- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03848130
Effects of Lateral Wedge Insoles, Knee Taping on the Management of Knee Osteoarthritis
July 26, 2019 updated by: Rabbiya Riaz, Isra University
Knee osteoarthritis (OA) is a degenerative, progressive and wide spread disease, which may lead the patient to severe outcomes e.g.
pain, loss of joint motion, inflexibility, disability and decreases the quality of life (QOL).
As it affects the adults of older age, therefore should be emphasized.Effectiveness of Mulligan knee taping, lateral wedge insoles and traditional physical therapy(Ultrasound therapy with stretching and strengthening exercises) with home exercises as baseline treatment were assessed through RAPA and complete KOOS questionnaire.
Study Overview
Status
Completed
Conditions
Detailed Description
A total of 60 patients with medial compartment 3rd grade knee osteoarthritis were recruited and randomly divided into three groups, 20 in each group.The data was collected through general demographic questionnaire, rapid assessment of physical activity (RAPA) to determine physical activity level and Knee injury and Osteoarthritis Outcome Score (KOOS) to determine the level of pain severity, stiffness, functional activities, recreational activities and Quality of life for enhancing functional independence while having osteoarthritis.
For between-group analysis, one way ANOVA was used and for within-group analysis longitudinal repeated measures analysis of variance (RM-ANOVA) with Tukey's multiple comparisons test was used.
Study Type
Interventional
Enrollment (Actual)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Punjab
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Rawalpindi, Punjab, Pakistan
- Rabbiya Riaz
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
40 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Knee OA in the age group of 40-70 year.
- Knee OA due to aging.
- Knee OA due to family history
Exclusion Criteria:
- Knee OA due to Trauma.
- Knee OA due to any knee pathology.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Knee Taping with Home Exercises (Group 1)
Knee osteoarthritis patients were assessed by general demographic questionnaire, rapid assessment of physical activity (RAPA) to determine physical activity level and Knee injury and Osteoarthritis Outcome Score (KOOS) to determine the level of pain severity,stiffness, functional activities, recreational activities and Quality of life for enhancing functional independence and were assigned into knee taping group.Each subject in first group completed 4 weeks of physical therapy sessions which were aimed to decrease pain and stiffness, increase functional activity level, and improve quality of life.
Each subject was evaluated for changes in symptoms on, 1st week, 2nd week, 3rd week and 4th week.
|
Each patient in group I i.e. taping group with home exercises was given 40 minutes session.
Each session started in sitting or lying position with leg extended and mulligan tape was used.
Taping was started in the middle of patella, at the level of superior aspect of patella and pulled the tape medially and fixed the tape at medial border.
This tilts the lateral border of patella away from femur and produced skin wrinkling.
Besides this, home exercises such as quads isometrics and self stretchings & ROMs were also guided.
This session was repeated three times a week for one month (Total 12 sessions/ one month).
|
Active Comparator: Lateral wedge insoles with Home Exercises (Group 2)
Knee osteoarthritis patients were assessed by general demographic questionnaire, rapid assessment of physical activity (RAPA) to determine physical activity level and Knee injury and Osteoarthritis Outcome Score (KOOS) to determine the level of pain severity,stiffness, functional activities, recreational activities and Quality of life for enhancing functional independence and were assigned into lateral wedge insole group.Each subject in second group completed 4 weeks of physical therapy sessions which were aimed to decrease pain and stiffness, increase functional activity level, and improve quality of life.
Each subject was evaluated for changes in symptoms on, 1st week, 2nd week, 3rd week and 4th week.
|
Each patient in group II i.e. lateral wedge insole with home exercises group was given 20-minute session.
In each session, Lateral wedge insoles of 7mm made of silicon or ledos material were advised and home exercises in the same way.
This session was repeated once a month but evaluations were obtained after a complete week for one month.
(Total 4 sessions/one month)
|
Active Comparator: Traditional Physiotherapy with Home Exercises (Group 3)
Knee osteoarthritis patients were assessed by general demographic questionnaire, rapid assessment of physical activity (RAPA) to determine physical activity level and Knee injury and Osteoarthritis Outcome Score (KOOS) to determine the level of pain severity,stiffness, functional activities, recreational activities and Quality of life for enhancing functional independence and were assigned into traditional physiotherapy group.Each subject in third group completed 4 weeks of physical therapy sessions which were aimed to decrease pain and stiffness, increase functional activity level, and improve quality of life.
Each subject was evaluated for changes in symptoms on, 1st week, 2nd week, 3rd week and 4th week.
|
Each patient in group III i.e. traditional physiotherapy with home exercises group was given 40 to 45-minute session.
Each session started in lying position.
In each session, therapeutic ultrasound with 1.5MHz frequency and continuous mode for 7 minute was given.
Then passive stretchings of the following muscle groups was done; calf, hamstring, quadriceps, hip flexors and hip adductors & abductors and followed by strengthening exercises manually and with quadriceps bench.
Home exercises were guided in the same way.
This session was repeated 3 to 4 times a month.
(Total 12 to 16 sessions/ one month)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knee injury and osteoarthritis outcome pain score
Time Frame: Upto 4 weeks
|
Pain associated with daily tasks is measured through Knee injury and osteoarthritis outcome pain score scale with categories as "None" for no pain and "Extreme" for maximum pain value.
|
Upto 4 weeks
|
Knee injury and osteoarthritis outcome stiffness score
Time Frame: Upto 4 weeks
|
It is also measured through Knee injury and osteoarthritis outcome stiffness score scale with categories as "None" for no pain and "Extreme" for maximum pain value.
|
Upto 4 weeks
|
Knee injury and osteoarthritis outcome functional status score
Time Frame: Upto 4 weeks
|
Degree of difficulty in performing daily tasks associated with knee joint is measured through Knee injury and osteoarthritis outcome functional status score in categories as "None" for no difficulty in task and "Extreme" for maximum difficulty in performing task.
|
Upto 4 weeks
|
Knee injury and osteoarthritis outcome quality of life score
Time Frame: Upto 4 weeks
|
Quality of life regarding knee joint disease is measured through Knee injury and osteoarthritis outcome quality of life score in categories as according to patient's satisfaction.
|
Upto 4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rapid Assessment Physical Activity scale
Time Frame: Upto 4 weeks
|
Physical activity level of the patients was also observed through rapid assessment of physical activity with categories as "0" for No involvement and "1" for yes and the results showed that those who are involved in any type of physical activity have a better functional outcome.
|
Upto 4 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 21, 2019
Primary Completion (Actual)
July 25, 2019
Study Completion (Actual)
July 25, 2019
Study Registration Dates
First Submitted
January 25, 2019
First Submitted That Met QC Criteria
February 19, 2019
First Posted (Actual)
February 20, 2019
Study Record Updates
Last Update Posted (Actual)
July 29, 2019
Last Update Submitted That Met QC Criteria
July 26, 2019
Last Verified
July 1, 2019
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IIRS-1509/PDPT/010
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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