Combined Kinetic Chain Exercises on Knee Osteoarthritis

Cairo University (CU)

Status: Enrolling

Conditions: Knee Osteoarthritis

Treatments: Other: conventional; Other: combined kinetic chain exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06233175

P.T.REC/012/004731

Details and patient eligibility

About

study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength in knee osteoarthritis patients

Full description

the study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength ,knee pain ,function ,H/Q ratio in knee osteoarthritis patients .using lafayette hand held dynamometer to measuring static strength of hamstring and quadriceps ,and free weight by Brzycki formula for measuring dynamic hamstring and quadriceps strength by determining 1 repetition maximum ,and pain measured by visual analogue scale (VAS) rating from (0 = no pain ) to (10= worst pain ) ,and function by Western Ontario and McMaster Universities Osteoarthritis Index questionnaire lower score indicate patient get better ,number of patients will be 34 divided into 2 groups ,each group will include 17 patient ,with 2 drop out according to sample size calculation ,each group will receive conventional tens for 20 min. and hot back for 15 min. and stretching exercises for hamstring,quadriceps,calf muscles ,while the experimental group will be increased by combined kinetic chain exercises

Enrollment: 34 estimated patients

Sex: All

Ages: 38 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• the patients age from38 to 65
• recent radiographs confirming grade 2 and 3 (mild to moderate ) osteoarthritis
• primary and secondary Osteoarthritis
• both gender
• unilateral knee osteoarthritis
• pain in the knee for most days of prior month
• morning stiffness less than 30 min. in duration
• patient body mass index (BMI) between 18.5 and 29.9 kg/m2

Exclusion criteria

• neurological disorders

• wheelchair bound

• significant cognitive impairment

• present systemic inflammatory arthritis

• history of hip and knee arthroplasty

  • history of trauma or surgical arthroscopy of either knee in the last 6 months

• received knee intra-articular injection within the last 3 months

• under anticoagulant therapy ,recent or imminent surgery (within 3 months)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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34 participants in 2 patient groups

conventional group

Active Comparator group

Description:

patients take conventional trans cutaneous electrical stimulation (tens) with a frequency of 100 Hz , a pulse duration of 60 micro seconds for 20 min. ,hot backs for 15 min,stretching exercises for hamstring ,quadriceps ,calf muscles

Treatment:

Other: conventional

interventional group

Experimental group

Description:

patients take conventional tens with a frequency of 100 Hz , a pulse duration of 60 micro seconds for 20 min. ,hot backs for 15 min,stretching exercises for hamstring ,quadriceps ,calf muscles with combined kinetic chain exercises (terminal knee extension,semi squat (wall slide) ,foreword step up and down ,straight leg raise ,seated knee extension )

Treatment:

Other: combined kinetic chain exercises