Effect of Biomechanical Correction in Medial Tibiofemoral Joint Osteoarthritis

Study Overview
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Brief Summary
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Effect of Biomechanical Correction of Tibia on Medial Joint space loading, Varus deformity and functional tasks in patients with medial tibiofemoral joint osteoarthritis in which participants will be taken. The outcome measures taken are Trauma CAD Software, NPRS, WOMAC and Goniometery will be measured at the baseline after 3rd week of the intervention.

Detailed Description
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Background: Knee osteoarthritis (KOA) are very prevalent chronic disease of the joint which causing the functional disability and pain specifically in older adults. Objective: Purpose of the study is to see that the biomechanical correction on the tibia and varus deformity is effective in the conventional treatment of participants with the KOA. Study Design: A Randomized single group Pretest-Post test Clinical Trial. Methodology: Total '5' subjects were included in the study with the age of 40 to 60 years based on exclusion and inclusion criteria. For the pain, the NPRS will be taken, goniometer taken for the measurement of range of motion, WOMAC will be taken for the physical activity measurement and CAD Software will be taken to see the alignment of the affected limb. Conventional treatment will also be given. Conclusion: Biomechanical correction shows the significant improvement and improves the subject's physical activity and reduces the pain and stiffness. Keywords: Obesity, Osteoarthritis, Pain and Physical therapy modalities

Official Title
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Effect of Biomechanical Corrections of Tibia on Medial Joint Space Loading, Varus Deformity and Functional Tasks in Patients With Medial Tibiofemoral Joint Osteoarthritis: A Quasi-Experimental Study

Conditions
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Osteoarthritis Knee

Intervention / Treatment
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* Other: Biomechanical corrections
* Other: Conventional Physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • 40-60 years of age paients will be included in this study BMI (25.1±4.2) kg/m2 Subjects with stiffness and knee pain Subjects with objection of pain in knee joint that was aggravated by performing 2 or more of the following functional activities: prolonged cross sitting, stair assents and descent, squatting and kneeling. Subjects who are willing to take participation Individuals who obeys the commands properly Individuals exhibiting the subsequent biomechanical changes on screening Q angle >12 degree for male and >15 degree for female, femoral anteversion, external tibial torsion >15 degree, lack of ≥ 5 degree of knee extension in supine position. Exclusion Criteria: • Knee meniscal injuries or ligament injuries Lately history of lower limb trauma and surgery In recent times fracture in lower extremity In lower extremity metal plantation Cardio vascular conditions Patella Dislocation/subluxation Abnormality in foot or deformity

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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Accepts Healthy Volunteers

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
Interventional Model Description: Single Group pre-test, post-test design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Biomechanical corrections<br>In this group, biomechanical correction will be perform with the help of mobilization with movement to correct biomechanical misalignment and along with this conventional treatment, in which Hydrocollatoral packs for 20 minutes, Interferential Therapy for 15 minutes with beat frequency 100 Hz, Sweep frequency 150 Hz and exercise program for 3 sessions of 20 minutes on alternative days for 3 weeks. Which will be given for three days a week for three weeks. | Other: Biomechanical corrections<br>* Biomechanical corrections is to be done to correct the varus deformity of knee joint and for pain management.<br>Other: Conventional Physiotherapy<br>* Conventional therapy includes Hydrocollatoral pack for 20 minutes, Interferential therapy for 15 minutes beat frequency 100 Hz, Sweep frequency 150 Hz and exercise program of 3 sessions for 20 minutes on alternative days for 3 weeks for management of knee osteoarthritis.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in lower limb alignment by Trauma CAD software | Trauma CAD Software will be used to measure the misalignment of the lower limb | Baseline, 3 weeks after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in pain level by Numeric Pain Rating Scale | This scale will be used for assessment of pain | Baseline, 3 weeks after intervention | 
| Change in joint range of motion by Goniometery | Use for range of motion measurement | Baseline, 3 weeks after intervention | 
| Change in physical performance | WOMAC will be used for assessment | Baseline, 3 weeks after intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obesity, Osteoarthritis, Physical Therapy Modalities