Comapre Effects Of Proprioceptive Training And Core Instability Strength Training In Knee Osteoarthritis Patients

Study Overview
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Brief Summary
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This study aims to determine the influence of core instability exercises in comparison to proprioceptive training in relieving pain, improving balance and physical function in general population of knee Osteoarthritis. The objective is to achieve beneficial results of interventions which can be used in betterment of treatment plan.

Detailed Description
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A randomized control trial will be held at Safi hospital Faisalabad after the approval of the synopsis. The study will be double blinded clinical trial. Simple lottery method will be practiced to allocate subjects into two groups. Subjects are selected according to there explained inclusion exclusion criteria. The two groups are differentiated as control group and experimental group. Both the groups will be given the baseline intervention including TENS and Infrared. Along with baseline treatment control group will be given proprioceptive training and experimental group will be given core instability exercises. The evaluation is done before the research begin, after 6 weeks, after 12th week and Follow up on 16th week at the end of therapy. The outcomes will be assessed through Visual Analog Scale, Western Ontario and McMaster Universities Arthritis Index and Fullerton Advanced Balance scale. The data will be recorded pre and post treatment and compared after 12th week. Informed consent should be signed by each patient and analysis is done by Statistical Package of Social Sciences Version 21.

Official Title
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A Randomized Control Trial To Comapre The Effects Of Proprioceptive Training And Core Instability Strength Training On Balance,Pain And Physical Functions In Patients With Knee Osteoarthritis

Conditions
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Knee Osteoarthritis

Intervention / Treatment
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* Other: Conservational Physical Therapy and Proprioceptive Strength Training
* Other: Conservational Physical Therapy and Core Instability Strength Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Knee Osteoarthritis disease Kellgren Lawrence stage 1 to stage 4 Unilateral or Bilateral Knee Osteoarthritis Patient who are willing to participate Exclusion Criteria: History of any neurological condition e.g. Parkinson or vertigo. History of any past surgical procedure related to lower extremity. History of any chronic disease (hepatic, cardiac or renal diseases) which can affect the exercise training. History of severe orthopedic issues like fractures which may interfere in treatment sessions.
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
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Proprioceptive Strength Training<br>Conservation physical therapy includes TENS 15 min + Infrared 15 min simultaneously. Proprioceptive strength training for 30 min includes following exercises: Strengthening of Quadriceps Ankle extensors and Hip abductors strengthening Zigzag walking Heel to toe walk forward and backwards toe to heel Standing on one leg while holding wall, eyes open and eyes closed | Other: Conservational Physical Therapy and Proprioceptive Strength Training<br>* The proprioceptive training cycle consist of squats, single leg stand, slide steps , forward and backward step, toe walking , heel walking , side sway etc.<br>|
| Experimental: Core Instability Strength Training<br>Conservational therapy includes TENS for 15 min+ Infrared for 15 min simultaneously. Core instability strength training for 30 minutes includes following exercises: Quadriceps stretch, crook lying, abdominal hallowing Dynamic Hamstrings stretch Bridging arms at side Crook lying+lifting both legs at right angle with hands resting on thighs | Other: Conservational Physical Therapy and Core Instability Strength Training<br>* Core stability is essential part of lower limb rehabilitation; it is also known protocol which includes group of exercises in both standing and sitting improving biomechanics and functional performance of the body.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Kellgren Lawrence scale | Kellgren-Lawrence classification is typically applied within the context of knee Osteoarthritis. Based on the radiographic features, the severity of Osteoarthritis is given a grade from 0 to 4, with grade 0 signifying no presence of Osteoarthritis and grade 4 signifying severe Osteoarthritis. | 12th Week | 
| Visual Analogue Scale | Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. | 12th Week | 
| Fullerton Advanced Balance Scale | The Fullerton Advanced Balance Scale assesses both static and dynamic balance under varying sensory conditions. Balance is measured in this test in active older adults who have higher levels of function. | 12th Week | 
| Western Ontario and Mc Master Universities osteoarthritis Scale | The Western Ontario and McMaster Universities osteoarthritis scale is widely used to assess pain, stiffness, and function in patients with osteoarthritis of the hip or knee. | 12th Week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Proprioceptive Training, Core Instability, Strength Training, Knee Osteoarthritis, Randomized Control Trial, Balance, Physical Functions