Effects of Hip Abductors Strengthening In Knee Osteoarthritis

Comparison of Hip Abductors and Quadriceps Strengthening With Quadriceps Strengthening Alone in Knee Osteoarthritis

The aim of my study is to determine the effects of hip abductors strengthening and quadriceps strengthening in comparison with quadriceps strengthening alone in patients with knee osteoarthritis.

Study Overview

• Status: Completed
• Conditions: Osteoarthritis Knees Both
• Intervention / Treatment: Other: Hip Abductor Strengthening; Other: Traditional Physical Therapy

Detailed Description

As the quadriceps strengthening is a keystone of exercise therapy for knee osteoarthritis. Thus is the hip abductors strengthening along with quadriceps strengthening would be added to the treatment protocol of osteoarthritis it might give more positive results, decrease pain and increase the recovery rate as well as helpful to improve the functional outcomes.

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Khyber Pakhtunkhwa
    • Mansehra, Khyber Pakhtunkhwa, Pakistan, 21300
      • Khattak Physiotherapy and Rehabilitation Center

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Osteoarthritis of single or both knees
• Kellgren Lawrence scale between 2-4

Exclusion Criteria:

• Knee valgus or varus deformity
• Hip or knee joint replacement
• Tibial osteotomy
• Any other surgery of hip or knee joint

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: Hip Abductor Strengthening; This group received quadriceps and hip abductor strengthening along with patellar mobilization and stretching exercises.	Other: Hip Abductor Strengthening; Elastic resisted training of Hip Abductors (5-10 seconds hold) 10 repetitions x 3 sets, 3 alternate days per week. Elastic resisted training of Quadriceps (5-7 seconds hold) 10 repetitions x 3 sets, 3 alternate days per week. Static Stretching of 5 seconds hold (Calf, Hamstrings, Gluteal muscles and Iliotibial band) 10 repetitions x 3 sets, 3 alternate days per week. Patellar Mobilization in all four directions 10 repetitions x 3 sets, 3 alternate days per week. Total 18 sessions were given in 06 weeks.
Active Comparator: Traditional Physical Therapy; This group received quadriceps strengthening along with patellar mobilization and stretching exercises.	Other: Traditional Physical Therapy; Elastic resisted training of Quadriceps (5-7 seconds hold) 10 repetitions x 3 sets, 3 alternate days per week. Static Stretching of 5 seconds hold (Calf, Hamstrings, Gluteal muscles and Iliotibial band) 10 repetitions x 3 sets, 3 alternate days per week. Patellar Mobilization in all four directions 10 repetitions x 3 sets, 3 alternate days per week. Total 18 sessions were given in 06 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain Rating Scale (NPRS)	Changes from baseline- The Numeric Pain Rating Scale is a self-reported, or clinician administered, measurement tool consisting of a numerical point scale from 0-10 with extreme anchors of '0-no pain' to '10-extreme pain'. The scale ranges most commonly from 0-10 or 0-100, and can be administered in written or verbal form. 0 means " no pain" ands 10 or 100 means "Worst pain imaginable"	6 weeks
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)	Changes from baseline- The Western Ontario and McMaster Universities Osteoarthritis Index is a tested questionnaire to assess symptoms and physical functional disability in patients with Osteoarthritis of the knee and the hip. The function dimension explores the degree of difficulty in 17 activities. Its score ranges from 0-96. 0 represents the best health status and 96 the worst possible status	6 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Five Times Sit to Stand Test (FTSST)	Changes from baseline- Five time Sit-to-Stand Test was related to lower-extremity proprioception, postural sway, strength, and visual contrast sensitivity. Various methods have been used in an attempt to determine how well older adults can rise from a chair have suggested repeating the chair rise 5 times.	6 weeks

Collaborators and Investigators

• Sponsor: Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2021
• Primary Completion (Actual): January 15, 2021
• Study Completion (Actual): January 30, 2022

Study Registration Dates

• First Submitted: February 20, 2022
• First Submitted That Met QC Criteria: March 8, 2022
• First Posted (Actual): March 9, 2022

Study Record Updates

• Last Update Posted (Actual): March 9, 2022
• Last Update Submitted That Met QC Criteria: March 8, 2022
• Last Verified: March 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: Riphah/RCRS/REC/00940

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