Calisthenic and Neuromuscular Training in Patients With Knee OA.

NCT ID: NCT05173649

Last Updated: 2022-04-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-11-11
• Study Completion Date: 2022-01-30

Brief Summary

The aim of the study is to compare effects of calisthenics and neuromuscular training in patients with knee osteoarthritis.

Detailed Description

OsteoArthristis (OA) is the most frequent form of arthritis and a leading cause of pain and disability worldwide. OA can affect any synovial joint, although the hip, knee, hand, foot and spine are the most commonly affected sites.

The knee is the most commonly affected joint and knee OA (KOA) represents the leading joint disorder in the world. At present, there is no preventive or curative drug treatment available for KOA.

Physical therapy plays a significant role in treating patients with knee OA. Rehabilitation enables the patient to cope with their daily task independently and mainly focus on self-help and patient-driven treatments rather than on passive therapies delivered by clinicians.

A systemic review was conducted on Comparative Effect of Calisthenics and Proprioceptive Exercises on Pain, Proprioception, Balance and Function in Chronic Osteoarthritis of Knee. According to this study Light intensity Calisthenics exercises are effective and can be recommended as an adjunct to conventional physiotherapy for the patients with Osteoarthritis knee.

Another research was conducted on Efficacy of Neuromuscular Training on Pain, Balance and Function in Patients with Grade I and II Knee Osteoarthritis. The results shows that although conventional exercise program is effective in reducing knee pain, and increasing lower extremity muscle strength and range of motion, adding neuromuscular training (KBA) along with conventional exercise program in rehabilitation leads to higher improvement on balance and function in patient with knee grade I and II osteoarthritis.

A positive effect has been observed in treating patients with both the interventions.

The past research records are evident that therapists have determined individual effects of calisthenics and neuromuscular training for rehabilitation of Knee OA. The evidence for implementation of two protocols for rehabilitation of Knee OA is sparse. So the aim of the study is to compare effects of calisthenics and neuromuscular training in patients with knee osteoarthritis.

Conditions

Knee Osteoarthritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Calisthenic Training

Calisthenic Training Group

Group Type: EXPERIMENTAL

Calisthenic Training

Intervention Type: OTHER

Calisthenic Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

1. Abductor-Adductor leg raise

2. Alternate toe touch

3. Knee Bend

4. Prone leg extension

5. Forward Lunges

6. Toe Raise/ Calf raise Progressive training include following exercises.

1. Leg Lifts 2. Jack Twists 3. Side Lunges 4. Short bridge 5. Calf Raise with weight.

Neuromuscular Training

Intervention Type: OTHER

Neuromuscular Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

1. Up and down step exercise in posterior and lateral directions.

2. Walking in anterior and posterior

3. Directions with eyes opened and eyes closed.

4. Walking in lateral direction with eyes opened and eyes closed.

5. Standing on one extremity

6. Inclination in anterior and lateral direction with eyes opened and closed. Progressive training includes following exercises.

1. Up and down on Bosu exercise. 2. Plantar flexion on minitrampoline. 3. Standing on one extremity on Bosu. 4. Standing on one extremity on minitrampoline

Neuromuscular Training Group

Neuromuscular Training Group

Group Type: EXPERIMENTAL

Calisthenic Training

Intervention Type: OTHER

Calisthenic Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

1. Abductor-Adductor leg raise

2. Alternate toe touch

3. Knee Bend

4. Prone leg extension

5. Forward Lunges

6. Toe Raise/ Calf raise Progressive training include following exercises.

1. Leg Lifts 2. Jack Twists 3. Side Lunges 4. Short bridge 5. Calf Raise with weight.

Neuromuscular Training

Intervention Type: OTHER

Neuromuscular Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

1. Up and down step exercise in posterior and lateral directions.

2. Walking in anterior and posterior

3. Directions with eyes opened and eyes closed.

4. Walking in lateral direction with eyes opened and eyes closed.

5. Standing on one extremity

6. Inclination in anterior and lateral direction with eyes opened and closed. Progressive training includes following exercises.

1. Up and down on Bosu exercise. 2. Plantar flexion on minitrampoline. 3. Standing on one extremity on Bosu. 4. Standing on one extremity on minitrampoline

Interventions

Calisthenic Training

Calisthenic Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

1. Abductor-Adductor leg raise

2. Alternate toe touch

3. Knee Bend

4. Prone leg extension

5. Forward Lunges

6. Toe Raise/ Calf raise Progressive training include following exercises.

1. Leg Lifts 2. Jack Twists 3. Side Lunges 4. Short bridge 5. Calf Raise with weight.

Intervention Type: OTHER

Neuromuscular Training

Neuromuscular Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

1. Up and down step exercise in posterior and lateral directions.

2. Walking in anterior and posterior

3. Directions with eyes opened and eyes closed.

4. Walking in lateral direction with eyes opened and eyes closed.

5. Standing on one extremity

6. Inclination in anterior and lateral direction with eyes opened and closed. Progressive training includes following exercises.

1. Up and down on Bosu exercise. 2. Plantar flexion on minitrampoline. 3. Standing on one extremity on Bosu. 4. Standing on one extremity on minitrampoline

Intervention Type: OTHER

Other Intervention Names

Group A; Group B

Eligibility Criteria

Inclusion Criteria

1. Subjects with chronic OA (symptoms for more than 3 months).

2. Subjects willing to participate and take treatment.

3. Grade of 2 to 3 as per Kellegren and Lawrence radiographic classification.

Exclusion Criteria

1. Subjects having any systemic joint pathologies, inflammatory joint disease (e.g.

Rheumatoid arthritis, gouty arthritis, psoriatic arthritis).

2. Subjects who had any neurological deficit (paresthesia, sensory loss, radiculopathy, myelopathy any mental illness (Dementia, Alzheimer's, Parkinson disease etc.) that can affect orientation and concentration.

3. Subjects on medication like antidepressants, corticosteroid, and anti-inflammatory medications.

4. Peripheral vascular diseases.

5. Any history of surgery related to lower extremity.

6. Subjects having metal implants in the lower limb

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Aruba Saeed, PhD*

Role: STUDY_CHAIR

Riphah International University

Locations

Riphah International University

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/00956 Tayyeba Majid

Identifier Type: -

Identifier Source: org_study_id