Effectiveness of Joint Distraction Versus Passive End Range Overpressure in Osteoarthritis:
Comparative Effectiveness of Joint Distraction Versus Passive End Range Overpressure in Managing Knee Osteoarthritis: A Randomized Clinical Trial
調査の概要
状態
詳細な説明
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
Punjab Province
-
Faisalābad、Punjab Province、パキスタン、3800
- The University of Faisalabad
-
-
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
- Patients diagnosed with Grade 2 or Grade 3 Knee Osteoarthritis.
- A Kellgren-Lawrence Grade (KLG) of at least 2.
- Age between 40-60 years.
- Knee pain for at least 6 months.
- A minimum pain score of 3 on the Visual Analogue Scale (VAS).
Exclusion Criteria
- Acute inflammation.
- Total Knee Replacement (TKR) surgery.
- Any lumbar spine disease (disc herniation or lumbar stenosis).
- Intra-articular injection.
- Recent tibia or femur fracture.
- Any systemic inflammatory arthritic condition or neurological condition (e.g., rheumatoid arthritis or stroke).
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 |
|---|---|
|
実験的：GROUP A
The joint distraction is the manual approach in knee osteoarthritis.
This is very efficient in managing pain, to increase range of motion and reduce stiffness of joint due to osteoarthritis.
|
The joint distraction is the manual approach in knee osteoarthritis. This is very efficient in managing pain, to increase range of motion and reduce stiffness of joint due to osteoarthritis. A specialized greave would be created to distract the knee joint. Using a platform beneath the lower leg to create counterpressure, the knee would be put in flexion while sustained traction will be performed for 20 minutes while the patient would be in a supine posture. In each session, the traction would be adjusted to the patients' perceived threshold. The least amount of work that caused patients to get distracted would be employed as a diversion |
|
実験的：GROUP B
The passive joint end-range overpressure is the technique of Maitland grade IV which is performed passively.
End-range Individual Maitland mobilizations were carried out at the tibiofemoral joint.
|
The passive joint end-range overpressure is the technique of Maitland grade IV which is performed passively.
End-range Individual Maitland mobilizations were carried out at the tibiofemoral joint.
Depending on the patient's level of pain and tolerance, an oscillatory accessory approach using Grade III or IV was carried out.
Patients positioned their knees in their true end range while lying supine on the plinth.
The most limited or reproducible knee pain was caused by the accessory approach that was employed.
By moving the therapist's body without making any additional movements, the physical contact accurately replicated the hand position of the mobilization.
For three minutes, Maitland mobilization was carried out twice at a rate of one oscillation every one or two seconds, with a 30-second break in between
|
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 |
|---|---|---|
|
pain intensity
時間枠：4 months
|
Primary Outcome Measure Pain Tool Used: Visual Analogue Scale (VAS) The Visual Analogue Scale (VAS) was used to assess the patient's pain level. Participants were asked to rate their pain on a scale from 0 to 10. 0 = No pain 1-3 = Mild pain 4-6 = Moderate pain 7-10 = Severe pain This scale was used to categorize the intensity of pain experienced by patients with knee osteoarthritis. |
4 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Quality of Life / Broader Function
時間枠：4 months
|
Quality of Life / Broader Function Tool Used: KOOS Questionnaire (Knee Injury and Osteoarthritis Outcome Scale. The KOOS questionnaire was used to assess: Pain Symptoms Activities of Daily Living (ADLs) Sport and Recreation Function Knee-related Quality of Life It contains 42 items divided into five sections: Pain = 9 items Symptoms = 7 items Activities of Daily Living = 17 items Sport and Recreation Function = 5 items Quality of Life = 4 items Each item is scored from 0 to 4. Maximum score: 42 items × 4 = 168 Interpretation (Percentage Based): < 40% = Extreme disability 40-59% = Severe problems 60-79% = Moderate problems 80-99% = Mild disability This questionnaire evaluates the overall impact of knee osteoarthritis on function and quality of life.4 months |
4 months
|
|
Disability
時間枠：4 months
|
Secondary Outcome Measures 1) Osteoarthritis Symptoms and Functions Tool Used: WOMAC Questionnaire (Western Ontario McMaster Universities Osteoarthritis Index) The WOMAC questionnaire was used to assess: Pain Stiffness Physical function It contains 24 items divided into three sections: Pain = 5 items Stiffness = 2 items Physical Function = 17 items Each question has 5 response options ranging from None to Extreme. Scoring: Each item = 0-4 points Pain section total = 20 Stiffness section total = 8 Physical function section total = 68 Total WOMAC score = 96 Interpretation: 0-30 = Mild 31-60 = Moderate 61-96 = Severe The higher the score, the greater the symptoms and functional limitations. |
4 months
|
|
Passive Range of Motion
時間枠：4 months
|
Passive Range of Motion Tool Used: Goniometer A goniometer was used to assess joint range of motion. The instrument consists of three parts: Moving Arm - aligned with the body segment that moves. Stationary Arm - aligned with the body segment that remains stationary. Fulcrum - positioned over the joint being assessed. The goniometer was used to measure the knee joint's range of motion before and after treatment. |
4 months
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
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)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Joint distraction GROUP Aの臨床試験
-
University of Management and Technology Sialkot...招待による登録