Effect of High-Intensity Laser Therapy on Femoral Cartilage in Knee Osteoarthritis (HILT-KOA)
The Role of High-intensity Laser Therapy on Femoral Cartilage Thickness in Patients With Knee Osteoarthritis
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Iqra Waseem, Ph.D Scholar
- Telefonnummer: +923347779399
- E-mail: iqra.waseem91@gmail.com
Studiesteder
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Punjab Province
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Lahore, Punjab Province, Pakistan, 55000
- London Aesthetics and Rejuvenation Center
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Kontakt:
- Ayesha Malik, MS
- Telefonnummer: 03047779396
- E-mail: ayeshabutt031@gmail.com
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Kontakt:
- Ishaq Ahmed, Ph.D. Physical Therapy
- Telefonnummer: 03344066463
- E-mail: ishaq.ahmed@uipt.uol.edu.pk
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Ledende efterforsker:
- Iqra Waseem, MS
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Male and female participants aged 40-60 years.
- Diagnosed with knee osteoarthritis (Kellgren-Lawrence grade II or III).
- Knee pain for at least 3 months.
- Visual Analogue Scale (VAS) score ≥ 3.
- Willing to provide written informed consent and comply with treatment and follow-up schedule.
Exclusion Criteria:
- History of knee surgery or traumatic knee injury.
- Inflammatory arthritis (e.g., gout, psoriatic arthritis).
- History of cancer or psychiatric illness.
- Cognitive disorders (e.g., Parkinson's disease, Alzheimer's disease).
- Severe comorbidities limiting exercise (e.g., severe COPD, heart failure, cerebrovascular event).
- Hip or ankle joint disability.
- Intra-articular knee injection within the past 3 months.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: High-Intensity Laser Therapy (HILT) + Conventional Physiotherapy
Participants in this group will receive High-Intensity Laser Therapy (HILT) using a Class IV laser (1064 nm wavelength) applied at eight standardized knee points according to WALT guidelines, along with conventional physiotherapy including hot moist pack, joint mobilization, and strengthening exercises.
Treatment will be given on alternate days for 4 weeks (12 sessions total).
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HILT will be administered using a Class IV laser applied perpendicularly at eight standardized knee points.
Both analgesic and biostimulation modes will be used.. Sessions will be conducted on alternate days for 4 weeks (12 sessions total).
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Aktiv komparator: Conventional Physiotherapy
Participants in this group will receive only conventional physiotherapy, including hot moist pack, patellofemoral and tibiofemoral joint mobilization, and a structured exercise program for quadriceps and hamstrings.
Treatment will be given on alternate days for 4 weeks (12 sessions total).
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Conventional physiotherapy includes hot moist pack application, manual joint mobilization, stretching, and strengthening exercises for quadriceps and hamstrings.
Sessions will be held on alternate days for 4 weeks (12 sessions total).
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Femoral Cartilage Thickness
Tidsramme: Baseline, Week 4
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Mean change in femoral cartilage thickness (mm) measured by high-frequency musculoskeletal ultrasound at three standardized sites - medial femoral condyle, intercondylar notch, and lateral femoral condyle.
The measurement will be performed using a 7-12 MHz linear probe following standardized scanning protocol
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Baseline, Week 4
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Pain Intensity
Tidsramme: Baseline, Week 2, Week 4
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Change in pain intensity will be measured using the Visual Analogue Scale (VAS), a 10-centimeter horizontal scale ranging from 0 to 10, where 0 will represent 'no pain' and 10 will represent the 'worst imaginable pain.' Higher scores will indicate worse pain.
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Baseline, Week 2, Week 4
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Western Ontario and McMaster Universities Arthritis Index (WOMAC)
Tidsramme: Baseline, Week 2, Week 4
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The Western Ontario and McMaster Universities Arthritis Index measures pain and functional disability and contains 24 questions: 5 for pain, 2 for joint stiffness, and 17 for physical function.
Each item is scored qualitatively as none, low, moderate, severe, or very severe, with equivalent numerical scores of 0, 1, 2, 3, and 4. Higher scores indicate a greater negative effect on quality of life
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Baseline, Week 2, Week 4
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Knee Range of Motion (ROM)
Tidsramme: Baseline, Week 2, Week 4
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Active knee flexion and extension measured using a universal goniometer.
Flexion is normally up to approximately 135 degrees.
Higher degrees of motion indicate better knee mobility.
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Baseline, Week 2, Week 4
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One-Leg Stance Test
Tidsramme: Baseline, Week 2, Week 4
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The participant will stand on one leg with hands on hips and the opposite knee flexed to approximately 90°, and the time maintained in this position will be recorded in seconds.
Maintaining the stance for at least 10 seconds will be considered the minimum threshold for functional balance.
A longer time will indicate better balance performance.
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Baseline, Week 2, Week 4
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Quadriceps Muscle Strength
Tidsramme: Baseline, Week 2, Week 4
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Change in quadriceps strength will be measured using Manual Muscle Testing (Oxford/MRC scale).
Muscle strength will be graded on a scale from 0 to 5, where 0 represents no muscle contraction and 5 represents normal strength against full resistance.
Higher scores will indicate better quadriceps strength
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Baseline, Week 2, Week 4
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- UOL/IREB/25/12/0033
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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