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Home Based Hip Strengthening for Knee OA Patients

NCT ID: NCT05131048

Last Updated: 2021-11-23

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-30

Study Completion Date

2022-01-31

Brief Summary

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In knee osteoarthritis patients, weakness of hip abductor muscles is considered an important contributing factor leading to the progression of the disease.

Detailed Description

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Osteoarthritis is the most common type of disease that results from an abnormality in joint function. Osteoarthritis(OA) is a condition that is characterized by progressive loss of articular cartilage of a joint and causes pain. Yamda et al. found that the strength of hip adductors increases with the severity of the disease. This reflects that more use of these muscles lower knee adductor moment 54. Considering this research, knee loads can be altered by strengthening hip muscles. Pakistan is listed in 3rd world countries and the poverty index is high. Many patients show reluctance in going to clinics for the physiotherapeutic management of knee OA. So, the present research intends to investigate the effects of home-based hip strengthening exercise on pain, functions, and range of motion in elderly knee osteoarthritis patients.

Conditions

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Knee Osteoarthritis

Keywords

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osteoarthritis home-based exercise plan functional disability obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Conventional group

Patients will be given thermal therapy with the hot pack for 20 minutes followed by Conventional physiotherapy will consist of a set of exercises. The exercise components willl be chosen based on previous studies (Deyle 2000) and will comprises of

* stretches of lower limb muscles (gastrocnemius, soleus and hamstring)
* isometric quadriceps work
* straight leg raising
* Joint mobilization includes anteroposterior (AP) glide of the tibia on the femur
* the patella glides in all directions Subjects will participate in a 45-minute physical therapy session, on alternate days weekly for 6 weeks, in our centre under the close surveillance of a physical therapist. A total of 24 sessions will be given to this group.

Group Type ACTIVE_COMPARATOR

conventional group

Intervention Type OTHER

this group will perform conventional therapy

interventional group

Patients in this group will perform home-based hip Strengthening exercises to strengthen hip abductor and adductor muscles. Six different home-based exercises will be taught. This group will have 3 sessions in 1st week in the hospital under the supervision of a trained physiotherapist just to teach them and ensure that patients are doing exercises correctly on their own. After that, patients will perform exercises 5 days at home and 1 session at the hospital per week. The therapist will be trained to deliver different exercises and adjust the intensity of exercise accordingly advise the participants to complete 10 repetitions of every exercise at home96.

* Abduction in side-lying
* Abduction in standing
* Standing wall isometric hip abduction
* Hip Adduction in side-lying
* Hip abduction in a standing position
* Towel press

Group Type EXPERIMENTAL

experimental group

Intervention Type OTHER

this group will perform home based exercises

Interventions

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conventional group

this group will perform conventional therapy

Intervention Type OTHER

experimental group

this group will perform home based exercises

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* The age group was from 40 to 60 years.
* Both males and females were included.
* Average knee pain on walking \>3 on an 11-point scale (NPRS) (0 no pain; 10 maximal pain).
* participants can walk independently without any assistive devices
* Diagnosed patients of grade II \& III of Kallgren and Lawrence scale for knee osteoarthritis referred by an orthopaedic surgeon

Exclusion Criteria

* History of osteoporosis.
* Leg length discrepancy or structural deformity
* Knee surgery or TKR.
* Corticosteroid injection in knee joint
* Systemic arthritic condition
* History of tibiofemoral and patellofemoral replacement
* Any other neurological and muscular condition affecting the lower limb
* Any history of radiculopathy.
Minimum Eligible Age

40 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Lahore

OTHER

Sponsor Role lead

Responsible Party

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Faizan Asghar

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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faizan asghar

Role: PRINCIPAL_INVESTIGATOR

University of Lahore

Central Contacts

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faizan asghar

Role: CONTACT

Phone: 00923237018937

Email: [email protected]

References

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Valdes AM, McWilliams D, Arden NK, Doherty SA, Wheeler M, Muir KR, Zhang W, Cooper C, Maciewicz RA, Doherty M. Involvement of different risk factors in clinically severe large joint osteoarthritis according to the presence of hand interphalangeal nodes. Arthritis Rheum. 2010 Sep;62(9):2688-95. doi: 10.1002/art.27574.

Reference Type BACKGROUND
PMID: 20499385 (View on PubMed)

Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2010 Jan;18(1):24-33. doi: 10.1016/j.joca.2009.08.010. Epub 2009 Sep 2.

Reference Type BACKGROUND
PMID: 19751691 (View on PubMed)

Fatima S, Arslan SA, Sharif F, Ahmad A, Gillani SA, Zaheer A. Translation, cross-cultural adaptation and psychometric properties of the Urdu version of knee injury and osteoarthritis outcome score questionnaire for Pakistani population. BMC Musculoskelet Disord. 2021 Jun 26;22(1):592. doi: 10.1186/s12891-021-04477-1.

Reference Type BACKGROUND
PMID: 34174864 (View on PubMed)

Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bioallied Sci. 2013 Jan;5(1):30-8. doi: 10.4103/0975-7406.106561.

Reference Type RESULT
PMID: 23559821 (View on PubMed)

Farrokhi S, Voycheck CA, Tashman S, Fitzgerald GK. A biomechanical perspective on physical therapy management of knee osteoarthritis. J Orthop Sports Phys Ther. 2013 Sep;43(9):600-19. doi: 10.2519/jospt.2013.4121.

Reference Type RESULT
PMID: 23756435 (View on PubMed)

Safran-Norton CE, Sullivan JK, Irrgang JJ, Kerman HM, Bennell KL, Calabrese G, Dechaves L, Deluca B, Gil AB, Kale M, Luc-Harkey B, Selzer F, Sople D, Tonsoline P, Losina E, Katz JN. A consensus-based process identifying physical therapy and exercise treatments for patients with degenerative meniscal tears and knee OA: the TeMPO physical therapy interventions and home exercise program. BMC Musculoskelet Disord. 2019 Nov 4;20(1):514. doi: 10.1186/s12891-019-2872-x.

Reference Type RESULT
PMID: 31684921 (View on PubMed)

Arhos EK, Thoma LM, Grindem H, Logerstedt D, Risberg MA, Snyder-Mackler L. Association of Quadriceps Strength Symmetry and Surgical Status With Clinical Osteoarthritis Five Years After Anterior Cruciate Ligament Rupture. Arthritis Care Res (Hoboken). 2022 Mar;74(3):386-391. doi: 10.1002/acr.24479. Epub 2022 Jan 19.

Reference Type RESULT
PMID: 33026698 (View on PubMed)

Other Identifiers

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890-V

Identifier Type: -

Identifier Source: org_study_id