Instrumental Versus Standard Rehabilitation for Knee Osteoarthritis
- Conditions
- Knee Osteoarthritis
- Interventions
- Other: rehabilitation
- Registration Number
- NCT06178380
- Lead Sponsor
- Mohammed V Souissi University
- Brief Summary
A randomized clinical trial to evaluate the effectiveness of an instrumental rehabilitation protocol compared with standard protocol In patients with knee osteoarthritis.
- Detailed Description
This is a randomized clinical trial designed to compare two intervention aimed at reducing and improving knee function in patients with knee osteoarthritis
- sixty subjects suffering from knee osteoarthritis will be recruited; 30 per group.
A: instrumental rehabilitation B:standard rehabilitation All patients who meet the clinical inclusion and exclusion criteria will have a standard radiography
* selected patients will be invited to participate and will be informed of the purpose and conduct of the study
* patients will be randomized to either the instrumental rehabilitation programme groupe or the standard rehabilitation group
* patients in both groups will have a protocol that will be extended over 6 weeks
* participants will be assessed primarily for function and pain, as well as other secondary endpoints , at baseline at 3 weeks and at 12 weeks.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60
- patients with radiologically confirmed uni/ bilateral gonarthrosis
- Will be excluded from our study:
- Subjects with congestive gonarthrosis (joint effusion at clinical examination).
- Patients followed for chronic inflammatory rheumatism.
- Patients who are candidates for surgery for knee osteoarthritis
- Patients with a pathology causing a limitation in walking distance apart from gonarthrosis.
- Amputees of one or both lower limbs.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description standard rehabilitation rehabilitation rehabilitation of knee osteoarthritis patients using standard techniques of massage, stretching, muscle strengthening and balance work instrumental rehabilitation rehabilitation rehabilitation of knee osteoarthritis patients using isokinetic, posturograph and antigravity treadmill
- Primary Outcome Measures
Name Time Method Le Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) 12 weeks The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is an assessment tool developed to measure pain, stiffness, and physical function in individuals with osteoarthritis, primarily in the knee and hip. Patients' responses to each question are typically scored on a scale ranging from 0 to 4, where 0 signifies "no symptoms" and 4 signifies "severe symptoms." Scores obtained in each subscale can be combined to provide a total score or used individually to assess specific aspects of osteoarthritic symptoms.
- Secondary Outcome Measures
Name Time Method muscle testing of hamstring and quadriceps using an isokinetic dynamometer 12 weeks peak torque in newtons and body weight in newtons per kilogram
quality of life index 12 weeks the SF12 questionnaire is administered to assess quality of life,The minimum value is 0, and the maximum value is 100,Scores above 50 indicate a better-than-average health-related quality of life, while scores below 50 suggest below-average health.
muscle testing of hamstring and quadriceps 12 weeks Muscle testing is employed to assess hamstring and quadriceps strength on a qualitative scale ranging from 0 to 5
time up and go 12 weeks is utilized to evaluate patient mobility and balance, measured in seconds,Less than 13.5 seconds: Low risk of falling; the person has good walking speed and functional mobility.
13.5 seconds or more: High risk of falling; the person does not have good walking speed or functional mobility.Joint amplitude measurements 12 weeks using a goniometer to evaluate the extent of knee flexion and extension
the Visual Analog Scale 12 weeks the Visual Analog Scale (VAS), a graded scale ranging from 0 to 100 millimeters, 0 no pain and 100 severe pain
walking test 12 weeks support symmetry in percentage and step length in centimeters
results of balance plateform assessement 12 weeks the surface area of the confidence ellipse in square millimeters , length of the stabilogram in millimeters, x and y coordinates of the center of pressure in millimeters
Trial Locations
- Locations (1)
Houda EL Moudane
🇲🇦Salé, Morocco