Proprioception and BRACE Training in Knee Osteoarthritis

Comparison Of Brace (Balance, Resistance, Aerobic, Cognitive Exercise) And Proprioceptive Training On Balance And Mobility In Knee Osteoarthritis

Knee osteoarthritis is common joint disorder in older adults. The prevalence of osteoarthritis is increasing in the elderly population and due to obesity.The aim of this study to compare improvement in balance between BRACE and proprioceptive training in knee osteoarthritis and to compare mobility level between proprioceptive and BRACE in knee osteoarthritis

Study Overview

• Status: Completed
• Conditions: Osteoarthritis Knees Both
• Intervention / Treatment: Behavioral: BRACE; Behavioral: Propirioceptive training

Detailed Description

Knee osteoarthritis is common joint disorder in older adults. The prevalence of osteoarthritis is increasing in the elderly population and due to obesity. Balance disorder generally disturbed equilibrium and increase risk of fall. There is lack of proprioceptive sensation in patients with knee osteoarthritis. The aim of this study to compare improvement in balance between BRACE and proprioceptive training in knee osteoarthritis and to compare mobility level between proprioceptive and BRACE in knee osteoarthritis. Randomized control trial study of 8 week follows up. Sample size will be 22. The patients will be divided into 2 groups BRACE and proprioceptive training. The patients will get training section for 3 days per week for 8 weeks. The measurement will be taken at base line, after 8 weeks. Study duration will be 6 months. Individuals of age 50-70 year, Mini-mental state examination (MMSE) 20 or higher, Berg Balance Scale (BBS) 30-45 points, Experience of at least one fall during the previous 12 months, both Males and Females will be include. Patients will be excluded if they exhibited history of cardiovascular or musculoskeletal diseases, previously used medication for the central nervous system, occurrence of lower limbs lesions or fractures in last six months. Assessment tools will be MMSE, Berg balance scale, TUG, CTSIB, 6 minute walk test. Data will be analyzed through SPSS 20. Data will be check for its normality, within groups comparison paired sample T-test, between groups independent sample T-test will be used

• Study Type: Interventional
• Enrollment (Actual): 22
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Faisalābad, Punjab, Pakistan, 38000
      • Independent University Hospital, faisalabad

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Age 50-70 years.
• Both Males and Females
• Knee osteoarthritis unilateral and bilateral (12).
• American College of Rheumatology (ACR) criteria for diagnosing osteoarthritis of knee joint is presence of pain in knee joint plus any three of six factors listed below (13).
• Age more than 50 y
• Presence of crepitus on active motion
• Less than 30 min of morning stiffness
• Bony tenderness
• Bony overgrowth
• No palpable warmth of synovium
• Mini-mental state examination (MMSE) 23 or higher (14).
• Berg Balance Scale (BBS) 30-45 points (4)

Exclusion Criteria:

• History of stroke during the previous 12 months

• History of cardiovascular or musculoskeletal diseases,

  • Previously used medication for the central nervous system.
• Presence of lower limb lesions or fractures in the last six months

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Proprioception training; Researcher give proprioception protocol to one group	Behavioral: Propirioceptive training; 1st Phase - Steady phase (1st set: Eyes Open, 2nd set: Eyes Close) Preserve standup position Equally heels up and down Preserve standup on one leg by turns
Experimental: Brace; Researcher give BRace training to one group	Behavioral: BRACE; Balance training,Static balance: Romberg with eye open & eye close [30 sec repeat 3 times]; Tandem standing with eye open then with eye close. Right foot front first, then left foot front [10 Sec repeat 3 times]; Single leg stance 5 repetition with sec. Static/Dynamic/Anti-cipatory Postural Control: Sit to stand: 5 repetition; Functional reach test: forward, sideways & cross reach, practice 1 min for each; TUG test: with distance of 10 feet & time 10 sec. practice 2 min Cognitive exercises 1) Count reverse from 50 Repeat with eyes open and close Reps of 30s for each 2) Push wall and reverse count from 20 3) Remember 5 words, Name 5 animals, Repeat 5 words

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Berg balance scale	it is measure of dynamic and static balance	20 minutes
Time up and go test	it is also measure of static and dynamic balance	less than 3 minutes
clinical test of sensory interaction on balance	test for balance	20 minutes

Collaborators and Investigators

• Sponsor: khadija liaquat

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2020
• Primary Completion (Actual): November 1, 2020
• Study Completion (Actual): November 1, 2020

Study Registration Dates

• First Submitted: March 1, 2021
• First Submitted That Met QC Criteria: March 1, 2021
• First Posted (Actual): March 4, 2021

Study Record Updates

• Last Update Posted (Actual): August 14, 2023
• Last Update Submitted That Met QC Criteria: August 8, 2023
• Last Verified: August 1, 2023

More Information

Terms related to this study

• Keywords: proprioception training, balance, BBS,
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: Riphah IU Ali

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No