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NCT Number: NCT05941117

Effect of Exercises on Dynamic Balance in Knee Osteoarthritis Patients.

This study is a randomized controlled trial which aims to compare the effect of weight bearing exercises and non-weight bearing exercises on the dynamic balance in knee osteoarthritis patients as 60 patients will divided in three groups where one group is control group and others two groups one of them perform weight bearing exercises and the other perform non weight bearing exercises.

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Key information

Conditions

Knee Osteoarthritis Arthritis Joint Diseases Musculoskeletal Diseases Osteoarthritis Osteoarthritis, Knee Rheumatic Diseases

Age range

50 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of physical therapy Cairo University

Giza, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The patient's age > 50 years.
  • Recent radiographs confirming the presence of knee OA, grade II-III (mild to moderate) Kellgren Lawrence (K/L).
  • Body mass index (BMI) from 20 to 30 kg/m2.
  • Met the American College of Rheumatology clinical criteria for mild to moderate knee OA.
  • knee pain > 3 cm on a 10 cm visual analog scale (VAS) on most days of the previous week.
  • Bilateral knee osteoarthritis.

Exclusion criteria

  • Congenital or acquired inflammatory or neurological (systemic or local) diseases involving the knee.
  • Patients who have mental or cognitive illness that interfere their ability to perform the exercises or the evaluation tests.
  • Intra articular knee injection of steroids in the past 6 months.
  • Patients who had received joint replacement surgery in either Knee or hip.
  • Patients with rheumatoid arthritis.
  • Patients who received physical therapy sessions on the knee in the past 6 months.

Treatment and study plan

stretching exercises

Combination Product

stretching exercises for Hamstring, quadriceps and calf muscle for both lower limbs of the same patients. each exercise was repeated 5 times and each repetition hold for 30 seconds in the same session.

Transcutaneous electrical nerve stimulation

Combination Product

it is one of the electrical stimulation modalities which is used to relief pain, each patient receive it on both knees every session.

Other names: TENS

weight bearing strengthening exercises

Combination Product

strengthening exercises for quadriceps, gluteus maximus, gluteus Medius and calf muscle in the form of weight bearing from standing position each exercise was repeated for 10 times with 5 seconds hold in the same set and patient perform three sets in the same session for both lower limbs.

Non-weight bearing strengthening exercises

Combination Product

strengthening exercises for quadriceps, gluteus maximus, gluteus Medius and calf muscle in the form of non-weight bearing from lying and setting positions each exercise was repeated for 10 times with 5 seconds hold in the same set and patient perform three sets in the same session for both lower limbs.

Primary outcomes

  1. change happened in the dynamic balance from the baseline

    Time frame: one day after the end of treatment

    Biodex Balance System which is a device used to measure the balance of a person who stand on the platform of the device that give a measurement called over all stability index where 0 score means the best balance and the largest number indicate bad balance.

Secondary outcomes

  1. change happened in pain from the baseline

    Time frame: one day after the end of treatment

    Visual Analog Scale which is a scale for pain from 0 to 10 where 0 mean no pain and 10 is the maximum pain.

  2. change happened in the joint angle repositioning from baseline

    Time frame: one day after the end of treatment

    Joint Repositioning Accuracy where the knee is moved passively to a certain angel and the patient hold it in this angle and then it moved to the start position and then the patient asked to move his knee joint actively to the previous the same previous angle then the absolute error between the true angle and the reproduced angle is measured.

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effect of Weight Bearing Versus Non-weight Bearing Strengthening Exercises on Dynamic Balance in Knee Osteoarthritis Patients.

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jul 12, 2023
Registry last updated
Jul 12, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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