Effects of Creatine and Glucoseamine/ Chondritin Sulfate Co-Supplementation in Addition to Exercise and Physical Therapy in Patients With Knee Osteoarthritis

Foundation University Islamabad

Status: Unknown

Conditions: Knee Osteoarthritis

Treatments: Dietary Supplement: Creatine Supplementation; Device: Electrotherapy + Heating; Dietary Supplement: Glucoseamine/ Chondritin Sulfate Supplementation; Procedure: Joint Mobilization; Other: Home Exercise Plan; Other: Lower Extremity Resistance Exercise Training

Study type: Interventional

Funder types: Other

Identifiers

NCT04423432

FUI/CTR/2020/4

Details and patient eligibility

About

Osteoarthritis is the 11th highest contributor to disability world wide. In terms of conservative management of patients with knee osteoarthritis, Resistance exercise has been shown to be an effective intervention for reducing pain and cartilage degeneration and improving muscle strength, joint biomechanics and physical functioning. But, research shows that co supplementation can further augment the effects of resistance exercise. However, it is imperative to point out that the existing evidence is majorly focused on the individual effects of resistance exercise training and non-pharmacological supplementation, and is still deficient in the effects of co-supplementation in addition to resistance exercise training in patients with knee osteoarthritis.

Enrollment: 36 estimated patients

Sex: All

Ages: 40 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 40-70 years
• Knee OA with history not less than three months.
• Radiological evidences of grade III or less on Kellgren classification.
• Knee pain on VNRS no more than 8/10

Exclusion criteria

• Neuromuscular conditions that may lead to fatigue such as multiple Sclerosis
• Signs of serious pathology (e.g., malignancy, inflammatory disorder, infection).
• History of trauma or fractures in lower extremity.
• Signs of lumbar radiculopathy or myelopathy.
• History of knee surgery or replacement.
• Patients on intra-articular steroid therapy within two months before the commencement of the study.
• Impaired skin sensation.
• Impaired renal function

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 3 patient groups

Control

Active Comparator group

Treatment:

Other: Lower Extremity Resistance Exercise Training

Other: Home Exercise Plan

Procedure: Joint Mobilization

Device: Electrotherapy + Heating

Creatine Supplementation

Experimental group

Treatment:

Other: Lower Extremity Resistance Exercise Training

Other: Home Exercise Plan

Procedure: Joint Mobilization

Dietary Supplement: Creatine Supplementation

Device: Electrotherapy + Heating

Glucoseamine/ Chondritin Sulfate Supplementation

Experimental group

Treatment:

Other: Lower Extremity Resistance Exercise Training

Other: Home Exercise Plan

Procedure: Joint Mobilization

Dietary Supplement: Glucoseamine/ Chondritin Sulfate Supplementation

Device: Electrotherapy + Heating