Effect of Hip Abductors Versus Knee Extensor Strengthening on Pain,Function and Quadriceps Isometric Strength in Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Knee function
研究概览
简要总结
This study will try to answer the following question:
Would strengthening of hip abductors be equal to, or more effective than, knee extensors strengthening in improving pain, function and knee extensors isometric strength in patients with knee Osteoarthritis
详细描述
A total of 70 patients with knee Osteoarthritis will be recruited All patients who will participate in the study will be referred by orthopedists. Patients with knee osteoarthritis will be included with age ranges from 50-70. They will be randomized into 2 groups; hip abductors strengthening (HAS) group a will receive hip abductors strengthening exercises, and knee extensors strengthening (KES) group will receive quadriceps strengthening exercise.
All patients who will meet the study criteria will get a complete knowledge of the objectives and procedures of the study.
Inclusion criteria:
- Patients with knee Osteoarthritis grade II- III Kellgren- Lawrence scores
- Their age is 50-70[Wang et al.,2019].
- Body mass index (BMI) 25-30.
Exclusion criteria:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with knee OA grade II- III Kellgren- Lawrence scores
- •Their age is 50-70[Wang et al.,2019].
- •Body mass index (BMI) 25-30.
排除标准
- •Patients who had surgical intervention in the knee and/or hip.
- •Fracture in the lower limbs.
- •Any associated ligamentous injuries in knee or ankle.
- •Spinal Cord Injury.
- •Hormonal imbalance or on hormonal therapy
- •Knee injection within the last 6 months prior to the study.
研究组 & 干预措施
HAS group
hip abductors strengthening group
- Hip abduction -standing[Ferber et al.,2015].
- Sidelying hip abduction(clamshell)[Schache et al.,2016].
- lateral leg raise: in brief, the patients lie down on bed on the unaffected side, with the resistance band positioned around the distal thigh of the affected limb.;later, they raise the above lower limbs upwards for about 30 degrees, stay for 5- 10 s and slowly lay down[Xie et al.,2018].
- pelvic lift training, specifically, patients stand single-leg off the side at a 10-cm step. Later, they begin with the other limb that is lower than the step level, and contract the stance-limb hip abductor to raise the free leg to the step level while keeping the stance knee extended[Xie et al.,2018].
- Stretching Hamstrings [Fukuda et al.,2012]. Number of sets = 3, Repetitions =10 repetitions for each set
干预措施: Exercises (Other)
KES group
knee extensors strengthening group
- Isometric quadriceps setting
- Knee extensions from sitting with knee bend to 90
- Terminal knee extension from sitting.
- Stretching Hamstrings Number of sets = 3, Repetitions =10 repetitions for each set
干预措施: Exercises (Other)
结局指标
主要结局
Knee function
时间窗: 6 weeks
Measuring function using The Timed Up \& Go Test (TUG):
Quadriceps Muscle Strength assessment
时间窗: 6 weeks
Quadriceps Muscle Strength assessment using Hand held Dynamometer
lower limb functional disability
时间窗: 6 weeks
Measuring lower limb functional disability using The Arabic version of reduced WOMAC (ArWOMAC) index
次要结局
未报告次要终点
研究者
Aalaa Mohamed El-Amin Sweelam
Teaching Assistant
Cairo University