The Effect of Exercise Combination on Pain, Function and Proprioception in Knee Osteoarthritis
Condition: Knee Osteoarthritis
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

Summary: 
      This study will include 3 different groups of intervention. First group of knee
      osteoarthritis patients will be applied both strengthening and 30 minutes bicycle exercises
      in the same session, 2 days strecthing exercises and 30 minutes walking will be given in
      seperate days as home program, Second group of knee osteoarthritis patients will be applied
      both stretching and 30 minutes bicycle exercises in the same session, strengthening exercises
      and 30 minutes walking will be given in seperate days as home program.Third group of knee
      osteoarthritis patients will be applied all stretching, strengthening and 30 minutes bicycle
      exercises in the same session, only 30 minutes walking will be given as home program. The
      primary outcome measures include the pain, function and the secondary outcome measures
      include the joint proprioception. The aim of this study is to investigate the effects on
      outcome measures increasing number of exercises in one session and to determine which
      exercise types are more suitable to prescribe as a home program.
    

Detailed description: 
      This study will include 3 different groups of intervention. First group of knee
      osteoarthritis patients will be applied both strengthening and bicycle exercises in the same
      session and strecthing exercises and walking will be given as home program in the days other
      than treatment session. Second group of knee osteoarthritis patients will be applied both
      stretching and bicycle exercises in the same session and strengthening exercises and walking
      will be given as home program in the days other than treatment session. Third group of knee
      osteoarthritis patients will be applied all stretching, strengthening and bicycle exercises
      in the same session and only walking exercise will be given as home program in the days other
      than treatment session. The primary outcome measures include the pain, function and the
      secondary outcome measures include the joint proprioception and aerobic capacity. The aim of
      this study is to investigate the effects increasing number of exercises in one session on
      outcome measures consisting of pain, function and proprioception. The pain will be evaluated
      both subjectively with numeric pain scale and WOMAC scale and objectively with pressure
      algometer. The function will be subjectively evaluated with WOMAC scale and objectively by
      measuring the knee joint range of motion and muscle strength for both flexor and extensor
      muscles. The evaluation of joint proprioception will be evaluated with inclinometer. The
      aerobic capacity will be objectively evaluated with 6 minute walk test. All the groups will
      be treated 2 days per week. The duration of total treatment lasts 8 weeks. All the groups
      practice aerobic exercises 2 days with bicycle ergometer application in the clinic, and 2
      days walking outside as home program. Strecthing exercises will be applied for knee flexor
      and knee extensor muscles. Isometric strengthening exercises will be applied for knee
      extensor muscles. Isotonic strengthening exercises will be applied for hip abductor muscles,
      hip extensor muscles, hip flexor muscles, knee flexor muscles and knee extensor muscles. The
      treatment outcomes will be evaluated both at the beginning of treatment and at the end of
      treatment.
    

Intervention name(s): Stretching and Aerobic Exercise at Clinic; Strenghthening and Aerobic Exercise; Strengthening, Stretching and Aerobic Exercises at clinic
Intervention type(s): Other; Other; Other
Intervention description(s): In this group of knee osteoarthritis patients will be applied both stretching and 30 minutes bicycle exercises in the same session, strengthening exercises and 30 minutes walking will be given in seperate days as home program.; In this group of knee osteoarthritis patients will be applied both strengthening and 30 minutes bicycle exercises in the same session, 2 days strecthing exercises and 30 minutes walking will be given in seperate days as home program.; In this group of knee osteoarthritis patients will be applied all stretching, strengthening and 30 minutes bicycle exercises in the same session, only 30 minutes walking will be given as home program.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Prospective Parallel Group Comparison Study
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: ostearthritis; stretching; strengthening; aerobic exercises