Efficacy of Hip Strengthening on Dynamic Knee Stability, Disability and Gait in Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 入组人数
- 88
- 主要终点
- dynamic knee stability
研究概览
简要总结
this study will be conducted to investigate the role of hip strengthening in improving dynamic knee stability, gait parameter, lower extremity strength and disability in knee osteoarthritis
详细描述
knee osteoarthritis accounts for more than 80% of the total burden of the diseases. patients with knee osteoarthritis had worse spatiotemporal gait parameter and dynamic instabitity. there are significant hip muscle weakness in knee osteoarthritis. hip muscle weakness leads to improper alignment and stress in knee joint. hip muscle strength can affect knee joint loading and disease progression in knee osteoarthritis. muscles of the lower extremity play a critical role in the preservation of normal knee joint function by providing dynamic knee joint stability and shock absorption, while maintaining safe transfer of forces across the joint.
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 (Care Provider, Outcomes Assessor)
盲法说明
double blinded
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •age 40 to 65 years grade 2-3 on KL grade BMI 25 to 32 kg/m2 medial KOA
排除标准
- •lateral KOA intraarticular corticosteriod injection into knee within pervious 3 months significant comorbidity individuals with known hip osteoarthritis previous trauma affection one or both hips history of other medical conditions affecting the knee joint previous replacement of any joint in the lower extremity low back pain cognitive impairment
研究组 & 干预措施
hip strengthening
resistance training for hip abductor, hip extensor, and hip external rotator will be performed.cuff weights will be used with 80% of 1 repetition maximum at 3 sets of 8 repetitions with 10-15 second rest between repetitions and 1-2 minute rest between sets.
干预措施: hip strengthening (Other)
hip strengthening
resistance training for hip abductor, hip extensor, and hip external rotator will be performed.cuff weights will be used with 80% of 1 repetition maximum at 3 sets of 8 repetitions with 10-15 second rest between repetitions and 1-2 minute rest between sets.
干预措施: quadriceps strengthening, stretch hamstring,cuff muscles (Other)
quadriceps strengthening, stretch for hamstring,cuff muscles
quadriceps strengthening: multi-angle isometric exercise from sitting position will be performed. cuff weights will be used with 3 sets of 12 repetitions at 40% of 1 reprtition maximum.
self stretch for hamstring and cuff muscles from supine position. the procedure will be repeated 4 times.
干预措施: quadriceps strengthening, stretch hamstring,cuff muscles (Other)
结局指标
主要结局
dynamic knee stability
时间窗: baseline
dynamic knee stability will be measured by frontal plane projection angle
次要结局
未报告次要终点
研究者
HebaAllah Elsayed Mohamed Elsaeed
head of physiotherapy department at Benha fever hospital
Cairo University