Control of Edema in the Knee in Patients With Knee Osteoarthritis

Study Overview
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Brief Summary
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The aim of this study was to compare the effectiveness of exercise and classical massage in the control of knee edema in patients with knee osteoarthritis.

Detailed Description
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This study will be a prospective randomized controlled study. It is planned to include 75 patients with knee osteoarthritis in this study. It was categorized as osteoarthritis(OA) stages according to Kellgren-Lawrence criteria. Patients were randomly divided into three groups. the investigators first group is the control group (KG) and this group will receive classical physical therapy with ultrasound and subcutaneous electrical nerve stimulation. Exercise therapy will be applied to the second group in addition to the classical physical therapy applied to the KG. The third group will be given classical massage in addition to the classical physical therapy applied to the KG. The treatments to be applied to the patients will be 3 sessions per week and it is planned to continue for 4 weeks. Knee edema, pain severity, functional status and daily life activities will be measured at the beginning and in the 4th week of the patients. The data obtained will be analyzed statistically.

Official Title
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Comparison of the Effectiveness of Exercise and Classical Massage in the Control of Edema in the Knee in Patients With Knee Osteoarthritis.

Conditions
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Knee Osteoarthritis, Edema, Edema Leg

Intervention / Treatment
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* Other: conventional physiotherapy
* Other: exercises for the knee area
* Other: payment oriented massage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between the ages of 30-65 Patients with a diagnosis of osteoarthritis in stage 2 and stage 3 according to Kellgren-Lawrence criteria(1) and also with measurable edema Exclusion Criteria: Inability to continue treatment regularly situations that prevent you from doing the exercise inflammation that interferes with massage.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: classical physical therapy, exercise therapy, classical massage
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>commensal physiotherapy will be applied | Other: conventional physiotherapy<br>* ultrasound electrotherapy cold applications<br>|
| Experimental: exercise group<br>exercises will be given | Other: conventional physiotherapy<br>* ultrasound electrotherapy cold applications<br>Other: exercises for the knee area<br>* range of motion exercises strengthening exercises exercises to reduce edema<br>|
| Experimental: massage group<br>massage will be done | Other: conventional physiotherapy<br>* ultrasound electrotherapy cold applications<br>Other: payment oriented massage<br>* 10 / 15-minute massage treatments to reduce payment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knee Injury and Osteoarthritis Outcome Score | It is used to detect symptoms and restrictions in current work that individuals do in daily life. The test is collected under 2 main headings, consisting of 6 questions about the effect of symptoms and 8 sub-activities that question the status of the activity. The answer to each question in the test is scored between 0-5. The scores that the person gets from each question are added together and these scores are divided by 70 and multiplied by 100. High score means low quality of life. | 4 weeks | 
| Western Ontario and McMaster Universities Osteoarthritis Index | Pain, joint stiffness and functional status; Evaluated with the Arthritis Index of Western Ontario and McMaster Universities. The scale is a disease-specific, multidimensional, self-administered health status tool used in hip or knee osteoarthritis27. It consists of 24 questions on pain, stiffness and physical disability and is approximately 10 min. can be completed in Western Ontario and McMaster Universities Osteoarthritis Index consists of 24 questions under three sub-headings. Pain consists of 5 questions, stiffness 2 questions and function 17 questions. Each sub-parameter is scored between 0-4 points. Accordingly, it is classified as pain (0-20), stiffness (0-8) and function (0-68). A high score indicates poor health, a low score indicates good health. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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massage