Effect of Biomechanical Correction in Medial Tibiofemoral Joint Osteoarthritis
NCT ID: NCT04324931
Last Updated: 2021-04-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
5 participants
INTERVENTIONAL
2020-08-10
2021-03-31
Brief Summary
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Detailed Description
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Objective: Purpose of the study is to see that the biomechanical correction on the tibia and varus deformity is effective in the conventional treatment of participants with the KOA.
Study Design: A Randomized single group Pretest-Post test Clinical Trial. Methodology: Total '5' subjects were included in the study with the age of 40 to 60 years based on exclusion and inclusion criteria. For the pain, the NPRS will be taken, goniometer taken for the measurement of range of motion, WOMAC will be taken for the physical activity measurement and CAD Software will be taken to see the alignment of the affected limb. Conventional treatment will also be given.
Conclusion: Biomechanical correction shows the significant improvement and improves the subject's physical activity and reduces the pain and stiffness.
Keywords: Obesity, Osteoarthritis, Pain and Physical therapy modalities
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Biomechanical corrections
In this group, biomechanical correction will be perform with the help of mobilization with movement to correct biomechanical misalignment and along with this conventional treatment, in which Hydrocollatoral packs for 20 minutes, Interferential Therapy for 15 minutes with beat frequency 100 Hz, Sweep frequency 150 Hz and exercise program for 3 sessions of 20 minutes on alternative days for 3 weeks. Which will be given for three days a week for three weeks.
Biomechanical corrections
Biomechanical corrections is to be done to correct the varus deformity of knee joint and for pain management.
Conventional Physiotherapy
Conventional therapy includes Hydrocollatoral pack for 20 minutes, Interferential therapy for 15 minutes beat frequency 100 Hz, Sweep frequency 150 Hz and exercise program of 3 sessions for 20 minutes on alternative days for 3 weeks for management of knee osteoarthritis.
Interventions
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Biomechanical corrections
Biomechanical corrections is to be done to correct the varus deformity of knee joint and for pain management.
Conventional Physiotherapy
Conventional therapy includes Hydrocollatoral pack for 20 minutes, Interferential therapy for 15 minutes beat frequency 100 Hz, Sweep frequency 150 Hz and exercise program of 3 sessions for 20 minutes on alternative days for 3 weeks for management of knee osteoarthritis.
Eligibility Criteria
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Inclusion Criteria
* Subjects with stiffness and knee pain
* Subjects with objection of pain in knee joint that was aggravated by performing 2 or more of the following functional activities: prolonged cross sitting, stair assents and descent, squatting and kneeling.
* Subjects who are willing to take participation
* Individuals who obeys the commands properly
* Individuals exhibiting the subsequent biomechanical changes on screening
* Q angle \>12 degree for male and \>15 degree for female, femoral anteversion, external tibial torsion \>15 degree, lack of ≥ 5 degree of knee extension in supine position.
Exclusion Criteria
* Lately history of lower limb trauma and surgery
* In recent times fracture in lower extremity
* In lower extremity metal plantation
* Cardio vascular conditions
* Patella Dislocation/subluxation
* Abnormality in foot or deformity
40 Years
60 Years
ALL
Yes
Sponsors
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Asir John Samuel
OTHER
Responsible Party
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Asir John Samuel
Associate Professor Maharishi Markandeshwar (Deemed to be university)
Principal Investigators
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Sunaina Saini, BPT
Role: PRINCIPAL_INVESTIGATOR
Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation
Locations
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Sunaina Saini
Kurukshetra, Haryana, India
Countries
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References
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Pal CP, Singh P, Chaturvedi S, Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop. 2016 Sep;50(5):518-522. doi: 10.4103/0019-5413.189608.
Crema MD, Felson DT, Guermazi A, Nevitt MC, Niu J, Lynch JA, Marra MD, Torner J, Lewis CE, Roemer FW. Is the atrophic phenotype of tibiofemoral osteoarthritis associated with faster progression of disease? The MOST study. Osteoarthritis Cartilage. 2017 Oct;25(10):1647-1653. doi: 10.1016/j.joca.2017.05.019. Epub 2017 Jun 9.
Felson DT, Goggins J, Niu J, Zhang Y, Hunter DJ. The effect of body weight on progression of knee osteoarthritis is dependent on alignment. Arthritis Rheum. 2004 Dec;50(12):3904-9. doi: 10.1002/art.20726.
Related Links
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This study has evidenced a large percentage of population as borderline OA; therefore, it depends mainly on the prevention of modifiable risk factors to preserve at ease movement in elderly population through awareness programs.
the atrophic phenotype of knee OA was associated with a decreased likelihood of progression of JSN and cartilage loss compared to the non-atrophic knee OA phenotype.
Although elevated BMI increases the risk of knee OA progression, the effect of BMI is limited to knees in which moderate malalignment exists, presumably because of the combined focus of load from malalignment and the excess load from increased weight.
Other Identifiers
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U1111-1249-3661
Identifier Type: OTHER
Identifier Source: secondary_id
MMDU/IEC/1527
Identifier Type: -
Identifier Source: org_study_id
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