The Effect of Combined Balance and Strength Exercise Program in Patients With Different Grades of Primary Knee Osteoarthritis Patients
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Knee Osteoarthritis
- Sponsor
- University of Alexandria
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Assessment of pain
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of this study is to assess the effect of balance exercise on dynamic balance and physical function in 80 patients with different grades of primary knee osteoarthritis (KOA).
Detailed Description
The study will include 80 patients with primary knee osteoarthritis divided into 4 groups according to the Kellgren and Lawrence grading scale (KL): Group 1: 20 patients with grade I KOA Group 2: 20 patients with grade II KOA Group 3: 20 patients with grade III KOA Group 4: 20 patients with grade IV KOA * Patients will undergo pre-exercise and post- exercise assessment with: 1. Western Ontario and McMaster University Osteoarthritis Index (WOMAC) 2. Modified Stare Excursion Balance test 3. Timed up and Go test * Exercise program includes: 1. Lower extremity kinesthesia and balance exercise program 2. Strength exercise program
Investigators
Yousra Hisham Abdel Fattah
Lecturer of Physical Medicine, Rheumatology and Rehabilitation
University of Alexandria
Eligibility Criteria
Inclusion Criteria
- •Patients with primary knee osteoarthritis according to the EULAR recommendations
- •Patients can complete at least stage 1 of balance and exercise program (minimum of 2 weeks)
Exclusion Criteria
- •Patients that cannot complete at least stage 1 of balance and exercise program
- •Patients with medical conditions affecting postural balance including visual, inner ear and neurological problems.
- •Patients with lower limb joint or bony problems other than primary knee osteoarthritis .
- •Patients with secondary KOA.
- •Patients who received intra- articular joint injection in 1 or both knees in the past 90 days.
Outcomes
Primary Outcomes
Assessment of pain
Time Frame: 2-6 weeks
Using the Western Ontario and McMaster University Osteoarthritis Index (WOMAC), which contains pain sub-score and a overall total score. The higher the score the worst the pain.
Assessment of stiffness
Time Frame: 2-6 weeks
Using the Western Ontario and McMaster University Osteoarthritis Index (WOMAC), which contains stiffness sub-score and a overall total score. The higher the score the worst the stiffness.
Assessment of physical function
Time Frame: 2-6 weeks
Using the time up and go test, where the patient is seated and asked to get up walk a distance turn around and return to chair and sit again. It is measured using a timer, the longer the patient takes the worst the physical function of the patient.
Secondary Outcomes
- Dynamic Balance(2-6 weeks)