Neuromuscular Training Program in Patients With Knee OA (Osteoarthritis)

Knee Osteoarthritis Clinical Trial

— OA  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06270329
• Other study ID #: NMTwithKOA
• Status: Completed
• Phase: N/A
• Start date: January 15, 2022
• Est. completion date: June 15, 2023

Study information

• Verified date: February 2024
• Source: Kutahya Health Sciences University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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).

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 70
• Est. completion date: June 15, 2023
• Est. primary completion date: January 15, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 80 Years

Eligibility

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

Related Conditions & MeSH terms

• Knee Osteoarthritis
• Osteoarthritis
• Osteoarthritis, Knee

Intervention

Other:
• Neuromuscular training program
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
Hotpack application TENS (transcutaneous electrical stimulation) Conventional physical therapy exercises (straight leg raises, knee flexor and extensor strengthening, hip muscle strengthening)

Locations

Country	Name	City	State
Turkey	Kutahya Health Science University	Kütahya

Sponsors (1)

Lead Sponsor	Collaborator
Kutahya Health Sciences University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual Analog Scale	Pain evaluation. The participant is asked to give a score between 1 and 10 for her pain.	At first and third week
Primary	Western Ontario and McMasterUniversities Osteoarhritis Index	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.	At first and third week
Primary	Time on One Leg Standing	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.	At first and third week
Primary	Five Times Sit to Stand Test	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.	At first and third week
Primary	Manual Muscle Test	Muscle strength evaluation. A score between 0 and 5 is given depending on muscle strength.	At first and third week
Primary	Short Form	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.	At first and third week