Comparison of The Effects of Concentric and Eccentric Isokinetic Exercises on Proprioception and Muscle Architecture in Patients With Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 43
- 试验地点
- 2
- 主要终点
- Joint position sense
研究概览
简要总结
This study aims to compare the effects of concentric and eccentric isokinetic exercises on proprioception and muscle architecture in 42 patients with knee osteoarthritis enrolled the study.
详细描述
This study aims to compare the effects of concentric and eccentric isokinetic exercises on proprioception and muscle architecture in patients with knee osteoarthritis. 42 patients will be included in this study. Patients will be divided into three groups; concentric exercise group (n:14), eccentric exercise group (n:14) and control group (n:14). A conventional physiotherapy program and a standard therapeutic exercise program will be applied to all subjects. In addition to these exercise and physiotherapy programme, concentric and eccentric exercise groups will perform the exercises related to their groups. All three groups will participate in this program for a total of 18 sessions 3 times a week for 6 weeks. All groups will be subject to re-evaluation after 6 weeks.
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
- Single (Participant)
入排标准
- 年龄范围
- 45 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of primary knee osteoarthritis according to American College of Radiology
- •Being radiographically K-L grade 2-3
- •Presence of symptoms for at least 3 months
- •Patients who have been planned a conventional physiotherapy programme because of knee osteoarthritis
- •Presence of functional capacity for outpatient physical therapy
排除标准
- •Patients with seconder knee osteoarthritis
- •History of lower extremity or spine surgery
- •History of intraarticular injection in last 1 month
- •Patients with neurological disease that will affect muscle strength, balance and coordination
结局指标
主要结局
Joint position sense
时间窗: 6 weeks
Joint position sense will be evaluated with isokinetic dynamometer at predetermined angles.
Ultrasonographic assessment of quadriceps and hamstring muscles
时间窗: 6 weeks
Ultrasonographic evaluation is an outcome measure to evaluate muscle structure. In our study ultrasonographic evaluation will be performed to determine the muscle structure (muscle thickness(mm), fascicle length(mm), pennation angle(degree)) of quadriceps and hamstring muscles. Muscle thickness will be defined as the distance between the deeper and upper aponeurosis. The pennation angle will be calculated as the angle of insertion of muscle fascicles into the deep aponeurosis. Fascicle length will be defined as the length of the fascicular path between the superficial and deep aponeurosis.
次要结局
- Muscle strength assessment(6 weeks)
- Pain assessment: VAS (Visual analog scale)(6 weeks)
- Balance assessment(6 weeks)
- The timed up and go test(6 weeks)
- Short Form 12 (SF-12) health survey(6 weeks)
- WOMAC (Western Ontario & McMaster Universities Osteoarthritis Index)(6 weeks)
- Range of motion(6 weeks)
- Shortness of muscles assessment(6 weeks)
- Sit to stand test(6 weeks)
- Timed 10 meter walk test(6 weeks)
研究者
Aysun Baki
principal investigator
Hacettepe University