Comparison of Quadriceps Strengthening and Kinesiotaping on Gait in Knee Osteoarthritis
Condition: Knee Osteoarthritis
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

Summary: 
      The aim of this research is to determine the Effects of facilitatory Kinesio-taping and
      concentric quadriceps strengthening on gait parameters in knee osteoarthritis. Randomized
      clinical trials will be done at Physio Experts Clinic, Islamabad. The sample size is 38. The
      subjects were divided in two groups, with 19 subjects in Group A and 19 in Group B. Study
      duration was of 6 months. Sampling technique applied was Non probability Convenience Sampling
      technique. Both males and females of aged 50-60 years with Knee OA grade 2 or 3 were
      included. Tools used in the study are Numeric Pain Rating Score (NPRS), dynamometer, WOMAC
      questionnaire and Mobile app for measuring Temporospatial gait parameters.
    

Detailed description: 
      Osteoarthritis is one of the most common musculoskeletal disorders in adults. It is a
      degenerative joint disease affecting 15%-40% of people more than 40 years of age. The term
      osteoarthritis was authored in 1886 by the English doctor, John Kent Spender. Clinical
      assessment to recognize OA from RA and other comparable conditions turned out to be broadly
      acknowledged by the main decade of the twentieth century enormous because of the endeavors
      set forward by Archibald E.

      Osteoarthritis is a degenerative joint condition that causes other joint tissues to lose
      gross cartilage and to experience morphological damage. Pathological changes seen in knee
      osteoarthritis joints include progressive loss and destruction of articular cartilage,
      thickening of the subchondral bone, formation of osteophytes, variable degrees of
      inflammation of the synovium, degeneration of ligaments and menisci of the knee and
      hypertrophy of the joint capsule. Biomechanical factor that is assumed to contribute to the
      etiology of OA is laxity of knee joint, which is described as the rotation or displacement of
      femur from tibia. One research found that Varus-valgus laxity in patients with unaltered
      knees and unilateral OA is wider than in stable healthy participants, indicating knee joint
      laxity may be disease predisposing. the progress of the lateral and medial knee OA, as
      defined by narrowing of joint space and a degradation of physical activity, was found to have
      been linked with lower limb valgus-Varus alignment.

      The main focus in OA management is on promoting self-management, reducing pain, optimize
      function, and modifying the disease process and its effects. The primary treatment for OA
      knee conservatively is physiotherapy which includes strength training, modalities, knee
      bracing, resistance training and Kinesiotaping. Resistance exercise can reduce knee pain
      severity and leg strength in participants with symptomatic knee OA. Exercise interventions
      using free weights or machines have generally focused on movements with concentric muscle
      contractions. Previous interventions were developed based on loads lifted during the
      concentric phase.

      Kinesiotape (KT), is an elastic woven-cotton strip with a heat- sensitive acrylic adhesive
      structure.
    

Intervention name(s): group A concentric muscle training; Group B fascilitatory kinesiotaping
Intervention type(s): Other; Other
Intervention description(s): One set of each of the following exercises will completed during each session:
leg press,
knee flexion,
knee extension,
Quad drills For each set, 12 repetitions will be performed at a resistance load of 60% of the one-repetition maximum (1RM) for that exercise. The exercises will be performed 2 times a week for 6 weeks.; Kinesiotaping is applied on the anterior thigh (quadriceps) region starting at 1/5 of the distance between anterosuperior iliac spine (ASIS) and tibia tuberosity. The tape is applied with 20% tension of the tape. The tape was tensioned from proximal region of mid quadriceps down to tibia tuberosity and, once it reached the knee, the tape was divided in the middle allowing it to circle the joint
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: Knee osteoarthritis; Quadriceps; Kinesiotaping