Effects of Hip Abductors Strengthening In Knee Osteoarthritis

Study Overview
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Brief Summary
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The aim of my study is to determine the effects of hip abductors strengthening and quadriceps strengthening in comparison with quadriceps strengthening alone in patients with knee osteoarthritis.

Detailed Description
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As the quadriceps strengthening is a keystone of exercise therapy for knee osteoarthritis. Thus is the hip abductors strengthening along with quadriceps strengthening would be added to the treatment protocol of osteoarthritis it might give more positive results, decrease pain and increase the recovery rate as well as helpful to improve the functional outcomes.

Official Title
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Comparison of Hip Abductors and Quadriceps Strengthening With Quadriceps Strengthening Alone in Knee Osteoarthritis

Conditions
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Osteoarthritis Knees Both

Intervention / Treatment
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* Other: Hip Abductor Strengthening
* Other: Traditional Physical Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Osteoarthritis of single or both knees Kellgren Lawrence scale between 2-4 Exclusion Criteria: Knee valgus or varus deformity Hip or knee joint replacement Tibial osteotomy Any other surgery of hip or knee joint

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 70 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two groups are formed. Control group and Experimental group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hip Abductor Strengthening<br>This group received quadriceps and hip abductor strengthening along with patellar mobilization and stretching exercises. | Other: Hip Abductor Strengthening<br>* Elastic resisted training of Hip Abductors (5-10 seconds hold) 10 repetitions x 3 sets, 3 alternate days per week. Elastic resisted training of Quadriceps (5-7 seconds hold) 10 repetitions x 3 sets, 3 alternate days per week. Static Stretching of 5 seconds hold (Calf, Hamstrings, Gluteal muscles and Iliotibial band) 10 repetitions x 3 sets, 3 alternate days per week. Patellar Mobilization in all four directions 10 repetitions x 3 sets, 3 alternate days per week. Total 18 sessions were given in 06 weeks.<br>|
| Active Comparator: Traditional Physical Therapy<br>This group received quadriceps strengthening along with patellar mobilization and stretching exercises. | Other: Traditional Physical Therapy<br>* Elastic resisted training of Quadriceps (5-7 seconds hold) 10 repetitions x 3 sets, 3 alternate days per week. Static Stretching of 5 seconds hold (Calf, Hamstrings, Gluteal muscles and Iliotibial band) 10 repetitions x 3 sets, 3 alternate days per week. Patellar Mobilization in all four directions 10 repetitions x 3 sets, 3 alternate days per week. Total 18 sessions were given in 06 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain Rating Scale (NPRS) | Changes from baseline- The Numeric Pain Rating Scale is a self-reported, or clinician administered, measurement tool consisting of a numerical point scale from 0-10 with extreme anchors of '0-no pain' to '10-extreme pain'. The scale ranges most commonly from 0-10 or 0-100, and can be administered in written or verbal form. 0 means  no pain ands 10 or 100 means Worst pain imaginable | 6 weeks | 
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) | Changes from baseline- The Western Ontario and McMaster Universities Osteoarthritis Index is a tested questionnaire to assess symptoms and physical functional disability in patients with Osteoarthritis of the knee and the hip. The function dimension explores the degree of difficulty in 17 activities. Its score ranges from 0-96. 0 represents the best health status and 96 the worst possible status | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Five Times Sit to Stand Test (FTSST) | Changes from baseline- Five time Sit-to-Stand Test was related to lower-extremity proprioception, postural sway, strength, and visual contrast sensitivity. Various methods have been used in an attempt to determine how well older adults can rise from a chair have suggested repeating the chair rise 5 times. | 6 weeks |