Integrating Trunk Stabilization Exercises With Conventional Rehabilitation Protocol for Osteoarthritis in Patients With Knee-Spine Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- Visual Analogue Scale
研究概览
简要总结
This study aims to evaluate the effects of integrating trunk stabilization exercises with conventional rehabilitation in patients with knee-spine syndrome. It further examines whether improving trunk stability can reduce knee pain and enhance functional outcomes in knee osteoarthritis
详细描述
This study aims to evaluate the effects of integrating trunk stabilization exercises with conventional rehabilitation protocols for patients with knee-spine syndrome. It seeks to determine whether improving trunk stability can positively influence knee joint mechanics, leading to a reduction in knee pain and improvements in physical function, mobility, and overall functional performance in individuals with knee osteoarthritis. The findings may support a more comprehensive rehabilitation approach addressing both spinal and knee involvement in osteoarthritis management.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 40-60 years
- •Both Genders
- •Bilateral Knee osteoarthritis diagnosed according to the American College of Rheumatology Clinical Classification system
- •Kellgren & Lawrence grade 2 and 3 with complaint of pain, crepitations, stiffness and bony enlargement
- •History of backpain for the past 3 months with no complaint of radiating pain
- •Able to walk independently/unaided
排除标准
- •Kellgren & Lawrence grade 4
- •Intra-articular corticosteroid injections in the last 3 months or hyaluronic knee injection in the previous 6 months.
- •History of lower limb or lumbar trauma/surgery, presence of fracture or deformity, or planned surgery within the study period
- •Lumbar pathologies, for example, spondylolisthesis, ankylosing spondylitis, or any diagnosed severe cardiovascular, pulmonary, neurological, or psychological disease or impairment except lumbar spondylosis
- •Presence of infection, cauda equina syndrome, or meningitis
研究组 & 干预措施
Trunk Stabilization exercises with conventional Rehab
The intervention will include the conventional knee osteoarthritis rehabilitation protocol comprising mobilization, stretching, and strengthening exercises, along with the following trunk stabilization exercises performed for 6 repetition followed by 30 second rest :
- Prone extension
- Back bridge
- Unilateral back bridge
- Sideways step-up
- Bird dog
干预措施: Trunk Stabilization exercises with conventional Rehab (Other)
Conventional Rehabilitation
The conventional rehabilitation protocol for knee osteoarthritis included Maitland's mobilization performed at a rate of 2-3 oscillations per second for 2 minutes, followed by stretching exercises held for 30 seconds across three sets. Muscle strengthening exercises were also incorporated, consisting of 10 repetitions with a 15-second hold, performed over four sets.
干预措施: Conventional Rehabilitation (Other)
结局指标
主要结局
Visual Analogue Scale
时间窗: 6 weeks
The Visual Analog Scale (VAS) is a simple and reliable tool for assessing pain intensity on a continuous visual scale. The extreme limits of pain are represented by the straight line's ends, where 0 indicates no pain, and 10 indicates the worst pain a person has ever felt.
Western Ontario and McMaster Universities Arthritis Index (WOMAC)
时间窗: 6 weeks
It is widely used in the evaluation of knee osteoarthritis to assess activities of daily living, functional mobility, gait, general health, and quality of life. It has 24 items divided into 3 subscales: pain (5 items), stiffness (2 items), and physical function (17 items). The scores range from 0 to 4 for each subscale. The score ranges from 0 to 96, where zero indicates no pain, stiffness, and functional limitation. Higher scores indicate worse pain, stiffness, and functional limitation.
次要结局
- Time-Up-and-Go (TUG)(6 weeks)
- Oswestry Disability Index (ODI)(6 weeks)
- Range Of motion (ROM)(6 weeks)
- Flexicurve (Lumbar Range of motion)(6 weeks)