Effects of Corrective Exercise Training for Improving Neuropathic Pain and Function in Knee Osteoarthritis

Study Overview
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Brief Summary
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Patients with neuropathic pain had longer duration of symptoms increased severity of pain, functional limitation and disability as compare to the patient with general knee osteoarthritis. Objective: To find out the effects of corrective exercise training for improving neuropathic pain and function in knee OA patients.

Detailed Description
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This study was a Quasi experimental study. It was conducted at Horizon Hospital Johar Town Lahore. The study was completed in Six months. Consecutive sampling technique was used to collect the data. The sample size of 16 patients was taken in this study to find out the effects of corrective exercises training for improving neuropathic pain and function in patients with knee osteoarthritis. For descriptive analysis we used frequency, percentages and charts. For quantitative measure. Repeated Measured ANOVA was used.

Official Title
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Effects of Corrective Exercise Training for Improving Neuropathic Pain and Function in Knee Osteoarthritis

Conditions
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Osteoarthritis, Knee

Intervention / Treatment
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* Other: corrective exercise training for knee


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ACR Criteria for osteoarthritis Neuropathic pain Age over 65 DN4 cut off value is 4/10 Less than 30 minutes of morning stiffness Grade I and II Crepitus on active motion Bony tenderness Bony enlargement No palpable warmth of synovium Exclusion Criteria: Knee complain that require urgent medical attention (fracture and infection) Diabetes mellitus Patients with malignancies Neurological disorders Systematic musculoskeletal diseases (Parkinson's, rheumatoid arthritis etc) Incapability of understanding implication of participants

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Corrective exercise training for knee Osteoarthritis<br> | Other: corrective exercise training for knee<br>* All patients received 12 weeks (3 days per week) physiotherapy sessions with hot pack, TENS and Ultrasound session for 10 mints and knee isometric, quad strengthening, adductor and abductor strengthening, calf stretch, hamstring stretch, Maitland mobilization, Unconventional Corrective knee exercise protocol treatment: standing on one extremity, up and down on bosu exercise, walking to lateral direction, walking to anterio-posterior direction, walking to anterio-posterior and lateral for 20 mints. Data were collected at baseline, at week 4 and at post treatment (week 12).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Western Ontario and McMaster Osteoarthritis Index | 0-100, 0 means no disability 100 means maximum disability | 6 months | 
| Numeric pain rating scale | 0-10,no pain and the worse pain, on an 11 point scale | 6 months | 
| Douleur Neuropathique 4 Questionnaire | The total score is calculated as the sum of 10 items and the cut off value for the diagnosis of neuropathic pain is a total score of 4/10 | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Knee osteoarthritis