Core vs hip strengthening on knee function in adults with OA knee

Not yet recruiting

Conditions: Unilateral primary osteoarthritisof knee,

Registration Number: CTRI/2023/02/049448

Lead Sponsor: no sponsor

Brief Summary: Summary of protocol

**Title**: Effect of Core Vs Hip Strengthening on knee function in adults with Osteoarthritis of Knee- A Randomised Controlled Trial

**Aim**: To determine the effect of supervised core stability and hip strengthening exercise along with conventional therapy program in patients with Osteoarthritis of knee.

**Objectives**:

1)           To study the effect of core stability vs hip strengthening along with knee strengthening on Functional Outcome pre and post intervention using KOOS in patients with Osteoarthritis of knee.

2)           To study effect of core vs hip strengthening on functional mobility and strength using 30 sec. chair stand test.

3)           To compare strength in both the groups using manual muscle testing by mod. Oxford scale/ dynamometer.

**Study Design**: Randomised Controlled Trial/ Interventional Study.

**Sampling technique**: Convenient Sampling

**Study Setting**: The study will be conducted in Occupational Therapy Department of Tertiary care Hospital.

**Inclusion criteria**:

1)       Patient who gives consent

2)       Age of 40 to 60 years.

3)       Both male and female gender.

4)       Primary OA knee, Subjects who have clinical and radiographic symptoms of knee OA according to Kellgren-Lawrence Classification of Osteoarthritis13 stage 1,2,3, but are not a candidate for total knee joint replacement surgery. (If grading for stage of OA knee is not available then opinion from Orthopaedic surgeon will be taken)

5)       Unilateral Knee Osteoarthritis. Since bilateral knee involvement will have different effect on functional status.

**Exclusion Criteria**:

1)       Any major trauma or surgery to the symptomatic knee or lower limb, neuromuscular disorders, rheumatoid arthritis, gout, history of stroke, and cardiovascular disease, ligament injuries and lower extremity fractures.

2)       Intra-articular corticosteroid injection within 6 months current or past (within 4 weeks) oral corticosteroid use.

3)       Any diagnosed spinal pathology.

**Methodology**:

Ethics approval.

Sample size: 34 per group

Consent from Subject.

Patient will be evaluated on Outcome measures such as Knee Injury and Osteoarthritis Outcome Score (KOOS), 30 sec Chair stand test, at pre, at 2 weeks, at 4weeks and post intervention. Convenient Sampling will be used. Based on inclusion and exclusion criteria, subjects will be randomized to either group A(core) or B(hip). Both the groups will be given conventional occupational therapy treatment for Osteoarthritis Knee. Group A (core) will be given Focused core stability exercises along with enabling activities. Group B will be given Focused Hip strengthening exercises through enabling activities in supine, sitting, standing using Thera-band of graded resistance. Intervention will be given for 40mins to both the groups. Follow up for twice a week for 6 weeks is recommended for the patient. Evaluation will be done after every 2weeks. Pre and Post intervention assessment will be done and data will be collected, analysed and results will be derived.

**Study Tools**:

1)    Manual Muscle testing

2)    Knee Injury and Osteoarthritis Outcome Score (KOOS)

3)    30 second Chair Stand Test

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 68

Inclusion Criteria

1)Patient who gives consent 2)Age of 40 to 60 years.
1. Both male and female gender.
1. Primary OA knee, Subjects who have clinical and radiographic symptoms of knee OA according to Kellgren-Lawrence Classification of Osteoarthritis13 stage 1,2,3, but are not a candidate for total knee joint replacement surgery.
(If grading for stage of OA knee is not available then opinion from Orthopaedic surgeon will be taken.) 5)Unilateral OA knee.
Since bilateral knee involvement will have different effect on functional status.

Exclusion Criteria

1)Any major trauma or surgery to the symptomatic knee or lower limb, neuromuscular disorders, rheumatoid arthritis, gout, history of stroke, and cardiovascular disease, ligament injuries and lower extremity fractures.
2)Intra-articular corticosteroid injection within 6 months current or past (within 4 weeks) oral corticosteroid use.
3)Any diagnosed spinal pathology.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1) To study the effect of core stability vs hip strengthening along with knee strengthening on Functional Outcome pre and post intervention using Knee Osteoarthritis Outcome Survey in patients with Osteoarthritis of knee (Primary Objective).	evaluation will be done at baseline, 2 weeks, 4 weeks and 6 weeks.

Secondary Outcome Measures

Name	Time	Method
1) To study effect of core vs hip strengthening on functional mobility and strength using 30 sec. chair stand test.	2) To compare strength in both the groups using manual muscle testing by mod. Oxford scale/ dynamometer (if available)

Trial Locations

Locations (1): Occupational therapy School and training centre, Seth GS Medical college and KEM Hospital
🇮🇳
Mumbai, MAHARASHTRA, India
Occupational therapy School and training centre, Seth GS Medical college and KEM Hospital
🇮🇳Mumbai, MAHARASHTRA, India
Vrushali Jadhav
Principal investigator
8691941521
vrushalijadhav52@gmail.com