Clinical trial NCT03470090: The Effects of Neuromuscular Exercises Training on Physical Activity, Functionality and Balance in Knee Osteoarthritis
Official title: Assessment Effects of Neuromuscular Exercises Training on Physical Activity, Functionality and Balance in Knee Osteoarthritis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Exercise
Osteoarthritis
Keywords: Physical activity
Function
Balance
Neuromuscular exercises
Osteoarthritis
Lead sponsor: Inonu University
Sponsor class: OTHER
First posted: 2018-03-19
Enrollment: 81
Sex: ALL
Minimum age (years): 35
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Experimental, Randomized Controlled Study
Primary purpose: TREATMENT

Brief summary: This study was planned to evaluate the effect of neuromuscular exercise program on physical activity, functionality and balance in patients with knee osteoarthritis aged 35-65 years.

Detailed description: The degeneration that occurs in the osteoarthritis of the knee joint leads to the loss of proprioception, resulting in the misalignment of the mechanoreceptors in that region, the joint stabilization is impaired, the muscles do not fulfill the protective role and the joint neuromuscular is inadequate for control. Neuromuscular control is the subcortical activity of effector structures against stimulation with mechanoreceptor, visual, and vestibular affinities. Proprioception, kinesthesia, sensation of joint position, visual and vestibular information constitute sensory data; functional motor patterns, dynamic joint stability and reactive neuromuscular control motor efferent response definitions. Disturbance of neuromuscular control of the muscles also affects walking and balance with abnormal weight transfer. There are many ways to treat knee osteoarthritis such as patient education, weight control, different physical therapy modalities (hot, cold, electrotherapy, deep heat), exercise, pharmacological treatments (topical, systemic, intraarticular). There is no radical treatment of osteoarthritis to restore structural changes; but with the treatment applied, findings such as pain and loss of function of the individual can be reduced and the patients become more independent in daily life activities. Surgical treatment is the last resort in osteoarthritis. In osteoarthritis( OA), there is no pharmacological method to treat the deformed joint structure that will change the course of the disease. This situation significantly increases the importance of rehabilitation in the treatment of osteoarthritis. The aim of neuromuscular rehabilitation that reestablish and regulated features such as dynamic joint stability, reactive neuromuscular control, functional motor patterns. Rehabilitation programs created for this purpose include balance exercises, strengthening exercises, postural control, functional exercises, postural orientation, flexibility, agility, plyometric exercises, spore-specific exercises. neuromuscular exercise program includes 7 parameters including functional mobility, functional stability, sensorimotor system training, proprioceptive neuromuscular facilitation training techniques, plyometric exercises, reactive neuromuscular system training, technical training. Main purpose of this study is that the effect of neuromuscular exercise program on physical activity, functionality and balance in patients with knee osteoarthritis.

Eligibility criteria: Inclusion Criteria:

* patients with knee osteoarthritis,
* individuals without a physical disability,
* person in an age range 35- 65 years,
* Having no any knee surgeon,
* Mentally that is sufficient to make assessments,
* Who want to be involved voluntary work,
* Ability to adjust the training program
* Individuals who received informed consent

Exclusion Criteria:

* Individuals who do not allow mental evaluation
* Individuals who do not want to be involved in voluntary work.
* Clinical study refused to participate in.

Primary outcomes:
measure: Change from Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) of patients with knee osteoarthritis at 6 weeks.
timeFrame: 6 weeks
Secondary outcomes:
measure: Changed from Visual Analog Scale (VAS) of patients with knee osteoarthritis at 6 weeks.
timeFrame: 6 weeks
measure: Change from International Physical Activity Questionnaire (IPAQ) Short Form of patients with knee osteoarthritis at 6 weeks.
timeFrame: 6 weeks
measure: Change from Y Balance Test of patients with knee osteoarthritis at 6 weeks.
timeFrame: 6 weeks
measure: Change from 2000 International Knee Documentation Committee (IKDC) of patients with knee osteoarthritis at 6 weeks.
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Malatya
country: Turkey
facility: Malatya Gozde Hospital
Study officials:
affiliation: Inonu University
name: Burcu Talu, PhD
role: PRINCIPAL_INVESTIGATOR
References: