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Completed

NCT Number: NCT06270329

Neuromuscular Training Program in Patients With Knee OA (Osteoarthritis)

The aim of this study was to compare the effects of neuromuscular training program and conventional physical therapy program on pain, functional status, physical performance, balance, muscle strength and quality of life in patients with knee osteoarthritis (KOA).

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Key information

Conditions

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

Age range

40 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kutahya Health Science University

Kütahya, 43100, Turkey (Türkiye)

About this study

The study was carried out in Afyonkarahisar Health Sciences University Health Application Research Center in individuals with 2nd or 3rd degree KOA according to Kellgren and Lawrence Classification. The study was planned as a randomized controlled clinical trial design. The study group were recruited to the neuromuscular training program and the control group were recruited to the conventional physical therapy program 5 days a week for 3 weeks. Individuals were evaluated at the baseline and after training programs. Demographic and clinical data were first recorded in the evaluation.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Having grade 2 or 3 osteoarthritis according to the Kellgren and Lawrence Classification
  • Having pain score of 2 or above on VAS
  • Not having received physical therapy in the last 3 months
  • Not having received an intra-articular corticosteroid injection in the last 6 months
  • Not having used oral corticosteroids in the last month
  • Being between the ages of 40-80
  • Body mass index being between 19-40 kg/cm2

Exclusion criteria

  • Systemic arthritis
  • Hypertensive condition that prevents exercise
  • Pregnancy, cognitive impairment, parkinson-like neurological disorders
  • Having had a knee or hip joint replacement

Treatment and study plan

Neuromuscular training program

Other

Hotpack application TENS (transcutaneous electrical stimulation) Warm-up phase: bicycle ergometer (ten minutes)

Exercise phase:

core stabilization and postural control exercises postural orientation exercises lower extremity strengthening exercises functional exercises (balance and proprioception exercises using a balance board) Cool-down Phase

Conventional physical therapy program

Other

Hotpack application TENS (transcutaneous electrical stimulation) Conventional physical therapy exercises (straight leg raises, knee flexor and extensor strengthening, hip muscle strengthening)

Primary outcomes

  1. Visual Analog Scale

    Time frame: At first and third week

    Pain evaluation. The participant is asked to give a score between 1 and 10 for her pain.

  2. Western Ontario and McMasterUniversities Osteoarhritis Index

    Time frame: At first and third week

    Functional status evaluation. The scale consists of 3 subheadings that evaluate pain, stiffness and physical function.

    High Western Ontario and McMasterUniversities Osteoarhritis Index score indicates increased pain and stiffness and deterioration in physical function.

  3. Time on One Leg Standing

    Time frame: At first and third week

    Balance evaluation. Participants were asked to stand on one leg with their eyes open for as long as possible, and the time was measured with a stopwatch and recorded in seconds.

  4. Five Times Sit to Stand Test

    Time frame: At first and third week

    Physical performance evaluation. The time it takes for the patient to sit and stand up from a chair five times is recorded. As time decreases, it indicates better performance.

  5. Manual Muscle Test

    Time frame: At first and third week

    Muscle strength evaluation. A score between 0 and 5 is given depending on muscle strength.

  6. Short Form

    Time frame: At first and third week

    Quality of life evaluation. It consists of 8 subheadings: physical function, problems caused by physical problems, emotional well-being, problems caused by emotional problems, general health, social function, pain, energy/fatigue.

    High scores indicate good health, low scores indicate poor health.

Sponsors and collaborators

Lead sponsor

Kutahya Health Sciences University

Other

Registry information

Official study title

Comparison of the Effectiveness of Neuromuscular Training Program and Conventional Physical Therapy Program in Patients With Knee Osteoarthritis.

Acronym: OA

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Feb 21, 2024
Registry last updated
Feb 21, 2024

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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