ClinicalTrials.Veeva

Menu

Effects of Closed and Open Kinetic Chain Exercises

H

Hacettepe University

Status

Completed

Conditions

Osteo Arthritis Knee

Treatments

Other: Control Group
Other: Open Kinetic Chain Exercises
Other: Closed Cinetic Chain Exercises

Study type

Interventional

Funder types

Other

Identifiers

NCT04186143
2019900

Details and patient eligibility

About

Osteoarthritis (OA) is a heterogeneous pathology characterized by focal cartilage degeneration and the formation of new bone around the subchondral bone and joint, which is the disruption of balance between the processes of destruction and repair in subchondral area. Knee OA is a considerable cause of disability and is present in 2-3% of all disability causes. Exercises are more noticeable than other methods because they are an easy method, low cost and long-lasting. To the best of our knowledge, the studies based on this topic are scarce. Therefore, the aim of this study was to compare the effects of open and closed kinetic chain exercises on pain, functional level, quality of life and muscle strength in patients with knee osteoarthritis.

Full description

Osteoarthritis (OA) is a heterogeneous pathology characterized by degeneration of the posterior focal cartilage and the formation of new bone around the subchondral bone and joint, which is the disruption of the balance between the processes of destruction and repair of the joint cartilage and subchondral region. Radiologically, OA was reported in the majority of people over 65 years old and in 80% of those over 75 years old. OA is the most common joint disease in the world. Knee OA is an important health problem due to pain, functional disability and reduced quality of life in patients. Studies have shown that knee OA is associated with inadequacy and pain associated with decreased quadriceps muscle strength. Strengthening education has been shown to have positive effects on OA.

Knee OA is a significant disability cause and is present in 3% of all disability causes. OA causes disability and consequent labor loss and economic loss. Therefore, OA therapy gains importance. OA therapy is classified under three headings as pharmacological methods, non-pharmacological methods and surgical methods. In non-pharmacological methods, there are a number of studies showing the effectiveness of exercise in particular. Because it is an easy method, the cost is low and it is applicable for a long time, the exercises are more important than other methods. The literature on exercise programs with optimal gains for knee osteoarthritis has not yet been established, with numerous studies reporting the importance of different types of exercise for the treatment of knee OA in the literature. Open kinetic chain exercises are frequently used to strengthen the quadriceps muscle. Closed kinetic chain exercises have been shown to increase muscle strength and improve proprioceptive function by activating more muscle spindle and joint proprioceptors. In literature, there are researches that compare closed and open kinetic chain exercises. However, these studies mostly focus on exercises after anterior cruciate ligament reconstruction. The aim of this study was to compare the effects of open and closed kinetic chain exercises on pain, functional level, quality of life and muscle strength in patients with knee osteoarthritis.

Enrollment

60 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • the presence of knee osteoarthritis Grade 2 and Grade 3 based on Kellgren Lawrence Classification,
  • volunteering to participate in the study.

Exclusion criteria

  • the presence of active synovitis,
  • participation physiotherapy program in the last 6 months,
  • systemic and cardiovascular diseases,
  • neurological and orthopedic problems affecting walking and standing,
  • lower extremity surgery

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

60 participants in 3 patient groups

Experimental-Study Group
Experimental group
Description:
In addition to the conservative treatment of the control group, closed cinetic chain exercises were applied for 12 weeks.
Treatment:
Other: Closed Cinetic Chain Exercises
Active Comparator
Active Comparator group
Description:
In addition to the conservative treatment of the control group, opened cinetic chain exercises were applied for 12 weeks.
Treatment:
Other: Open Kinetic Chain Exercises
Control Group
Other group
Description:
Conservative treatment was applied for 12 weeks.
Treatment:
Other: Control Group

Trial contacts and locations

1

Loading...

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2026 Veeva Systems