Home Based Hip Strengthening for Knee OA Patients

Study Overview
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Brief Summary
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In knee osteoarthritis patients, weakness of hip abductor muscles is considered an important contributing factor leading to the progression of the disease.

Detailed Description
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Osteoarthritis is the most common type of disease that results from an abnormality in joint function. Osteoarthritis(OA) is a condition that is characterized by progressive loss of articular cartilage of a joint and causes pain. Yamda et al. found that the strength of hip adductors increases with the severity of the disease. This reflects that more use of these muscles lower knee adductor moment 54. Considering this research, knee loads can be altered by strengthening hip muscles. Pakistan is listed in 3rd world countries and the poverty index is high. Many patients show reluctance in going to clinics for the physiotherapeutic management of knee OA. So, the present research intends to investigate the effects of home-based hip strengthening exercise on pain, functions, and range of motion in elderly knee osteoarthritis patients.

Official Title
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Effects of Home-based Hip Strengthening Exercises on Pain, Range of Motion and Functional Disability in Knee Osteoarthritis Patients: a Randomized Controlled Trial

Conditions
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Knee Osteoarthritis

Intervention / Treatment
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* Other: conventional group
* Other: experimental group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The age group was from 40 to 60 years. Both males and females were included. Average knee pain on walking >3 on an 11-point scale (NPRS) (0 no pain; 10 maximal pain). participants can walk independently without any assistive devices Diagnosed patients of grade II & III of Kallgren and Lawrence scale for knee osteoarthritis referred by an orthopaedic surgeon Exclusion Criteria: History of osteoporosis. Leg length discrepancy or structural deformity Knee surgery or TKR. Corticosteroid injection in knee joint Systemic arthritic condition History of tibiofemoral and patellofemoral replacement Any other neurological and muscular condition affecting the lower limb Any history of radiculopathy.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 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
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Conventional group<br>Patients will be given thermal therapy with the hot pack for 20 minutes followed by Conventional physiotherapy will consist of a set of exercises. The exercise components willl be chosen based on previous studies (Deyle 2000) and will comprises of stretches of lower limb muscles (gastrocnemius, soleus and hamstring) isometric quadriceps work straight leg raising Joint mobilization includes anteroposterior (AP) glide of the tibia on the femur the patella glides in all directions Subjects will participate in a 45-minute physical therapy session, on alternate days weekly for 6 weeks, in our centre under the close surveillance of a physical therapist. A total of 24 sessions will be given to this group. | Other: conventional group<br>* this group will perform conventional therapy<br>|
| Experimental: interventional group<br>Patients in this group will perform home-based hip Strengthening exercises to strengthen hip abductor and adductor muscles. Six different home-based exercises will be taught. This group will have 3 sessions in 1st week in the hospital under the supervision of a trained physiotherapist just to teach them and ensure that patients are doing exercises correctly on their own. After that, patients will perform exercises 5 days at home and 1 session at the hospital per week. The therapist will be trained to deliver different exercises and adjust the intensity of exercise accordingly advise the participants to complete 10 repetitions of every exercise at home96. Abduction in side-lying Abduction in standing Standing wall isometric hip abduction Hip Adduction in side-lying Hip abduction in a standing position Towel press | Other: experimental group<br>* this group will perform home based exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| intensity of Pain | The numerical Pain Rating Scale will be used to measure pain. | baseline data | 
| intensity of Pain | The numerical Pain Rating Scale will be used to measure pain. | at the end of 6th week | 
| Range of Motion | A goniometer will be used to measure a range of motion. | baseline data | 
| Range of Motion | A goniometer will be used to measure a range of motion. | at the end of 6th week | 
| Functional Disability | KOOS Scale will be used to measure functional disability. | baseline data | 
| Functional Disability | KOOS Scale will be used to measure functional disability. | at the end of 6th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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home-based exercise plan, obesity, osteoarthritis, functional disability