Foot and Hip Abductor Strengthening in Patients With Knee Osteoarthritis.

Riphah International University

Status: Completed

Conditions: Knee Osteoarthritis

Treatments: Other: Intrinsic foot muscle strengthening along with conventional exercises; Other: Hip abductor strengthening exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT06343909

REC/RCR & AHS/23/0197Ayesha

Details and patient eligibility

About

The study will be Randomized controlled trail, Subject diagnosed with knee osteoarthritis meeting predetermined inclusion and exclusion criteria will be divided into two groups.

Pre assessment will be done using pain, ROM, function, foot arches and knee alignment as subjective measurement through KOOS questionnaire, goniometer, 2D frontal plane projection, Berkemann foot prints using ink and paper ,30s chair stand test, nine step stair climb,40m fast paced walk test,Global rating of change score respectively . One group will be treated with hip abductor strengthening exercise along with conventional exercises and second group will be treated with intrinsic foot muscle strengthening exercise along with conventional exercises. Post treatment values recorded after the session.After data collection from defined study setting,data will be entered and analyzed at Riphah International University,Lahore

Full description

Knee osteoarthritis (OA) is a leading cause of joint pain1 and disability2 in middle- and older-aged individuals, and is one of the most commonly managed conditions in primary care3. Recent incidence rates suggest around 6% of people aged over 45 years develop knee symptoms. Knee OA symptoms and radiographic change that worsen over time can lead to costly surgical intervention.

Compressive forces on the knee caused by knee adduction moment on the medial compartment of the joint are associated with the severity of the disease and intensity of pain. In addition, decreased strength of the quadriceps is one of the contributing factors for the onset of the disease.

short foot exercises (SFE) have shown to be effective using the IFM and excluding the EFM found that SFE contracted the intrinsic muscles of the foot to increase the inner arch of the foot, thereby shortening the longitudinal arch.Pronated foot is deeply related to the medial longitudinal arch (MLA) where the presence of a pronated foot consequently leads to a decrease in the MLA.

Enrollment: 30 patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• pain at medial side of the knee.
• patient can walk without walking aids.

Exclusion criteria

• patient with previous hip, knee and ankle surgery.
• patient who received intraarticular injection.
• patient with neurologic and muscle problem.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Hip abductor strengthening exercise along with conventional exercises

Active Comparator group

Description:

Hip abductor strengthening Participant was positioned in side lying with bottom leg hip abducting to a 45-degree and knee in flexion. The uppermost leg was actively abducted while it remains in slight extension making sure no rotation occurred. Participant was instructed to hold the leg in that position for 5-10 seconds and then to lower it to resting position. Participant was instructed to repeat the exercise with weight cuff attached to the proximal part of ankle

Treatment:

Other: Hip abductor strengthening exercise

intrinsic foot muscle strengthening exercise along with conventional exercises

Active Comparator group

Description:

Wring towel with feet: . Patient in sitting position, place a hand towel flat on the floor pull the towel towards your heel. Grapping object with toes: Sitting, place the object flat on the floor. . Hold it for a second and then according to the resistance of the release it. Toe abduction (hallux and 2nd toe): Sitting place a small band between the hallux and second toe. Open and separate your toe and then squeeze the toe against the resistance of elastic. Always leave your feet resting on the floor.. Toggle toe support: Sitting with feet resting on the floor, alternately touch the first and fifth toes on the floor. Be careful not to move your knees.

Treatment:

Other: Intrinsic foot muscle strengthening along with conventional exercises