Effect of Exercises and Electrical Stimulation in Patients with Knee Osteoarthritis

Not yet recruiting

Conditions: Osteoarthritis of knee, unspecified,

Registration Number: CTRI/2021/06/034213

Lead Sponsor: Guru Jambheshwar University of Science and Technology Hisar

Brief Summary: Knee OA is a prevalent arthritic condition which leads to reduced physical function and pain leading to poor quality of life.exercises are a vital part of physiotherapy intervention in the management of knee osteoarthritis. Neuromuscular exercises are individualized and goal-based exercise program that address the functional instability and impaired muscle function for the lower extremities. Neuromuscular exercises typically involve multiple joints and muscle groups performed in functional weight-bearing positions. Emphasis is on the quality and efficiency of movement, as well as alignment of the trunk and lower limb joints. The neuromuscular training method is based on biomechanical and neuromuscular principles and aims to improve sensorimotor control and achieve compensatory functional stability.One emerging method of quadriceps muscle strengthening and rehabilitation in knee OA patients is the use of neuromuscular electrical stimulation therapy . This therapy entails the use of low-level electrical impulses that cause involuntary contractions in the targeted muscles through stimulating surface electrodes directly applied to the desired muscle group. Neuromuscular electrical stimulation (NMES) may be an alternative, low cost, efficient, and less painful treatment approach than voluntary knee exercises for patients with knee OA. NMES is considered an efficient technique for quadriceps strengthening and also known to improve muscle architecture. Therefore, use of combination of the electrical impulses applied via neuromuscular electrical stimulation and unique exercise strategies such as neuromuscular exercises may improve both the clinical and functional outcomes in patients of knee osteoarthritis.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 120

Inclusion Criteria

1.Subjects fulfilling American College of Rheumatology (ACR) criteria for knee osteoarthritis 2.Grade II and III knee osteoarthritis as per Kellgren and Lawrence grading system.

Exclusion Criteria

1.History of inflammatory and infectious conditions of knee joint 2.Patients with history of surgery around knee joint 3.History of trauma in knee joint 4.Any muscular, joint and neurological conditions affecting lower extremity 5.Unable to walk unaided 6.Currently undertaking any exercise program for knee OA 7.Any contraindication to electrical stimulation (eg.
epilepsy) 8.Presence of any skin disorders around knee 9.Any condition or reason restricting the participation of the patient in the study 10.Unwilling and uncooperative patients 11.Patients who have been referred for joint replacement.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
2.Knee Injury and Osteoarthritis Outcome Score	At the baseline \| At the end of 6 weeks \| After follow up of 4 weeks weeks.
1.Visual Analogue Scale	At the baseline \| At the end of 6 weeks \| After follow up of 4 weeks weeks.
3.Community balance and mobility scale	At the baseline \| At the end of 6 weeks \| After follow up of 4 weeks weeks.
4.Dynamic Gait test	At the baseline \| At the end of 6 weeks \| After follow up of 4 weeks weeks.
5.Range of Motion (ROM)	At the baseline \| At the end of 6 weeks \| After follow up of 4 weeks weeks.

Secondary Outcome Measures

Name	Time	Method
Timed up and go test	At the baseline

Trial Locations

Locations (1): Guru Jambheshwar University of Science and Technology, Hisar
🇮🇳
Hisar, HARYANA, India
Guru Jambheshwar University of Science and Technology, Hisar
🇮🇳Hisar, HARYANA, India
Jyoti
Principal investigator
9416665373
jyotisabharwal35@gmail.com