Home Based Hip Strengthening for Knee OA Patients

Knee Osteoarthritis Clinical Trial

Official title:

Effects of Home-based Hip Strengthening Exercises on Pain, Range of Motion and Functional Disability in Knee Osteoarthritis Patients: a Randomized Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05131048
• Other study ID #: 890-V
• Status: Not yet recruiting
• Phase: N/A
• Start date: November 2021
• Est. completion date: January 2022

Study information

• Verified date: November 2021
• Source: University of Lahore
• Contact: faizan asghar
• Phone: 00923237018937
• Email: faianasghar[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In knee osteoarthritis patients, weakness of hip abductor muscles is considered an important contributing factor leading to the progression of the disease.

Description:

Osteoarthritis is the most common type of disease that results from an abnormality in joint function. Osteoarthritis(OA) is a condition that is characterized by progressive loss of articular cartilage of a joint and causes pain. Yamda et al. found that the strength of hip adductors increases with the severity of the disease. This reflects that more use of these muscles lower knee adductor moment 54. Considering this research, knee loads can be altered by strengthening hip muscles. Pakistan is listed in 3rd world countries and the poverty index is high. Many patients show reluctance in going to clinics for the physiotherapeutic management of knee OA. So, the present research intends to investigate the effects of home-based hip strengthening exercise on pain, functions, and range of motion in elderly knee osteoarthritis patients.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 90
• Est. completion date: January 2022
• Est. primary completion date: December 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

• The age group was from 40 to 60 years.

• Both males and females were included.

• Average knee pain on walking >3 on an 11-point scale (NPRS) (0 no pain; 10 maximal pain).

• participants can walk independently without any assistive devices

• Diagnosed patients of grade II & III of Kallgren and Lawrence scale for knee osteoarthritis referred by an orthopaedic surgeon

Exclusion Criteria:

• History of osteoporosis.

• Leg length discrepancy or structural deformity

• Knee surgery or TKR.

• Corticosteroid injection in knee joint

• Systemic arthritic condition

• History of tibiofemoral and patellofemoral replacement

• Any other neurological and muscular condition affecting the lower limb

• Any history of radiculopathy.

Related Conditions & MeSH terms

• Knee Osteoarthritis
• Osteoarthritis
• Osteoarthritis, Knee

Intervention

Other:
• conventional group
this group will perform conventional therapy
• experimental group
this group will perform home based exercises

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Lahore

References & Publications (7)

Arhos EK, Thoma LM, Grindem H, Logerstedt D, Risberg MA, Snyder-Mackler L. Association of Quadriceps Strength Symmetry and Surgical Status with Clinical Osteoarthritis 5 Years after Anterior Cruciate Ligament Rupture. Arthritis Care Res (Hoboken). 2020 Oc — View Citation

Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bioallied Sci. 2013 Jan;5(1):30-8. doi: 10.4103/0975-7406.106561. — View Citation

Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2010 Jan;18(1):24-33. doi: 10.1016/j.joca.2009.08.010. Epub 2009 Sep 2. Review. — View Citation

Farrokhi S, Voycheck CA, Tashman S, Fitzgerald GK. A biomechanical perspective on physical therapy management of knee osteoarthritis. J Orthop Sports Phys Ther. 2013 Sep;43(9):600-19. doi: 10.2519/jospt.2013.4121. — View Citation

Fatima S, Arslan SA, Sharif F, Ahmad A, Gillani SA, Zaheer A. Translation, cross-cultural adaptation and psychometric properties of the Urdu version of knee injury and osteoarthritis outcome score questionnaire for Pakistani population. BMC Musculoskelet Disord. 2021 Jun 26;22(1):592. doi: 10.1186/s12891-021-04477-1. — View Citation

Safran-Norton CE, Sullivan JK, Irrgang JJ, Kerman HM, Bennell KL, Calabrese G, Dechaves L, Deluca B, Gil AB, Kale M, Luc-Harkey B, Selzer F, Sople D, Tonsoline P, Losina E, Katz JN. A consensus-based process identifying physical therapy and exercise treat — View Citation

Valdes AM, McWilliams D, Arden NK, Doherty SA, Wheeler M, Muir KR, Zhang W, Cooper C, Maciewicz RA, Doherty M. Involvement of different risk factors in clinically severe large joint osteoarthritis according to the presence of hand interphalangeal nodes. Arthritis Rheum. 2010 Sep;62(9):2688-95. doi: 10.1002/art.27574. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	intensity of Pain	The numerical Pain Rating Scale will be used to measure pain.	baseline data
Primary	intensity of Pain	The numerical Pain Rating Scale will be used to measure pain.	at the end of 6th week
Primary	Range of Motion	A goniometer will be used to measure a range of motion.	baseline data
Primary	Range of Motion	A goniometer will be used to measure a range of motion.	at the end of 6th week
Primary	Functional Disability	KOOS Scale will be used to measure functional disability.	baseline data
Primary	Functional Disability	KOOS Scale will be used to measure functional disability.	at the end of 6th week