Effect of Hip Abductors Versus Knee Extensor Strengthening in Knee Osteoarthritis
NCT ID: NCT04503304
Last Updated: 2021-05-04
Study Results
Results pending
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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Recruitment Status
COMPLETED
Clinical Phase
NA
Total Enrollment
70 participants
Study Classification
INTERVENTIONAL
Study Start Date
2020-07-01
Study Completion Date
2020-11-01
Brief Summary
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This study will try to answer the following question:
Would strengthening of hip abductors be equal to, or more effective than, knee extensors strengthening in improving pain, function and knee extensors isometric strength in patients with knee Osteoarthritis
Would strengthening of hip abductors be equal to, or more effective than, knee extensors strengthening in improving pain, function and knee extensors isometric strength in patients with knee Osteoarthritis
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Detailed Description
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A total of 70 patients with knee Osteoarthritis will be recruited All patients who will participate in the study will be referred by orthopedists. Patients with knee osteoarthritis will be included with age ranges from 50-70. They will be randomized into 2 groups; hip abductors strengthening (HAS) group a will receive hip abductors strengthening exercises, and knee extensors strengthening (KES) group will receive quadriceps strengthening exercise.
All patients who will meet the study criteria will get a complete knowledge of the objectives and procedures of the study.
Inclusion criteria:
1. Patients with knee Osteoarthritis grade II- III Kellgren- Lawrence scores
2. Their age is 50-70\[Wang et al.,2019\].
3. Body mass index (BMI) 25-30.
Exclusion criteria:
1. Patients who had surgical intervention in the knee and/or hip.
2. Fracture in the lower limbs.
3. Malignancy
4. Any associated ligamentous injuries in knee or ankle.
5. Spinal Cord Injury.
6. Hormonal imbalance or on hormonal therapy
7. Knee injection within the last 6 months prior to the study. Outcome parameters including Quadriceps Muscle Strength, the arabic version of Western Ontario and McMaster Universities Arthritis Index questionnaire total score and 3 subscales and Timed Up and Go test score
All patients who will meet the study criteria will get a complete knowledge of the objectives and procedures of the study.
Inclusion criteria:
1. Patients with knee Osteoarthritis grade II- III Kellgren- Lawrence scores
2. Their age is 50-70\[Wang et al.,2019\].
3. Body mass index (BMI) 25-30.
Exclusion criteria:
1. Patients who had surgical intervention in the knee and/or hip.
2. Fracture in the lower limbs.
3. Malignancy
4. Any associated ligamentous injuries in knee or ankle.
5. Spinal Cord Injury.
6. Hormonal imbalance or on hormonal therapy
7. Knee injection within the last 6 months prior to the study. Outcome parameters including Quadriceps Muscle Strength, the arabic version of Western Ontario and McMaster Universities Arthritis Index questionnaire total score and 3 subscales and Timed Up and Go test score
Conditions
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Knee Osteoarthritis
Study Design
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Allocation Method
RANDOMIZED
Intervention Model
PARALLEL
2 groups; hip abductors strengthening (HAS) group a will receive hip abductors strengthening exercises, and knee extensors strengthening (KES) group will receive quadriceps strengthening exercise.
Primary Study Purpose
TREATMENT
Blinding Strategy
NONE
Study Groups
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HAS group
hip abductors strengthening group
1. Hip abduction -standing\[Ferber et al.,2015\].
2. Sidelying hip abduction(clamshell)\[Schache et al.,2016\].
3. lateral leg raise: in brief, the patients lie down on bed on the unaffected side, with the resistance band positioned around the distal thigh of the affected limb.;later, they raise the above lower limbs upwards for about 30 degrees, stay for 5- 10 s and slowly lay down\[Xie et al.,2018\].
4. pelvic lift training, specifically, patients stand single-leg off the side at a 10-cm step. Later, they begin with the other limb that is lower than the step level, and contract the stance-limb hip abductor to raise the free leg to the step level while keeping the stance knee extended\[Xie et al.,2018\].
5. Stretching Hamstrings \[Fukuda et al.,2012\]. Number of sets = 3, Repetitions =10 repetitions for each set
Group Type
EXPERIMENTAL
Exercises
Intervention Type
OTHER
already included in arm/group descriptions.
KES group
knee extensors strengthening group
1. Isometric quadriceps setting
2. Knee extensions from sitting with knee bend to 90
3. Terminal knee extension from sitting.
4. Stretching Hamstrings Number of sets = 3, Repetitions =10 repetitions for each set
Group Type
ACTIVE_COMPARATOR
Exercises
Intervention Type
OTHER
already included in arm/group descriptions.
Interventions
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Exercises
already included in arm/group descriptions.
Intervention Type
OTHER
Eligibility Criteria
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Inclusion Criteria
1. Patients with knee OA grade II- III Kellgren- Lawrence scores
2. Their age is 50-70\[Wang et al.,2019\].
3. Body mass index (BMI) 25-30.
2. Their age is 50-70\[Wang et al.,2019\].
3. Body mass index (BMI) 25-30.
Exclusion Criteria
1. Patients who had surgical intervention in the knee and/or hip.
2. Fracture in the lower limbs.
3. Malignancy
4. Any associated ligamentous injuries in knee or ankle.
5. Spinal Cord Injury.
6. Hormonal imbalance or on hormonal therapy
7. Knee injection within the last 6 months prior to the study.
2. Fracture in the lower limbs.
3. Malignancy
4. Any associated ligamentous injuries in knee or ankle.
5. Spinal Cord Injury.
6. Hormonal imbalance or on hormonal therapy
7. Knee injection within the last 6 months prior to the study.
Minimum Eligible Age
50 Years
Maximum Eligible Age
70 Years
Eligible Sex
ALL
Accepts Healthy Volunteers
No
Sponsors
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Cairo University
OTHER
Sponsor Role
lead
Responsible Party
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Aalaa Mohamed El-Amin Sweelam
Teaching Assistant
Responsibility Role
PRINCIPAL_INVESTIGATOR
Locations
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Faculty of physical therapy
Cairo, , Egypt
Site Status
Countries
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Egypt
References
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Other Identifiers
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Hip Abductors strength in KOA
Identifier Type: -
Identifier Source: org_study_id
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