Effect of Biomechanical Correction in Medial Tibiofemoral Joint Osteoarthritis

Not Applicable

Completed

• Conditions: Osteoarthritis Knee
• Interventions: Other: Biomechanical corrections; Other: Conventional Physiotherapy

• Registration Number: NCT04324931
• Lead Sponsor: Asir John Samuel

Brief Summary

Effect of Biomechanical Correction of Tibia on Medial Joint space loading, Varus deformity and functional tasks in patients with medial tibiofemoral joint osteoarthritis in which participants will be taken. The outcome measures taken are Trauma CAD Software, NPRS, WOMAC and Goniometery will be measured at the baseline after 3rd week of the intervention.

Detailed Description

Background: Knee osteoarthritis (KOA) are very prevalent chronic disease of the joint which causing the functional disability and pain specifically in older adults.

Objective: Purpose of the study is to see that the biomechanical correction on the tibia and varus deformity is effective in the conventional treatment of participants with the KOA.

Study Design: A Randomized single group Pretest-Post test Clinical Trial. Methodology: Total '5' subjects were included in the study with the age of 40 to 60 years based on exclusion and inclusion criteria. For the pain, the NPRS will be taken, goniometer taken for the measurement of range of motion, WOMAC will be taken for the physical activity measurement and CAD Software will be taken to see the alignment of the affected limb. Conventional treatment will also be given.

Conclusion: Biomechanical correction shows the significant improvement and improves the subject's physical activity and reduces the pain and stiffness.

Keywords: Obesity, Osteoarthritis, Pain and Physical therapy modalities

Study Timeline

• Study First Submitted: 2020-03-06
• Study First Submitted QC: 2020-03-26
• Study First Posted: 2020-03-27
• Study Start: 2020-08-10
• Primary Completion: 2021-02-26
• Study Completion: 2021-03-31
• Status Verified: 2021-04
• Last Update Submitted: 2021-04-11
• Last Update Posted: 2021-04-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 5

Inclusion Criteria

• 40-60 years of age paients will be included in this study

• BMI (25.1±4.2) kg/m2
• Subjects with stiffness and knee pain
• Subjects with objection of pain in knee joint that was aggravated by performing 2 or more of the following functional activities: prolonged cross sitting, stair assents and descent, squatting and kneeling.
• Subjects who are willing to take participation
• Individuals who obeys the commands properly
• Individuals exhibiting the subsequent biomechanical changes on screening
• Q angle >12 degree for male and >15 degree for female, femoral anteversion, external tibial torsion >15 degree, lack of ≥ 5 degree of knee extension in supine position.

Exclusion Criteria

• • Knee meniscal injuries or ligament injuries

  • Lately history of lower limb trauma and surgery
  • In recent times fracture in lower extremity
  • In lower extremity metal plantation
  • Cardio vascular conditions
  • Patella Dislocation/subluxation
  • Abnormality in foot or deformity

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Biomechanical corrections	Conventional Physiotherapy	In this group, biomechanical correction will be perform with the help of mobilization with movement to correct biomechanical misalignment and along with this conventional treatment, in which Hydrocollatoral packs for 20 minutes, Interferential Therapy for 15 minutes with beat frequency 100 Hz, Sweep frequency 150 Hz and exercise program for 3 sessions of 20 minutes on alternative days for 3 weeks. Which will be given for three days a week for three weeks.
Biomechanical corrections	Biomechanical corrections	In this group, biomechanical correction will be perform with the help of mobilization with movement to correct biomechanical misalignment and along with this conventional treatment, in which Hydrocollatoral packs for 20 minutes, Interferential Therapy for 15 minutes with beat frequency 100 Hz, Sweep frequency 150 Hz and exercise program for 3 sessions of 20 minutes on alternative days for 3 weeks. Which will be given for three days a week for three weeks.

Primary Outcome Measures

Name	Time	Method
Change in lower limb alignment by Trauma CAD software	Baseline, 3 weeks after intervention	Trauma CAD Software will be used to measure the misalignment of the lower limb

Secondary Outcome Measures

Name	Time	Method
Change in physical performance	Baseline, 3 weeks after intervention	WOMAC will be used for assessment
Change in pain level by Numeric Pain Rating Scale	Baseline, 3 weeks after intervention	This scale will be used for assessment of pain
Change in joint range of motion by Goniometery	Baseline, 3 weeks after intervention	Use for range of motion measurement

Trial Locations

Locations (1)

Sunaina Saini; 🇮🇳 Kurukshetra, Haryana, India