Calisthenic and Neuromuscular Training in Patients With Knee OA.

April 15, 2022 updated by: Riphah International University

Effect of Calisthenics and Neuromuscular Training in Patients With Knee Osteoarthritis.

The aim of the study is to compare effects of calisthenics and neuromuscular training in patients with knee osteoarthritis.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

OsteoArthristis (OA) is the most frequent form of arthritis and a leading cause of pain and disability worldwide. OA can affect any synovial joint, although the hip, knee, hand, foot and spine are the most commonly affected sites.

The knee is the most commonly affected joint and knee OA (KOA) represents the leading joint disorder in the world. At present, there is no preventive or curative drug treatment available for KOA.

Physical therapy plays a significant role in treating patients with knee OA. Rehabilitation enables the patient to cope with their daily task independently and mainly focus on self-help and patient-driven treatments rather than on passive therapies delivered by clinicians.

A systemic review was conducted on Comparative Effect of Calisthenics and Proprioceptive Exercises on Pain, Proprioception, Balance and Function in Chronic Osteoarthritis of Knee. According to this study Light intensity Calisthenics exercises are effective and can be recommended as an adjunct to conventional physiotherapy for the patients with Osteoarthritis knee.

Another research was conducted on Efficacy of Neuromuscular Training on Pain, Balance and Function in Patients with Grade I and II Knee Osteoarthritis. The results shows that although conventional exercise program is effective in reducing knee pain, and increasing lower extremity muscle strength and range of motion, adding neuromuscular training (KBA) along with conventional exercise program in rehabilitation leads to higher improvement on balance and function in patient with knee grade I and II osteoarthritis.

A positive effect has been observed in treating patients with both the interventions.

The past research records are evident that therapists have determined individual effects of calisthenics and neuromuscular training for rehabilitation of Knee OA. The evidence for implementation of two protocols for rehabilitation of Knee OA is sparse. So the aim of the study is to compare effects of calisthenics and neuromuscular training in patients with knee osteoarthritis.

Study Type

Interventional

Enrollment (Actual)

36

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

  • Pakistan
    • Punjab
      • Rawalpindi, Punjab, Pakistan
        • Riphah International University

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:

  1. Subjects with chronic OA (symptoms for more than 3 months).
  2. Subjects willing to participate and take treatment.
  3. Grade of 2 to 3 as per Kellegren and Lawrence radiographic classification.

Exclusion Criteria:

  1. Subjects having any systemic joint pathologies, inflammatory joint disease (e.g.

    Rheumatoid arthritis, gouty arthritis, psoriatic arthritis).

  2. Subjects who had any neurological deficit (paresthesia, sensory loss, radiculopathy, myelopathy any mental illness (Dementia, Alzheimer's, Parkinson disease etc.) that can affect orientation and concentration.
  3. Subjects on medication like antidepressants, corticosteroid, and anti-inflammatory medications.
  4. Peripheral vascular diseases.
  5. Any history of surgery related to lower extremity.
  6. Subjects having metal implants in the lower limb

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Calisthenic Training
Calisthenic Training Group
Other: Calisthenic Training

Calisthenic Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

  1. Abductor-Adductor leg raise
  2. Alternate toe touch
  3. Knee Bend
  4. Prone leg extension
  5. Forward Lunges
  6. Toe Raise/ Calf raise Progressive training include following exercises.

1. Leg Lifts 2. Jack Twists 3. Side Lunges 4. Short bridge 5. Calf Raise with weight.

Other Names:
  • Group A
Other: Neuromuscular Training

Neuromuscular Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

  1. Up and down step exercise in posterior and lateral directions.
  2. Walking in anterior and posterior
  3. Directions with eyes opened and eyes closed.
  4. Walking in lateral direction with eyes opened and eyes closed.
  5. Standing on one extremity
  6. Inclination in anterior and lateral direction with eyes opened and closed. Progressive training includes following exercises.

1. Up and down on Bosu exercise. 2. Plantar flexion on minitrampoline. 3. Standing on one extremity on Bosu. 4. Standing on one extremity on minitrampoline

Other Names:
  • Group B
Experimental: Neuromuscular Training Group
Other: Calisthenic Training

Calisthenic Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

  1. Abductor-Adductor leg raise
  2. Alternate toe touch
  3. Knee Bend
  4. Prone leg extension
  5. Forward Lunges
  6. Toe Raise/ Calf raise Progressive training include following exercises.

1. Leg Lifts 2. Jack Twists 3. Side Lunges 4. Short bridge 5. Calf Raise with weight.

Other Names:
  • Group A
Other: Neuromuscular Training

Neuromuscular Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.

  1. Up and down step exercise in posterior and lateral directions.
  2. Walking in anterior and posterior
  3. Directions with eyes opened and eyes closed.
  4. Walking in lateral direction with eyes opened and eyes closed.
  5. Standing on one extremity
  6. Inclination in anterior and lateral direction with eyes opened and closed. Progressive training includes following exercises.

1. Up and down on Bosu exercise. 2. Plantar flexion on minitrampoline. 3. Standing on one extremity on Bosu. 4. Standing on one extremity on minitrampoline

Other Names:
  • Group B

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
WOMAC(Western Ontario and McMaster Universities Osteoarthritis Index)
Time Frame: 6 weeks
Changes are measured from baseline. This test is used to measure physical function. The maximum score is 96 Higher the score the worst is pain, stiffness and physical function.
6 weeks
NPRS(Numeric pain rating scale)
Time Frame: 6 weeks
Changes are measured from baseline. The test is used to measure pain. It score ranges from 0 to 10 with 0 indicating no pain and 10 is for pain as severe as possible
6 weeks
Short Physical Performance Battery
Time Frame: 6 weeks
Changes are measured from baseline. The test is used to measure balance ,lower extremity strength and functional capacity with maximum score of 12. Score less than 10 indicates disability.
6 weeks
Mini BES-Test
Time Frame: 6 weeks
Changes are measured from baseline. It is 36 items scales that evaluates Balance with total score of 28
6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Study Chair: Aruba Saeed, PhD*, Riphah International University

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)

November 11, 2021

Primary Completion (Actual)

January 30, 2022

Study Completion (Actual)

January 30, 2022

Study Registration Dates

First Submitted

November 18, 2021

First Submitted That Met QC Criteria

December 29, 2021

First Posted (Actual)

December 30, 2021

Study Record Updates

Last Update Posted (Actual)

April 18, 2022

Last Update Submitted That Met QC Criteria

April 15, 2022

Last Verified

April 1, 2022

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/00956 Tayyeba Majid

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

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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