To compare the effect of routienly done strengthening exercises versus joint position sence trining in patients with Early Osteoarthritis

Recruiting

Brief Summary: upon approval by the Institutional Ethics Committee of Kasturba Medical College Mangaluru, eligible patients will be recruited based on the inclusion and exclusion criteria. The purpose of study will be made clear to each patient and a written informed consent will be obtained prior to involving them in to the study. Following this, the patients will be allocated to groups, i.e conventional and interventional group by block randomization. Group information will be concealed in a sealed opaque envelope and revealed to the patients only after they are recruited into the treatment group or the control group. Following the allocation of the groups either conventional or interventional group. The primary investigator will note for postural sway using force plate, proprioception (joint position sense) using digital goniometer, muscle strength using hand held push pull dynamometer, pain using VAS and functional outcome using KOOS. These data will be recorded pre- treatment and post treatment every week till the fourth week and third month.

Recruitment & Eligibility

Inclusion Criteria

Patients presents with swelling/ pain/ stiffness/ loss of confidence.
Subject with clinically and radiological confirmed diagnosis of EOA by an Orthopaedician or a physician.

Exclusion Criteria

If patients demonstrates with any neurological or musculoskeletal condition other than EOA, rheumatoid, other inflammatory arthritis.
Morbid obesity (BMI > 30 kg/m2) 3.
Any previous surgery or medical management for EOA 4.
Subjects with history of vertigo (vestibular dysfunction) 5.
Patients with hypertension, other co-morbidities 6.
K & L, grade 3 and above.
Recent surgeries and significant injuries of lower limb.

Primary Outcome Measures

Name	Time	Method
Force plate	Pre Treatment, \| Post treatmet on 1st, 2nd, 3rd, 4th week and 3rd month
Joint position sense	Pre Treatment, \| Post treatmet on 1st, 2nd, 3rd, 4th week and 3rd month

Secondary Outcome Measures

Name	Time	Method
Muscle Strength (HHD), Pain (VAS), KOOS	Pre Treatment,

Locations (1): Kasturba Medical College Hospital
🇮🇳
Kannada, KARNATAKA, India
Kasturba Medical College Hospital
🇮🇳Kannada, KARNATAKA, India
Ashish J Prabhakar
Principal investigator
8123223092
ashish.john@manipal.edu