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
연구 개요
상세 설명
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Samrood Akram, PhD*
- 전화번호: 03324806143
- 이메일: samrood.akram@riphah.edu.pk
연구 장소
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Punjab Province
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Lahore, Punjab Province, 파키스탄, 54000
- University of Lahore Teaching Hospital, Lahore HOD Physio Department
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: 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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활성 비교기: 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 |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Numeric Pain Rating Scale (NPRS) - Pain Assessment
기간: 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)
기간: 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
기간: 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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공동 작업자 및 조사자
수사관
- 수석 연구원: Arooj Sohail, MSPT*, Riphah International University
간행물 및 유용한 링크
일반 간행물
- 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.
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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