Core Stabilization Exercises in Patients with Knee Osteoarthritis

NCT ID: NCT06621784

Last Updated: 2024-10-04

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-06-23
• Study Completion Date: 2024-10-09

Brief Summary

Exercise plays a key role in the treatment of knee osteoarthritis, but there is no clear evidence on which type of exercise is most effective. Recent studies highlight the benefits of core stabilization exercises for improving knee stability. This study aims to demonstrate the effects of adding core stabilization exercises to conventional exercise therapy for patients with knee osteoarthritis.

Detailed Description

Knee osteoarthritis is becoming a significant public health problem with the aging population. While there is no definitive cure, exercise is the main approach to treatment. Various types of exercises are being studied for their effectiveness in osteoarthritis treatment, and recently, core stabilization exercises have been highlighted for their role in lower extremity pathologies. In this study, we aimed to investigate the effects of these exercises on pain, balance, quality of life, function, and quadriceps muscle thickness in patients with knee osteoarthritis.

This study was designed as a randomized controlled double-blind clinical trial. Thirty-two patients were randomly divided into two groups: a conventional exercise group and a conventional+core group. A total of 18 home exercise sessions, performed three times per week for six weeks, were planned.

Conditions

Exercise Training; Osteoarthritis, Knee; Core Stability; Muscle Thickness of the Quadriceps Femoris; Balance

Study Design

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

Study Groups

Traditional exercise (control) group

The first group followed a standard home exercise program for three times per week for six weeks

Group Type: ACTIVE_COMPARATOR

Classical exercise therapy

Intervention Type: OTHER

In the first group of our study, we prescribed exercises that have been proven effective in many studies, are frequently prescribed, and focus on joint range of motion and quadriceps strengthening

core exercise group

The second group followed a standard home exercise program and core stabilization exercises for three times per week for six weeks

Group Type: ACTIVE_COMPARATOR

Core stabilization exercises

Intervention Type: OTHER

In most studies, exercises focused on the extremities have been researched. We believe that the positive effects of the core region on walking and postural stability will play a significant role in the treatment of knee osteoarthritis.

Classical exercise therapy

Intervention Type: OTHER

In the first group of our study, we prescribed exercises that have been proven effective in many studies, are frequently prescribed, and focus on joint range of motion and quadriceps strengthening

Interventions

Core stabilization exercises

In most studies, exercises focused on the extremities have been researched. We believe that the positive effects of the core region on walking and postural stability will play a significant role in the treatment of knee osteoarthritis.

Intervention Type: OTHER

Classical exercise therapy

In the first group of our study, we prescribed exercises that have been proven effective in many studies, are frequently prescribed, and focus on joint range of motion and quadriceps strengthening

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosis of bilateral stage II or III knee osteoarthritis according to the Kellgren and Lawrence grading system
• Aged between 50 and 65 years
• Having a complaint of knee pain for at least 6 months
• No systemic diseases that may hinder exercise (such as uncontrolled hypertension, cardiac arrhythmia, heart failure, neurological sequelae, joint deformities, malignancy, etc.)

Exclusion Criteria

• Having received physical therapy in the last 6 months
• Having undergone knee injection in the last 6 months
• Having had knee surgery
• Morbid obesity
• Presence or history of malignancy
• Individuals with severe visual impairment
• Individuals with a history of neurological or vestibular diseases that could cause balance problems, or patients using medications that may affect balance
• Individuals with serious cardiac, respiratory, or uncontrolled metabolic diseases

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

İrem Setenay Özkan

Resident

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

İrem Setenay ÖZKAN

Role: PRINCIPAL_INVESTIGATOR

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Locations

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Istanbul, Bahçelievler, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2023/377

Identifier Type: -

Identifier Source: org_study_id