Combined Open And Closed Kinetic Chain Exercises On Static And Dynamic Strength Of Hamstring And Quadriceps In Knee Osteoarthritis Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- static quadriceps strength
研究概览
简要总结
study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength in knee osteoarthritis patients
详细描述
the study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength ,knee pain ,function ,H/Q ratio in knee osteoarthritis patients .using lafayette hand held dynamometer to measuring static strength of hamstring and quadriceps ,and free weight by Brzycki formula for measuring dynamic hamstring and quadriceps strength by determining 1 repetition maximum ,and pain measured by visual analogue scale (VAS) rating from (0 = no pain ) to (10= worst pain ) ,and function by Western Ontario and McMaster Universities Osteoarthritis Index questionnaire lower score indicate patient get better ,number of patients will be 34 divided into 2 groups ,each group will include 17 patient ,with 2 drop out according to sample size calculation ,each group will receive conventional tens for 20 min. and hot back for 15 min. and stretching exercises for hamstring,quadriceps,calf muscles ,while the experimental group will be increased by combined kinetic chain exercises
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
- Double (Participant, Outcomes Assessor)
盲法说明
I will assess the patient before and after end of intervention programme
入排标准
- 年龄范围
- 38 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •the patients age from38 to 65
- •recent radiographs confirming grade 2 and 3 (mild to moderate ) osteoarthritis
- •primary and secondary Osteoarthritis
- •both gender
- •unilateral knee osteoarthritis
- •pain in the knee for most days of prior month
- •morning stiffness less than 30 min. in duration
- •patient body mass index (BMI) between 18.5 and 29.9 kg/m2
排除标准
- •neurological disorders
- •wheelchair bound
- •significant cognitive impairment
- •present systemic inflammatory arthritis
- •history of hip and knee arthroplasty
- •history of trauma or surgical arthroscopy of either knee in the last 6 months
- •received knee intra-articular injection within the last 3 months
- •under anticoagulant therapy ,recent or imminent surgery (within 3 months)
结局指标
主要结局
static quadriceps strength
时间窗: Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure
measuring static quadriceps from sitting position at angle 60 and 90
Hamstring /Quadriceps ((H/Q) ratio
时间窗: Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure
dividing static hamstring on static quadriceps strength and dynamic hamstring on dynamic quadriceps strength
dynamic quadriceps strength
时间窗: Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure
measuring dynamic quadriceps strength from sitting position by randomised free weight and Brzycki formula
static hamstring strength
时间窗: Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure
measuring static hamstring strength from sitting position at angle 60 and 90
dynamic hamstring strength
时间窗: Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure
measuring dynamic hamstring strength from prone position by randomised free weight and Brzycki formula
次要结局
- function(Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure)
- change in neck pain(Evaluation will be performed prior to the first treatment session ;as a baseline measure,and at last treatment session (after 4 weeks) as a post -treatment measure)
研究者
hadeer Ali El sayaad
principal investigator
Cairo University