants can walk independently without any assistive devices Diagnosed patients of grade II & III of Kallgren and Lawrence scale for knee osteoarthritis referred by an orthopaedic surgeon Exclusion Criteria: History of osteoporosis. Leg length discrepancy or structural deformity Knee surgery or TKR. Corticosteroid injection in knee joint Systemic arthritic condition History of tibiofemoral and patellofemoral replacement Any other neurological and muscular condition affecting the lower limb Any history of radiculopathy.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    faizan asghar
    Phone
    00923237018937
    Email
    faianasghar@gmail.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    faizan asghar
    Organizational Affiliation
    the university of lahore
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    20499385
    Citation
    Valdes AM, McWilliams D, Arden NK, Doherty SA, Wheeler M, Muir KR, Zhang W, Cooper C, Maciewicz RA, Doherty M. Involvement of different risk factors in clinically severe large joint osteoarthritis according to the presence of hand interphalangeal nodes. Arthritis Rheum. 2010 Sep;62(9):2688-95. doi: 10.1002/art.27574.
    Results Reference
    background
    PubMed Identifier
    19751691
    Citation
    Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2010 Jan;18(1):24-33. doi: 10.1016/j.joca.2009.08.010. Epub 2009 Sep 2.
    Results Reference
    background
    PubMed Identifier
    34174864
    Citation
    Fatima S, Arslan SA, Sharif F, Ahmad A, Gillani SA, Zaheer A. Translation, cross-cultural adaptation and psychometric properties of the Urdu version of knee injury and osteoarthritis outcome score questionnaire for Pakistani population. BMC Musculoskelet Disord. 2021 Jun 26;22(1):592. doi: 10.1186/s12891-021-04477-1.
    Results Reference
    background
    PubMed Identifier
    23559821
    Citation
    Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bioallied Sci. 2013 Jan;5(1):30-8. doi: 10.4103/0975-7406.106561.
    Results Reference
    result
    PubMed Identifier
    23756435
    Citation
    Farrokhi S, Voycheck CA, Tashman S, Fitzgerald GK. A biomechanical perspective on physical therapy management of knee osteoarthritis. J Orthop Sports Phys Ther. 2013 Sep;43(9):600-19. doi: 10.2519/jospt.2013.4121.
    Results Reference
    result
    PubMed Identifier
    31684921
    Citation
    Safran-Norton CE, Sullivan JK, Irrgang JJ, Kerman HM, Bennell KL, Calabrese G, Dechaves L, Deluca B, Gil AB, Kale M, Luc-Harkey B, Selzer F, Sople D, Tonsoline P, Losina E, Katz JN. A consensus-based process identifying physical therapy and exercise treatments for patients with degenerative meniscal tears and knee OA: the TeMPO physical therapy interventions and home exercise program. BMC Musculoskelet Disord. 2019 Nov 4;20(1):514. doi: 10.1186/s12891-019-2872-x.
    Results Reference
    result
    PubMed Identifier
    33026698
    Citation
    Arhos EK, Thoma LM, Grindem H, Logerstedt D, Risberg MA, Snyder-Mackler L. Association of Quadriceps Strength Symmetry and Surgical Status With Clinical Osteoarthritis Five Years After Anterior Cruciate Ligament Rupture. Arthritis Care Res (Hoboken). 2022 Mar;74(3):386-391. doi: 10.1002/acr.24479. Epub 2022 Jan 19.
    Results Reference
    result

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    Home Based Hip Strengthening for Knee OA Patients

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