The Effect of Adding Instrumented Hip Concentric Abductor Strengthening Exercise in Knee Osteoarthritis

Kutahya Health Sciences University

Status: Completed

Conditions: Physical Disability; Pain; Knee Osteoarthritis

Treatments: Device: hip device-assisted concentric abductor strengthening (HDACAS); Device: knee device-assisted concentric flexor-extensor strengthening (KDACFES)

Study type: Interventional

Funder types: Other

Identifiers

NCT06331858

KutahyaHSU-DRGOKPINARDROMER-43

Details and patient eligibility

About

The aim of this study was to investigate the effectiveness of adding hip device-assisted concentric abductor strengthening (HDACAS) program to knee device-assisted concentric flexor-extensor strengthening (KDACFES) program on pain, function, physical performance, quality of life and gait parameters in patients with knee osteoarthritis (OA).

Full description

This prospective randomized single-blind controlled study was conducted at Kütahya Health Sciences University (KHSU) Evliya Çelebi Education and Research Hospital (ECERH) Physical Medicine and Rehabilitation (PMR) annex building between September 2023 and March 2024. The study protocol was approved by the ethics committee of the same university (2023-03/03).

Enrollment: 70 patients

Sex: All

Ages: 45 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Receiving a diagnosis of knee osteoarthritis according to the ACR criteria and being classified as stage 2-3 according to the Kellgren Lawrence staging
• Having symptomatic unilateral or bilateral knee pain with a VAS (0-10) pain score > 4
• Being able to ambulate independently without orthosis/prosthesis
• Having a body mass index less than 35

Exclusion criteria

• History of knee and hip surgery
• Presence of lesions, atrophy, or scars in the skin area
• Intra-articular injection to the knee within the last 6 months
• Receiving active physiotherapy, physical therapy, or spa treatment in the last 6 months
• Patients with chronic diseases such as COPD, coronary artery disease
• Those with oxygen saturation levels <95%
• Individuals with any pathological condition that may impair normal walking
• Patients with diseases such as vertigo, epilepsy that may pose a risk during physical performance tests
• Patients with contraindications to strength training exercises

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

70 participants in 2 patient groups

Study group

Active Comparator group

Description:

The study group received hip device-assisted concentric abductor strengthening (HDACAS) program in addition to knee device-assisted concentric flexor-extensor strengthening (KDACFES) program.

Treatment:

Device: knee device-assisted concentric flexor-extensor strengthening (KDACFES)

Device: hip device-assisted concentric abductor strengthening (HDACAS)

Control group

Active Comparator group

Description:

The control group received only KDACFES program

Treatment:

Device: knee device-assisted concentric flexor-extensor strengthening (KDACFES)