Effect of Exercises on Dynamic Balance in Knee Osteoarthritis Patients.

Not Applicable

Completed

• Conditions: Knee Osteoarthritis
• Interventions: Combination Product: stretching exercises; Combination Product: Transcutaneous electrical nerve stimulation; Combination Product: weight bearing strengthening exercises; Combination Product: Non-weight bearing strengthening exercises

• Registration Number: NCT05941117
• Lead Sponsor: Cairo University

Brief Summary

This study is a randomized controlled trial which aims to compare the effect of weight bearing exercises and non-weight bearing exercises on the dynamic balance in knee osteoarthritis patients as 60 patients will divided in three groups where one group is control group and others two groups one of them perform weight bearing exercises and the other perform non weight bearing exercises.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-10-25
• Primary Completion: 2023-06-15
• Study Completion: 2023-06-15
• Study First Submitted: 2023-06-25
• Status Verified: 2023-07
• Study First Submitted QC: 2023-07-09
• Last Update Submitted: 2023-07-09
• Study First Posted: 2023-07-12
• Last Update Posted: 2023-07-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• The patient's age > 50 years.
• Recent radiographs confirming the presence of knee OA, grade II-III (mild to moderate) Kellgren Lawrence (K/L).
• Body mass index (BMI) from 20 to 30 kg/m2.
• Met the American College of Rheumatology clinical criteria for mild to moderate knee OA.
• knee pain > 3 cm on a 10 cm visual analog scale (VAS) on most days of the previous week.
• Bilateral knee osteoarthritis.

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Exclusion Criteria

• Congenital or acquired inflammatory or neurological (systemic or local) diseases involving the knee.
• Patients who have mental or cognitive illness that interfere their ability to perform the exercises or the evaluation tests.
• Intra articular knee injection of steroids in the past 6 months.
• Patients who had received joint replacement surgery in either Knee or hip.
• Patients with rheumatoid arthritis.
• Patients who received physical therapy sessions on the knee in the past 6 months.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
weight bearing exercises group	weight bearing strengthening exercises	20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and weight bearing strengthening exercises.
weight bearing exercises group	stretching exercises	20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and weight bearing strengthening exercises.
non-weight bearing exercises group	Transcutaneous electrical nerve stimulation	20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and Non-weight bearing strengthening exercises.
weight bearing exercises group	Transcutaneous electrical nerve stimulation	20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and weight bearing strengthening exercises.
non-weight bearing exercises group	stretching exercises	20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and Non-weight bearing strengthening exercises.
non-weight bearing exercises group	Non-weight bearing strengthening exercises	20 patients were assigned to this group with bilateral knees osteoarthritis, they received TENS, stretching exercises and Non-weight bearing strengthening exercises.

Primary Outcome Measures

Name	Time	Method
change happened in the dynamic balance from the baseline	one day after the end of treatment	Biodex Balance System which is a device used to measure the balance of a person who stand on the platform of the device that give a measurement called over all stability index where 0 score means the best balance and the largest number indicate bad balance.

Secondary Outcome Measures

Name	Time	Method
change happened in the joint angle repositioning from baseline	one day after the end of treatment	Joint Repositioning Accuracy where the knee is moved passively to a certain angel and the patient hold it in this angle and then it moved to the start position and then the patient asked to move his knee joint actively to the previous the same previous angle then the absolute error between the true angle and the reproduced angle is measured.
change happened in pain from the baseline	one day after the end of treatment	Visual Analog Scale which is a scale for pain from 0 to 10 where 0 mean no pain and 10 is the maximum pain.

Trial Locations

Locations (1)

Faculty of physical therapy Cairo University; 🇪🇬 Giza, Egypt