Evaluation of the Efficiency of Propioceptive Study According to Radiological Stages in Patients With Knee Osteoarthritis

Study Overview
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Brief Summary
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Evaluation of the Efficiency of Propioceptive Study According to Radiological Stages in Patients with Knee Osteoarthritis

Detailed Description
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Investigators divided patients with knee osteoarthritis into two groups. Group 1 consisted of stage 1 and stage 2 patients. Group 2 consisted of stage 3 and stage 4 patients. Proprioceptive training was applied in both groups. Investigators aim is to evaluate the effect of proprioceptive exercises on knee osteoarthritis according to the radiological level.

Official Title
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Evaluation of the Efficiency of Propioceptive Study According to Radiological Stages in Patients With Knee Osteoarthritis

Conditions
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Knee Osteoarthritis

Intervention / Treatment
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* Other: Proprioceptive training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed with knee osteoarthritis by a specialist physician using MRI, US or radiography and physical examination. Being between the ages of 35-70 Stage 1-2-3-4 according to Kellegran Lawrence (K-L) in radiological examination Exclusion Criteria: Having active synovitis Having received physical therapy in the last 6 months Those with neurological problems that affect walking Those with serious respiratory, central, peripheral, vascular and uncontrolled metabolic problems that will prevent exercise Has had lower extremity surgery in the past Intra-articular steroid injections within the last 6 months Using psychoactive drugs Those with serious vision, hearing and speech disorders Patients with vestibular dysfunction will not be included in the study

Ages Eligible for Study
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Minimum Age: 35 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: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1<br>This group includes patients with grade 1 and grade 2 knee osteoarthritis. | Other: Proprioceptive training<br>* Proprioceptive exercises were applied to both groups. In addition to these exercises, balance, coordination and strengthening exercises will also be applied to both groups.<br>|
| Experimental: Group 2<br>This group includes patients with grade 3 and grade 4 osteoarthritis. | Other: Proprioceptive training<br>* Proprioceptive exercises were applied to both groups. In addition to these exercises, balance, coordination and strengthening exercises will also be applied to both groups.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proprioception Sense | The sense of proprioception will be measured using a digital goniometer. It will be repeated 3 times. The average will be recorded | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Western Ontario and McMaster Universities Arthritis Index (WOMAC) | The scale consists of 3 main headings and 24 questions. It is scored between 0 and 100. There is a negative correlation between scoring and functionality. | Evaluation will be performed before treatment and after 4 weeks rehabilitation program. | 
| Visual Analogue Scale (VAS) | The levels of pain is felted at rest / activity / night will be measured using Visual Analogue Scale (VAS)..Patients will be asked to evaluate their pain status with a 10-point scale and high scores are positively correlated with pain | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 
| Pressure Pain Threshold Measurement | A digital algometer will be used for Pressure Pain Threshold Measurement. Digital algometer is a device that objectively evaluates the pressure pain threshold. Low values indicate increased sensitivity and pain sensation. | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 
| Range of Motion (ROM) | Knee,food and hip ROM will be evaluated with digital goniometer while the patient will be in supine and prone position. | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 
| Timed Up and Go Test (TUG) | The scale consists of 7 questions measuring the physical activity of the individual in the last 7 days. The activity level is determined according to the scale score. | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 
| Manual Muscle Test | Manual Muscle Test is a procedure for the evaluation of strength of individual muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM. | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 
| Short Form 36 (SF-36) | SF-36 will be used to assess physical and mental health-related quality of life. The total score is at least 0 and at most 100, and the high scores are positively correlated with high quality of life. | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 
| Global Rating of Change (GRC) Scale | Global Rating of Change (GRC) scale will be used to assess the overall satisfaction levels of the patients. Patients will be asked to evaluate their post-treatment status with a 5-point likert scale and high scores are positively correlated with satisfaction. | 4 weeks | 
| International Physical Activity Scale (IPAQ) | The scale consists of 7 questions measuring the physical activity of the individual in the last 7 days. The activity level is determined according to the scale score. | Evaluation will be performed at Baseline (before treatment) and 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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knee osteoarthritis, rehabilitation, exercise, physiotherapy, propioception