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Completed

NCT Number: NCT05977374

Effects of Low Impact Elliptical Training on Knee Osteoarthritis Outcomes.

This research study is determined to see the effects of low-impact elliptical training on knee osteoarthritis outcomes.

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Key information

Conditions

Osteoarthritis, Knee Arthritis Joint Diseases Musculoskeletal Diseases Osteoarthritis Rheumatic Diseases

Age range

40 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Islamabad Physical Therapy & Rehabilitation Centre

Islamabad, Pakistan

About this study

This study is designed to reduce the load of knee osteoarthritis patients in society so that the individual lives a healthy life without getting caught in any form of disability. Knee osteoarthritis is a progressive and degenerative disease of a joint that includes focal cartilage loss, bony hypertrophy, synovial capsule thickening, and changes in structures of periarticular ligaments and peripheral muscles.

There are several techniques used to overcome the individual's pain, for instance, the mobilization of the joint, prolotherapy, and the use of different electrical modalities. meanwhile, an elliptical workout provides a positive result in reducing the progression of overall knee joint and cartilage defects. elliptical training is included in low-impact activities which are proven joint-friendly activities for the better improvement of the knee joint.

This activity works on a similar principle of cyclic compressive loading as occurs in the manual mobilization of the knee joint. This activity brings out the fluid from the synovial membrane on compression and upon decompression, the cartilage reabsorbs the oxygen and nutrients, which crosses the synovial barrier into the synovial fluid through a double diffusion system in the joint. The fluid then reaches the extra-cellular matrix that moves to the multiple layers of chondrocytes for the growth of the cartilage in OA.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 40- to 65-year-old.
  • Diagnosed cases of Grade 1 and 2 Knee OA.
  • Healthy and overweight patients will be included. (18.5- 29.5)

Exclusion criteria

  • Acute musculoskeletal injury.
  • Low back pain and Sciatica.
  • Hip and ankle pathology.
  • Acute infection, fever.
  • The patient taking supplements and medications.
  • Any knee deformity.

Treatment and study plan

experimental and conventional group

Other

Static stretchings of the lower limb, Ultrasound 1 MHz 1.5W/cm2 7 mins, knee isometrics, open chain activities, knee mobilizations grade 1 and 2, and home care plan.

Other names: Conventional group

Primary outcomes

  1. Knee joint pain.

    Time frame: Baseline, 6th week and 12th week.

    Pain is measured through KOOS questionnaire, which is the part of the KOOS and it has 9 items to identify pain scoring. A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems) and each of the five scores is calculated as the sum of the items included.

  2. Knee joint X-rays.

    Time frame: Baseline, 6th week and 12th week.

    From the X-rays we will measure the medial and lateral knee joint space width through Radiant software.

  3. Knee joint stiffness and symptoms.

    Time frame: Baseline, 6th week and 12th week.

    This is the part of KOOS questinnaire, it involves 5 items of symptoms and 2 items of stiffnss to rule out knee joint symptoms and stiffness. A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems) and each of the five scores is calculated as the sum of the items included.

  4. Activities of daily livings impact on knee joint

    Time frame: Baseline, 6th week and 12th week.

    This is also the part of KOOS questionnaire, it includes 17 items to find out the scoring. A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems) and each of the five scores is calculated as the sum of the items included.

  5. Sports activity impact on knee joint

    Time frame: Baseline, 6th week and 12th week.

    We can find the sports scoring through KOOS questionnaire, it embroils 5 items. A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems) and each of the five scores is calculated as the sum of the items included.

  6. Quality of life impact on knee joint

    Time frame: Baseline, 6th week and 12th week.

    This one is also the part of KOOS questionnaire. it contain 4 items for scoring. A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems) and each of the five scores is calculated as the sum of the items included.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Collaborators

  • Health Education Research Foundation (HERF)

Registry information

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Aug 4, 2023
Registry last updated
Aug 4, 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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