The Effect of Physical Therapy Modalities and Kinesio Taping in Patients With Knee Osteoarthritis

The Effect of Physical Therapy Modalities and Kinesio Taping on Kinesiophobia and Thickness of the Quadriceps Muscle in Patients With Knee Osteoarthritis

Osteoarthritis (OA) is the most common degenerative joint disease with pathological structural and functional disorders all over the world. 27 million patients diagnosed with osteoarthritis in the USA alone.(1-2)

Study Overview

• Status: Not yet recruiting
• Conditions: Knee Osteoarthritis; Knee Pain Chronic
• Intervention / Treatment: Other: physical therapy modalities and exercise; Other: kinesio taping and exercise; Other: exercise

Detailed Description

Osteoarthritis (OA) is the most common degenerative joint disease with pathological structural and functional disorders all over the world. 27 million patients diagnosed with osteoarthritis in the USA alone.(1-2) The primary risk factor for OA is age however ; It is a multifactorial disease, including injury and genetic mutations.(3-6) The knee is the most commonly involved joint in OA. In the United States, about 14 million people is presumed to have symptomatic knee osteoarthritis. Typical OA manifests as joint pain which is exacerbated by activity and relieved by rest. In advanced stage, pain at rest and at night and morning stiffness lasting no more than 20-30 minutes can be seen. (2) The diagnosis is based on a detailed anamnesis, a complete physical examination, and diagnostic imaging. Imaging findings include joint space narrowing, osteophytes, pseudocyst and subchondral sclerosis in the subchondral bone.(9) Pharmacological and non-pharmacological treatments are applied. Exercise, conventional physical therapy ( hotpack, therapeutic ultrasound, tens) and kinesioband are some of the non-pharmacological treatments.

• Study Type: Interventional
• Enrollment (Anticipated): 90
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Bolu, Turkey
    • Abant Izzet Baysal

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

over 50 ages Stage 2-3 osteoarthritis according to Kellgren Lawrence lectures

Exclusion Criteria:

Presence of acute infection The patient has a history of knee surgery Presence of rheumatological disease History of malignancy Major knee trauma Presence of crystal arthropathy Presence of acute trauma/fracture History of avascular necrosis The presence of contracture in the knee Using analgesic or anti-inflammatory drugs in the last 1 week Using oral or intramuscular corticosteroids in the last 3 months Intra-articular injection of the knee in the last 6 months Receiving physical therapy modalities from the knee area in the last 1 year Diseases such as dementia that may cause loss of cognitive functions

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: intervention group 1; 30 patient with osteoartritis will do knee strengthening exercise for half an hour a day,3 days a week. This exercise program will continue for 4 weeks. Also they will receive physical therapy modalities during two weeks for ten times. physical therapy modalities include hotpack, tens, ultrasound.	Other: physical therapy modalities and exercise; 30 patient with osteoartritis will do knee strengthening exercise for half an hour a day,3 days a week. This exercise program will continue for 4 weeks. Also they will receive physical therapy modalities during two weeks for ten times. physical therapy modalities include hotpack, tens, ultrasound.
Active Comparator: intervention group 2; 30 patient with osteoartritis will do knee strengthening exercise for half an hour a day,3 days a week. This exercise program will continue for 4 weeks. Also they will receive kinesio tape for their knee three times a week for two week	Other: kinesio taping and exercise; 30 patient with osteoartritis will do knee strengthening exercise for half an hour a day,3 days a week. This exercise program will continue for 4 weeks. Also they will receive kinesio tape for their knee three times a week for two week
Active Comparator: control group; 30 patient with osteoartritis will do knee strengthening exercise for half an hour a day,3 days a week. This exercise program will continue for 4 weeks.	Other: exercise; 30 patient with osteoartritis will do knee strengthening exercise for half an hour a day,3 days a week. This exercise program will continue for 4 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
tampa scala of kinesiophobia	It is developed to measure the fear of movement and reinjury. The scale will be measured at the beginning of the study and at the end of the fourth week, which corresponds to the end of the treatment	four weeks
thickness of the quadriceps muscle	Muscle hypertrophy is expected with regular isometric and isotonic exercises. In order to investigate the muscle effect of the treatments, the thickness of the quadriceps muscle will be measured with an ultrasound device. Measurement will be made at the beginning of the study and at the end of the fourth week, which corresponds to the end of the treatment	four weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
western ontario and mcmaster universities osteoarthritis index	The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a widely used, to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints. Measurement will be made at the beginning of the study and at the end of the fourth week, which corresponds to the end of the treatment	four weeks
visual analog scale	The visual analog scale (VAS) is used to measure pain. The patient indicates where his/her condition is appropriate above a 100 mm line. For example, for pain, there is no pain at one end and very severe pain at the other end, and the patient marks his/her condition on this line. Measurement will be made at the beginning of the study and at the end of the fourth week, which corresponds to the end of the treatment	four weeks

Collaborators and Investigators

• Sponsor: Abant Izzet Baysal University

Study record dates

Study Major Dates

• Study Start (Anticipated): January 21, 2022
• Primary Completion (Anticipated): March 21, 2022
• Study Completion (Anticipated): April 21, 2022

Study Registration Dates

• First Submitted: January 14, 2022
• First Submitted That Met QC Criteria: January 14, 2022
• First Posted (Actual): January 27, 2022

Study Record Updates

• Last Update Posted (Actual): January 27, 2022
• Last Update Submitted That Met QC Criteria: January 14, 2022
• Last Verified: January 1, 2022

More Information

Terms related to this study

• Keywords: exercise; ultrasound; kinesiophobia; kinesio tape; therapeutic ultrasound
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: ao...1

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