Comparison of Hip Strengthening Exercises and Core Stability Exercises in Patients With Knee Osteoarthritis

NCT ID: NCT06120920

Last Updated: 2023-11-07

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-01
• Study Completion Date: 2023-11-30

Brief Summary

Knee Osteoarthritis is a chronic degenerative joint disease with complex etiology that results in loss of normal joint function due to damage to the articular cartilage. It is characterized by pain, swelling, inflammation and narrowing in articular cartilage. Hip muscle weakness has been observed in persons with knee OA and poor core stability may be one of the other contributing factors that lead to knee OA development as well as its progression. Core stabilization and muscular synergism of the trunk and hip work is an effective way to improve lower limb strength balance and prevent injury. So the lumbopelvic stability is vital to support loads on the knee joint.

Detailed Description

Osteoarthritis (OA) of the knee joint results in chronic pain and functional decline among older adults. Osteoarthritis is a degenerative joint disease with complex etiology that results in loss of normal joint function due to narrowing of the articular cartilage. The pathogenesis of knee OA is the result of interaction between mechanical loading, articular cartilage damage, and incomplete repair mechanisms. These changes eventually cause progressive joint degeneration and failure, leading to chronic knee pain and progressive restriction of knee joint mobility. Core muscle endurance deficiency leads to an increase in the loading of the knee, as well as in knee joint contact force during dynamic movement. Hence, poor core stability may be one of the contributing factors that lead to knee OA development as well as its progression. On the other hand hip muscle weakness has been observed in persons with knee OA and to increase the medial compartment loading on the knee joint. This increases the force on the medial compartment of the stance leg, and the disease starts succeeding. Core stabilization and muscular synergism of the trunk and hip work is an effective way to improve lower limb strength balance and prevent injury. Considering the strength deficits in the hip muscles as well as core muscles, a targeted exercise program for knee osteoarthritis include hip muscle strengthening and core strengthening might reduce the medial compartment loading and improve knee symptoms. Core stability and hip strengthening exercise along with Knee Physical therapy and conventional therapy as a mode of treatment in knee OA and it may help clinicians to treat subjects with knee OA at risk of a decline in muscle strength, range of motion, functional disability and pain.

Conditions

Knee Osteoarthritis

Study Design

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

Study Groups

Conventional Physical Therapy and Routine Knee Exercises with Core Stability Exercises.

Patient will receive Conventional physical therapy include hot pack, Tens and routine knee strengthening exercises with core stability exercises.

Group Type: ACTIVE_COMPARATOR

Assigned Interventions

Intervention Type: OTHER

Conventional physical therapy consists of hot pack application and transcutaneous electric stimulation (TENS) and routine knee strengthening exercises in addition with core stability exercises in three sessions per week for 4 weeks. Core stability exercises include bent knee hollow hold, bridging, supine toe tap and knee strengthening exercises include knee flexion strengthening exercises and knee extension isometric exercises.

Conventional Physical Therapy and Routine Knee Exercises with Hip Strengthening Exercises.

Intervention Type: OTHER

Conventional physical therapy consists of hot pack application, Tens and routine knee exercise program same as group A and in addition with hip strengthening exercises. Hip strengthening exercises include hip flexion and extension strengthening exercises and hip internal rotation and external rotation and hip adduction and abduction strengthening exercises.C

Conventional Physical Therapy and Routine Knee Exercises with Hip Strengthening Exercises.

In this group, patient will receive conventional physical therapy include hot pack, Tens and routine knee exercises with hip strengthening exercises

Group Type: EXPERIMENTAL

Assigned Interventions

Intervention Type: OTHER

Conventional physical therapy consists of hot pack application and transcutaneous electric stimulation (TENS) and routine knee strengthening exercises in addition with core stability exercises in three sessions per week for 4 weeks. Core stability exercises include bent knee hollow hold, bridging, supine toe tap and knee strengthening exercises include knee flexion strengthening exercises and knee extension isometric exercises.

Conventional Physical Therapy and Routine Knee Exercises with Hip Strengthening Exercises.

Intervention Type: OTHER

Conventional physical therapy consists of hot pack application, Tens and routine knee exercise program same as group A and in addition with hip strengthening exercises. Hip strengthening exercises include hip flexion and extension strengthening exercises and hip internal rotation and external rotation and hip adduction and abduction strengthening exercises.C

Interventions

Assigned Interventions

Conventional physical therapy consists of hot pack application and transcutaneous electric stimulation (TENS) and routine knee strengthening exercises in addition with core stability exercises in three sessions per week for 4 weeks. Core stability exercises include bent knee hollow hold, bridging, supine toe tap and knee strengthening exercises include knee flexion strengthening exercises and knee extension isometric exercises.

Intervention Type: OTHER

Conventional Physical Therapy and Routine Knee Exercises with Hip Strengthening Exercises.

Conventional physical therapy consists of hot pack application, Tens and routine knee exercise program same as group A and in addition with hip strengthening exercises. Hip strengthening exercises include hip flexion and extension strengthening exercises and hip internal rotation and external rotation and hip adduction and abduction strengthening exercises.C

Intervention Type: OTHER

Other Intervention Names

Conventional Physical Therapy and Routine Knee Exercises with Core Stability Exercises.

Eligibility Criteria

Inclusion Criteria

1. Age: 40-65

2. Diagnose case of knee OA grade 2, 3.

3. Side of involved leg: right or left.

4. Unilateral knee.

5. Gender both male and female.

6. Pre-diagnostics referred by orthopedics.

7. Able to walk without gait aids.

Exclusion Criteria

1. Inflammatory arthritis

2. Osteoarthritis of the hips

3. Having had previous knee or hip surgery.

4. Patient who had amputated leg and who don't have any lower extremity disorders.

5. Received intra-articular injection within 6 months.

6. Non-steroidal anti-inflammatory drug or cortisone use over an extended period.

7. Patients who had neurological and muscle problem

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Dr.Waqar Afzal, PhD

Role: STUDY_CHAIR

University of Lahore

Locations

The University of Lahore

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Ashfaq Ahmad, PhD

Role: CONTACT

ashfaq.ahmad@uipt.uol.edu.pk

0300-9449192

Waqar Afzal, PhD

Role: CONTACT

Waqarafzal621@gmail.com

0321-4668377

Facility Contacts

Muhammad Waqar Afzal, PhD

Role: primary

Waqarafzal621@gmail.com

0321-4668377

Other Identifiers

REC-UOL-545-10-2023

Identifier Type: -

Identifier Source: org_study_id