Comparing the Effect of Toe-in Gait Modification Along With Conventional Physiotherapy in People With Medial KO

Not Applicable

Active, not recruiting

• Conditions: Knee Osteoarthritis

• Registration Number: NCT06741033
• Lead Sponsor: Superior University

Brief Summary

Medial knee osteoarthritis (OA) remains a prevalent and debilitating condition, despite conventional physiotherapy interventions aimed at reducing pain and improving function. This study investigates the additional benefits of toe-in gait modification when combined with conventional physiotherapy in individuals with medial knee OA. Rooted in biomechanical theories suggesting that altering gait patterns can reduce medial knee load, this research employs a randomized controlled trial methodology.

Detailed Description

Participants are divided into two groups: one receiving conventional physiotherapy alone, and the other receiving a combination of conventional physiotherapy and toe-in gait modification. Outcomes are assessed over a 8-week period, focusing on pain levels and physical function. The significance of this study lies in its potential to enhance current treatment protocols, offering a more effective, non-invasive intervention to alleviate symptoms and improve the quality of life for those suffering from medial knee OA. The findings could inform clinical practices and pave the way for personalized rehabilitation strategies that incorporate gait modifications, ultimately reducing the healthcare burden associated with knee osteoarthritis.

Study Timeline

• Study Start: 2024-02-28
• Primary Completion: 2024-08-01
• Status Verified: 2024-12
• Study First Submitted: 2024-12-13
• Study First Submitted QC: 2024-12-13
• Last Update Submitted: 2024-12-13
• Study First Posted: 2024-12-18
• Last Update Posted: 2024-12-18
• Study Completion: 2025-03-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Clinical diagnosis of MKOA having Grade 1-3 (radiographic evidence of MKOA)
• Knee pain on most days of previous month. (The most symptomatic side will consider the study limb for participants with bilaterally eligible knees)
• Age > 45
• Ability to walk unaided for at least 25 min
• Gender eligibility both male and female

Exclusion Criteria

• Severe MKOA (Grade 4)
• Lateral OA
• Patella femoral OA
• Previous or planned hip or knee surgery
• Hip or ankle arthritis
• Rheumatoid arthritis
• Severe valgus and varus alignment requiring the use of an assistive device and the inability to walk independently
• Neurological dysfunction

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
NUMERIC PAIN RATING SCALE (NPRS)	12 Months	The NPRS is 11-point numeric scale ranges from '0' representing "no pain" to '10' representing "pain as bad as you can imagine
WOMAC scale	12 Months	The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis. It is a self-administered questionnaire consisting of 24 items divided into 3 subscales (Pain, Stiffness, and Physical Function) The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Usually a sum of the scores for all three subscales gives a total WOMAC score.

Trial Locations

Locations (1)

Institute of orthopedic and rehabilitation IOR garden town; 🇵🇰 Lahore, Punjab, Pakistan