Effects Of Foot Wear Modification Along With Physical Therapy On Functional Status In Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- knee osteoarthritis outcome score
研究概览
简要总结
Orthotics and Prosthetics are important areas where physiotherapists order a variety of assistive aids to restore, compensate, or prevent physical ailments and disorders, such as here, Knee Osteoarthritis.
This study will be helpful not only in establishing the role of footwear modification as an adjunct treatment protocol for knee osteoarthritis but also elicit a multidisciplinary team approach which is a much-needed area, especially in the emergency rehabilitation area.
详细描述
2.1 MULTIDISCIPLINARY TEAM APPROACH As defined by World Health Organization, Curriculum Contents and International Practice Patterns, physical therapy is an autonomous profession where clinical make clinical decisions based on clinical reasoning, differentially diagnose, determine prognosis, and make plan of care including discharge planning and outcome assessment.
Orthotics and Prosthetics are important areas where physiotherapist order variety of assistive aids to restore, compensate or prevent physical ailments and disorders, such as here, Knee Osteoarthritis.
This study will be helpful not only establishing role of foot wear modification as adjunct treatment protocol for knee osteoarthritis but also elicit a multidisciplinary team approach which is a much needed area especially in emergency rehabilitation area.
2.2 LITERATURE GAP Although, there is work on performance of modified foot wears, which have been studied mostly alone or as adjunct with pharmacology. There is less literature on conservative treatment of osteoarthritis with foot wear modification coupled with physiotherapy treatment. This study will create a unique impact paying ways for type of preferable footwear that should be used, based on results, and combining treatment with physiotherapy care.
2.3 UNSETTLED DEBATE OVER TYPE OF FOOTWEAR The debate is still underway, worldwide, regarding which shoe type or foot wear should be preferred over other. The study results will come up with a contribution towards determining right foot wear for osteoarthritis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Care Provider)
盲法说明
It was a double blinded study in which assessors and patientswere blinded. Close shoe type make it possible to blind patients because receiving identical conventional treatment in both groups.
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •both gender
- •diagnosed patient with knee osteoarthritis on clinical and radiographic basis,
- •aged 50 years or above,
- •knee pain from at least one month with an intensity equal or more than 4 on 11 points Numeric rating pain scale,
- •falling between grade 2-3 on Kellgren-Lawrence Classification System for knee osteoarthritis,
- •having BMI range between 22-25 kg/m2 and participating in study with their own will with a signed consent form.
排除标准
- •trauma in knee region,
- •having knee or lower limb surgery for fracture or arthroplasty,
- •getting steroid based intra-articular injection or physiotherapy treatment in last 6 months,
- •getting lidocaine intra-articular injection in last one month, with condition of systemic arthritic condition, severe co-morbidities or
- •serious medical conditions or systemic disease causing dependent edema making difficult to wear foot wear in open or close shoes.
结局指标
主要结局
knee osteoarthritis outcome score
时间窗: 24 week
questionaire used to evaluate charecteristics of knee joint
The Western Ontario and McMaster Universities Osteoarthritis Index
时间窗: 24 week
questionaire used to evaluate charecteristics of knee joint
Short Form 36 Health Survey Questionnaire
时间窗: 24 week
The Short Form 36 Health Survey Questionnaire (SF-36) is used to indicate the health status of particular populations, to help with service planning and to measure the impact of clinical and social interventions. Culture-specific data are required to calculate SF-36 norm-based scores.
次要结局
- Manual Muscle Testing(24 week)
研究者
Usman janjua
director Janjua rehab center
Isra University