Combined Kinetic Chain Exercises on Knee Osteoarthritis

NCT ID: NCT06233175

Last Updated: 2024-01-31

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 34 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-01-30
• Study Completion Date: 2024-04-30

Brief Summary

study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength in knee osteoarthritis patients

Detailed Description

the study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength ,knee pain ,function ,H/Q ratio in knee osteoarthritis patients .using lafayette hand held dynamometer to measuring static strength of hamstring and quadriceps ,and free weight by Brzycki formula for measuring dynamic hamstring and quadriceps strength by determining 1 repetition maximum ,and pain measured by visual analogue scale (VAS) rating from (0 = no pain ) to (10= worst pain ) ,and function by Western Ontario and McMaster Universities Osteoarthritis Index questionnaire lower score indicate patient get better ,number of patients will be 34 divided into 2 groups ,each group will include 17 patient ,with 2 drop out according to sample size calculation ,each group will receive conventional tens for 20 min. and hot back for 15 min. and stretching exercises for hamstring,quadriceps,calf muscles ,while the experimental group will be increased by combined kinetic chain exercises

Conditions

Knee Osteoarthritis

Study Design

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

Study Groups

conventional group

patients take conventional trans cutaneous electrical stimulation (tens) with a frequency of 100 Hz , a pulse duration of 60 micro seconds for 20 min. ,hot backs for 15 min,stretching exercises for hamstring ,quadriceps ,calf muscles

Group Type: ACTIVE_COMPARATOR

conventional

Intervention Type: OTHER

stretching exercises and hot back and trans cutaneous electrical stimulation,with out combined kinetic chain exercises

interventional group

patients take conventional tens with a frequency of 100 Hz , a pulse duration of 60 micro seconds for 20 min. ,hot backs for 15 min,stretching exercises for hamstring ,quadriceps ,calf muscles with combined kinetic chain exercises (terminal knee extension,semi squat (wall slide) ,foreword step up and down ,straight leg raise ,seated knee extension )

Group Type: EXPERIMENTAL

combined kinetic chain exercises

Intervention Type: OTHER

combined kinetic chain exercises in form of wall slide ,terminal knee extension ,forward step up and down ,side step up and down ,straight leg raise ,seated knee extension ,stretching exercises , hot back and trans cutaneous electrical stimulation,

Interventions

combined kinetic chain exercises

combined kinetic chain exercises in form of wall slide ,terminal knee extension ,forward step up and down ,side step up and down ,straight leg raise ,seated knee extension ,stretching exercises , hot back and trans cutaneous electrical stimulation,

Intervention Type: OTHER

conventional

stretching exercises and hot back and trans cutaneous electrical stimulation,with out combined kinetic chain exercises

Intervention Type: OTHER

Other Intervention Names

experimental; control

Eligibility Criteria

Inclusion Criteria

• the patients age from38 to 65
• recent radiographs confirming grade 2 and 3 (mild to moderate ) osteoarthritis
• primary and secondary Osteoarthritis
• both gender
• unilateral knee osteoarthritis
• pain in the knee for most days of prior month
• morning stiffness less than 30 min. in duration
• patient body mass index (BMI) between 18.5 and 29.9 kg/m2

Exclusion Criteria

• neurological disorders
• wheelchair bound
• significant cognitive impairment
• present systemic inflammatory arthritis
• history of hip and knee arthroplasty

• history of trauma or surgical arthroscopy of either knee in the last 6 months
• received knee intra-articular injection within the last 3 months
• under anticoagulant therapy ,recent or imminent surgery (within 3 months)

• Minimum Eligible Age: 38 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

hadeer Ali El sayaad

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of Physical Therapy

Cairo, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

hadeer a el sayaad

Role: CONTACT

hadirelsayaad95@gmail.com

01064125662

Facility Contacts

hadeer a el sayaad, bachelor's

Role: primary

Other Identifiers

P.T.REC/012/004731

Identifier Type: -

Identifier Source: org_study_id