Comparison of the Effect of Strengthening Exercises Versus Proprioception and Balance Exercises in the Treatment of Knee Osteoarthritis
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Osteo Arthritis Knee
- Sponsor
- Istanbul University
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Western Ontario and McMaster Universities Arthritis Index (WOMAC)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The aim of the study is to investigate and compare the effect of balance and proprioception exercises with strengthening exercises on muscle strength, pain, proprioception, function and quality of life in knee osteoarthritis patients.
Detailed Description
Damage or loss of mechanoreceptors in osteoarthritis patients affects balance and proprioception. There are studies showing that proprioceptive deficit is associated with the onset and progression of knee osteoarthritis leading to pain and disability. Because the proprioception provides a sense of power generation and allows the power output to be better regulated. When the literature is examined, studies investigating the effects of proprioception and balance exercises on muscle strength, function and pain are limited. In our study patients will be randomly divided into two groups: Group I (Proprioception and Balance) and Group II (muscle strengthening exercises). While Group I will be applied Proprioception and Balance training exercises, Group II will be applied closed and open kinetic strengthening exercises. Two group will perform exercise 3 times a week during 8 weeks.
Investigators
Gamze Kus
Principal Investigator
Istanbul University
Eligibility Criteria
Inclusion Criteria
- •Patients who have a diagnosis of knee Osteoarthritis according to the American Society of Rheumatology (ACR) criteria,
- •Between 45 to 75 years of age
- •Can read and write in Turkish language
Exclusion Criteria
- •Active synovitis
- •Taking any physical therapy section in the last 6 months
- •Have a neurological problems that affect walking
- •Have an arthritis problem in the ankle and hip joint
- •Have a history of lower extremity surgery
- •Intraarticular steroid injection in the last 6 months
- •Use psychoactive drug
- •Have a severe defect of vision and hearing, speech disorders
- •Vestibular dysfunction
Outcomes
Primary Outcomes
Western Ontario and McMaster Universities Arthritis Index (WOMAC)
Time Frame: WOMAC will be filled first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program . After treatment "change" will be assessed
The WOMAC is widely used self-administered health status measure used in assessing pain, stiffness and function in patients with OA of the knee or hip. The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.
Secondary Outcomes
- Pressure Algometer(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Digital Goniometer(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Timed Up and Go (TUG) Test(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Visual Analogue Scale (VAS)(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Hand-Held Dynamometer(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Global Rating of Change Scale(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Aggregated Locomotor Function (ALF) Score(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Isokinetic Dynamometer for measuring position sense(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Short Form-36(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)
- Tandem and Stand on One Leg(Evaluation will perform first time at baseline and second time after 4 weeks and third time after 8 weeks rehabilitation program.)