Proprioception and BRACE Training in Knee Osteoarthritis

Osteoarthritis Knees Both Clinical Trial

Official title:

Comparison Of Brace (Balance, Resistance, Aerobic, Cognitive Exercise) And Proprioceptive Training On Balance And Mobility In Knee Osteoarthritis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04782167
• Other study ID #: Riphah IU Ali
• Status: Completed
• Phase: N/A
• Start date: June 1, 2020
• Est. completion date: November 1, 2020

Study information

• Verified date: August 2023
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Knee osteoarthritis is common joint disorder in older adults. The prevalence of osteoarthritis is increasing in the elderly population and due to obesity.The aim of this study to compare improvement in balance between BRACE and proprioceptive training in knee osteoarthritis and to compare mobility level between proprioceptive and BRACE in knee osteoarthritis

Description:

Knee osteoarthritis is common joint disorder in older adults. The prevalence of osteoarthritis is increasing in the elderly population and due to obesity. Balance disorder generally disturbed equilibrium and increase risk of fall. There is lack of proprioceptive sensation in patients with knee osteoarthritis. The aim of this study to compare improvement in balance between BRACE and proprioceptive training in knee osteoarthritis and to compare mobility level between proprioceptive and BRACE in knee osteoarthritis. Randomized control trial study of 8 week follows up. Sample size will be 22. The patients will be divided into 2 groups BRACE and proprioceptive training. The patients will get training section for 3 days per week for 8 weeks. The measurement will be taken at base line, after 8 weeks. Study duration will be 6 months. Individuals of age 50-70 year, Mini-mental state examination (MMSE) 20 or higher, Berg Balance Scale (BBS) 30-45 points, Experience of at least one fall during the previous 12 months, both Males and Females will be include. Patients will be excluded if they exhibited history of cardiovascular or musculoskeletal diseases, previously used medication for the central nervous system, occurrence of lower limbs lesions or fractures in last six months. Assessment tools will be MMSE, Berg balance scale, TUG, CTSIB, 6 minute walk test. Data will be analyzed through SPSS 20. Data will be check for its normality, within groups comparison paired sample T-test, between groups independent sample T-test will be used

Recruitment information / eligibility

• Status: Completed
• Enrollment: 22
• Est. completion date: November 1, 2020
• Est. primary completion date: November 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 50 Years to 70 Years

Eligibility

Inclusion Criteria:

• Age 50-70 years.
• Both Males and Females
• Knee osteoarthritis unilateral and bilateral (12).
• American College of Rheumatology (ACR) criteria for diagnosing osteoarthritis of knee joint is presence of pain in knee joint plus any three of six factors listed below (13).
• Age more than 50 y
• Presence of crepitus on active motion
• Less than 30 min of morning stiffness
• Bony tenderness
• Bony overgrowth
• No palpable warmth of synovium
• Mini-mental state examination (MMSE) 23 or higher (14).
• Berg Balance Scale (BBS) 30-45 points (4)

Exclusion Criteria:

• History of stroke during the previous 12 months
• History of cardiovascular or musculoskeletal diseases,
• Previously used medication for the central nervous system.
• Presence of lower limb lesions or fractures in the last six months

Related Conditions & MeSH terms

• Osteoarthritis
• Osteoarthritis Knees Both
• Osteoarthritis, Knee

Intervention

Behavioral:
• BRACE
Balance training,Static balance: Romberg with eye open & eye close [30 sec repeat 3 times] Tandem standing with eye open then with eye close. Right foot front first, then left foot front [10 Sec repeat 3 times] Single leg stance 5 repetition with sec. Static/Dynamic/Anti-cipatory Postural Control: Sit to stand: 5 repetition Functional reach test: forward, sideways & cross reach, practice 1 min for each TUG test: with distance of 10 feet & time 10 sec. practice 2 min Cognitive exercises 1) Count reverse from 50 Repeat with eyes open and close Reps of 30s for each 2) Push wall and reverse count from 20 3) Remember 5 words, Name 5 animals, Repeat 5 words
• Propirioceptive training
1st Phase - Steady phase (1st set: Eyes Open, 2nd set: Eyes Close) Preserve standup position Equally heels up and down Preserve standup on one leg by turns

Locations

Country	Name	City	State
Pakistan	Independent University Hospital, faisalabad	Faisalabad	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
khadija liaquat

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Berg balance scale	it is measure of dynamic and static balance	20 minutes
Primary	Time up and go test	it is also measure of static and dynamic balance	less than 3 minutes
Primary	clinical test of sensory interaction on balance	test for balance	20 minutes