Comparison of Quadriceps Strengthening and Kinesiotaping on Gait in Knee Osteoarthritis

Comparison of Concentric Quadriceps Strengthening and Facilitatory Kinesiotaping on Gait Parameters in Knee Osteoarthritis

The aim of this research is to determine the Effects of facilitatory Kinesio-taping and concentric quadriceps strengthening on gait parameters in knee osteoarthritis. Randomized clinical trials will be done at Physio Experts Clinic, Islamabad. The sample size is 38. The subjects were divided in two groups, with 19 subjects in Group A and 19 in Group B. Study duration was of 6 months. Sampling technique applied was Non probability Convenience Sampling technique. Both males and females of aged 50-60 years with Knee OA grade 2 or 3 were included. Tools used in the study are Numeric Pain Rating Score (NPRS), dynamometer, WOMAC questionnaire and Mobile app for measuring Temporospatial gait parameters.

Study Overview

• Status: Completed
• Conditions: Knee Osteoarthritis
• Intervention / Treatment: Other: group A concentric muscle training; Other: Group B fascilitatory kinesiotaping

Detailed Description

Osteoarthritis is one of the most common musculoskeletal disorders in adults. It is a degenerative joint disease affecting 15%-40% of people more than 40 years of age. The term osteoarthritis was authored in 1886 by the English doctor, John Kent Spender. Clinical assessment to recognize OA from RA and other comparable conditions turned out to be broadly acknowledged by the main decade of the twentieth century enormous because of the endeavors set forward by Archibald E.

Osteoarthritis is a degenerative joint condition that causes other joint tissues to lose gross cartilage and to experience morphological damage. Pathological changes seen in knee osteoarthritis joints include progressive loss and destruction of articular cartilage, thickening of the subchondral bone, formation of osteophytes, variable degrees of inflammation of the synovium, degeneration of ligaments and menisci of the knee and hypertrophy of the joint capsule. Biomechanical factor that is assumed to contribute to the etiology of OA is laxity of knee joint, which is described as the rotation or displacement of femur from tibia. One research found that Varus-valgus laxity in patients with unaltered knees and unilateral OA is wider than in stable healthy participants, indicating knee joint laxity may be disease predisposing. the progress of the lateral and medial knee OA, as defined by narrowing of joint space and a degradation of physical activity, was found to have been linked with lower limb valgus-Varus alignment.

The main focus in OA management is on promoting self-management, reducing pain, optimize function, and modifying the disease process and its effects. The primary treatment for OA knee conservatively is physiotherapy which includes strength training, modalities, knee bracing, resistance training and Kinesiotaping. Resistance exercise can reduce knee pain severity and leg strength in participants with symptomatic knee OA. Exercise interventions using free weights or machines have generally focused on movements with concentric muscle contractions. Previous interventions were developed based on loads lifted during the concentric phase.

Kinesiotape (KT), is an elastic woven-cotton strip with a heat- sensitive acrylic adhesive structure.

• Study Type: Interventional
• Enrollment (Actual): 38
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Capital
    • Islamabad, Capital, Pakistan, 46000
      • Physio Experts Clinic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years to 60 years (Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Adults of age 50- 60 years
• Presence of OA of the knee (using American College of Rheumatology criteria) for ≥6 months
• Knee pain due to tibiofemoral knee OA not from Patellofemoral OA
• Bilateral standing anterior-posterior radiograph demonstrating Kellgren and Lawrence OA grade 2 or 3

Exclusion Criteria:

• Knee surgery within last 12 months
• Lumber radiculopathy
• Vascular claudication
• Anterior knee pain due to diagnosed Patellofemoral syndrome/ chondromalacia
• Administered corticosteroid or hyaluronic injections within 3 months
• Any other MSK limitations
• Any cardiovascular problems

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: group A, Concentric Muscle Training; leg press, knee flexion, knee extension, Quad drills with 1 RM	Other: group A concentric muscle training; One set of each of the following exercises will completed during each session: leg press,; knee flexion,; knee extension,; Quad drills For each set, 12 repetitions will be performed at a resistance load of 60% of the one-repetition maximum (1RM) for that exercise. The exercises will be performed 2 times a week for 6 weeks.
Experimental: group B, Quadriceps Facilitatory Kinesiotaping; kinesiotaping on the quadriceps muscle in the faciliatory mode	Other: Group B fascilitatory kinesiotaping; Kinesiotaping is applied on the anterior thigh (quadriceps) region starting at 1/5 of the distance between anterosuperior iliac spine (ASIS) and tibia tuberosity. The tape is applied with 20% tension of the tape. The tape was tensioned from proximal region of mid quadriceps down to tibia tuberosity and, once it reached the knee, the tape was divided in the middle allowing it to circle the joint

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Temporo-spatial Gait Parameters:	Measurement of temporospatial gait parameters (gait velocity, cadence, step length, step width and single support time) and their assessment, and calculating normalized values using the mobile app	6 week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain Rating Score (NPRS):	Pain due to Knee OA was assessed using a numerical pain rating scale (NPRS), and scoring range 0, no pain, to 10, maximum pain.	6 week
Functional Status (WOMAC Questionnaire):	Functional Status is measured using WOMAC questionnaire. The WOMAC is a self-reported, lower extremity specific questionnaire and contains 24 questions: 17 on physical function, 5 on pain, and 2 on stiffness.	6 week
Strength	Strength is calculated using hand held dynamometer that offers a reliable and valid method to quantify quadriceps strength in a clinical environment	6 week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Aisha Razzaq, MSPT-OMPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2023
• Primary Completion (Actual): October 15, 2023
• Study Completion (Actual): October 30, 2023

Study Registration Dates

• First Submitted: January 22, 2023
• First Submitted That Met QC Criteria: January 30, 2023
• First Posted (Actual): January 31, 2023

Study Record Updates

• Last Update Posted (Actual): November 28, 2023
• Last Update Submitted That Met QC Criteria: November 25, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Keywords: Knee osteoarthritis; Kinesiotaping; Quadriceps
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: RiphahIU farhana Nasir

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