Effects of Sahrmann's Approach Versus Conventional Treatment Oin Patients With Knee Osteoarthritis
Effects of Sahrmann's Approach Versus Conventional Treatment on Pain, Valgus Angle and Functional Disability in Patients With Knee Osteoarthritis
調査の概要
詳細な説明
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Samrood Akram, PhD*
- 電話番号：03324806143
- メール：samrood.akram@riphah.edu.pk
研究場所
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Punjab Province
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Lahore、Punjab Province、パキスタン、54000
- University of Lahore Teaching Hospital, Lahore HOD Physio Department
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参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Males and females between 40 to 60 years of age.
- Diagnosed patients of knee Osteoarthritis with grade 2.
- Valgus angle of knee > 10°.
Exclusion Criteria:
- Any other inflammatory conditions.
- Rheumatoid arthritis, ankylosing spondylitis or any other auto immune disorder
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：Sahrmann's exercises
Dr. Shirley Sahrmann's Movement System Impairment (MSI) approach for knee osteoarthritis operates on the kinesiopathologic model: it asserts that repetitive faulty movement patterns and sustained improper alignments-not just age or wear-are primary drivers of joint stress and cartilage breakdown
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アクティブコンパレータ：Standard Physical therapy
Comparator group patients will receive, Conventional treatment exercises. • ROMs, SLR, VMO's and Quadriceps strengthening, Partial squatting, Terminal knee extension ROM, ITB, Hamstrings and gastrocnemius stretching |
Comparator group patients will receive, Conventional treatment exercises. • ROMs, SLR, VMO's and Quadriceps strengthening, Partial squatting, Terminal knee extension ROM, ITB, Hamstrings and gastrocnemius stretching |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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Numeric Pain Rating Scale (NPRS) - Pain Assessment
時間枠：upto 4 weeks
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The Numeric Pain Rating Scale (NPRS) is a unidimensional, patient-reported outcome measure used to assess pain intensity. Participants are asked to rate their current pain level, or average pain over a specified recall period (e.g., past 24 hours or past week), using an 11-point scale ranging from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst imaginable pain." The NPRS is widely used in musculoskeletal and orthopedic conditions due to its simplicity, high responsiveness, and strong psychometric properties. It demonstrates excellent reliability (test-retest reliability ICC > 0.80) and good construct validity in chronic pain populations including knee osteoarthritis. |
upto 4 weeks
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Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) - Functional Outcome (Knee OA)
時間枠：upto 4 weeks
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The WOMAC Osteoarthritis Index is a disease-specific, self-administered questionnaire designed to evaluate symptoms and functional status in patients with hip and knee osteoarthritis. It consists of 24 items divided into three subscales: Pain (5 items) Stiffness (2 items) Physical Function (17 items) Each item is typically scored using a 5-point Likert scale (0 = none to 4 = extreme), or alternatively via a visual analog format depending on study design. Total scores are summed, with higher scores indicating greater pain, stiffness, and functional disability. |
upto 4 weeks
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Universal Goniometer (UG) - Valgus Angle Measurement
時間枠：upto 4 weeks
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The Universal Goniometer (UG) is a standard clinical instrument used to measure joint angles and assess alignment. In this study, it will be used to measure the knee valgus angle, which reflects medial-lateral alignment of the lower limb in the frontal plane. The participant is typically assessed in a standing anatomical position, with landmarks aligned at: Anterior superior iliac spine (ASIS) Center of patella Ankle/midline of tibia or second toe alignment (depending on protocol standardization) The stationary arm of the goniometer is aligned with the femur, while the movable arm follows the tibial shaft. The angle between these segments represents the dynamic or static valgus alignment, depending on whether assessment is static posture or functional task-based measurement. Changes in valgus angle will be used to assess biomechanical alignment improvements following the intervention. |
upto 4 weeks
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協力者と研究者
捜査官
- 主任研究者：Arooj Sohail, MSPT*、Riphah International University
出版物と役立つリンク
一般刊行物
- Mohamed SHP, Alatawi SF. Effectiveness of Kinesio taping and conventional physical therapy in the management of knee osteoarthritis: a randomized clinical trial. Ir J Med Sci. 2023 Oct;192(5):2223-2233. doi: 10.1007/s11845-022-03247-9. Epub 2022 Dec 17.
- Hamood R, Tirosh M, Fallach N, Chodick G, Eisenberg E, Lubovsky O. Prevalence and Incidence of Osteoarthritis: A Population-Based Retrospective Cohort Study. J Clin Med. 2021 Sep 21;10(18):4282. doi: 10.3390/jcm10184282.
- Ramazanian T, Yan S, Rouzrokh P, Wyles CC, O Byrne TJ, Taunton MJ, Maradit Kremers H. Distribution and Correlates of Hip-Knee-Ankle Angle in Early Osteoarthritis and Preoperative Total Knee Arthroplasty Patients. J Arthroplasty. 2022 Jun;37(6S):S170-S175. doi: 10.1016/j.arth.2021.12.009. Epub 2022 Feb 21.
- Mousavi F, Kajbafvala M, Mohsenifar H, Salehi R, Hejazi A. The effect of movement system impairment-based classification treatment compared to routine physiotherapy on pain, disability, alignment, and movement impairments in individuals with tibiofemoral rotation syndrome: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2024 Apr 25;16(1):94. doi: 10.1186/s13102-024-00883-9.
- Coaccioli S, Sarzi-Puttini P, Zis P, Rinonapoli G, Varrassi G. Osteoarthritis: New Insight on Its Pathophysiology. J Clin Med. 2022 Oct 12;11(20):6013. doi: 10.3390/jcm11206013.
- Mohammad Jabbar K, Gandomi F. The effects of national academy of sports medicine and sahrmann training on foot pressure distribution in flexed posture students. Iranian Rehabilitation Journal. 2021;19(1):99-110.
- Zamani P, Kalantari KK, Fashkhami AN, Baghban AA, Mehravar M, Yazdi MS. Efficacy of treatment based on the movement system impairment classification in people with knee pain: a study protocol. Iran Red Crescent Med J. 2022;24:e1767.
- Nouman M, Shabnam J, Anwar S, Perveen W, Alexe DI, Sanchez-Gomez R, Sava MA, Alexe CI. Effect of Iliotibial Band Myofascial Release Combined with Valgus Correction Exercise on Pain, Range of Motion, Balance, and Quality of Life in Patients with Grade II Knee Osteoarthritis: A Randomized Clinical Trial. Life (Basel). 2024 Oct 27;14(11):1379. doi: 10.3390/life14111379.
- Kalunke A. A Comparative Study on the Effectiveness of Rhythmic Stabilization Technique (PNF) and Conventional Physiotherapy in the Treatment of Knee Osteoarthritis. Journal of Internal Medicine and Pharmacology (JIMP). 2024;1(03):50-8.
- MohammedSadiq HA, Rasool MT. Effectiveness of home-based conventional exercise and cryotherapy on daily living activities in patients with knee osteoarthritis: A randomized controlled clinical trial. Medicine (Baltimore). 2023 May 5;102(18):e33678. doi: 10.1097/MD.0000000000033678.
- Arslan Y, Kul A. Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. Turk J Osteoporos. 2022;28(2):83-90.
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
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最終確認日
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