The Effect of Combined Balance and Strength Exercise Program in Patients With Different Grades of Primary Knee Osteoarthritis Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Assessment of pain
研究概览
简要总结
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).
详细描述
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:
- Western Ontario and McMaster University Osteoarthritis Index (WOMAC)
- Modified Stare Excursion Balance test
- Timed up and Go test
- Exercise program includes:
- Lower extremity kinesthesia and balance exercise program
- Strength exercise program
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
盲法说明
Post-exercise training assessment will be done by an investigator not involved in the study and unaware of the grading of KOA or of the pre-exercise assessment.
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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)
排除标准
- •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.
结局指标
主要结局
Assessment of pain
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Dynamic Balance(2-6 weeks)
研究者
Yousra Hisham Abdel Fattah
Lecturer of Physical Medicine, Rheumatology and Rehabilitation
University of Alexandria