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Effects of Sahrmann's Approach Versus Conventional Treatment Oin Patients With Knee Osteoarthritis

8. juni 2026 oppdatert av: Riphah International University

Effects of Sahrmann's Approach Versus Conventional Treatment on Pain, Valgus Angle and Functional Disability in Patients With Knee Osteoarthritis

Osteoarthritis (OA) of the knee, also referred to as degenerative joint disease, is normally due to wear and tear and progressive cartilage loss in the articular cartilage. Osteoarthritis is most prevalent condition among older adults. The objective of the study will be to compare the effects of Sahrmann's approach versus conventional treatment on pain, valgus angle and functional disability in patients with knee osteoarthritis.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

This randomized controlled trial will be conducted at Sehat Medical Complex, Hanjarwal and Sir Ganga Ram Hospital, Lahore. Sample size of the study will be 40. We will include the patients of age between 40-60 years, with diagnosis of knee osteoarthritis of grade 2, their pain intensity should be 3 points on NPRS and with gradual onset of pain from past 3 months, with valgus angle of knee > 10° and a positive HKA angle > 1° of valgus knee OA on radiographs. All the participants will be randomly divided into two groups. GROUP A which will be EXPERIMENTAL GROUP, will receive Sahrmann's approach protocol and GROUP B which will be CONTROL GROUP, will receive conventional treatment. Both groups will receive baseline treatment including hot pack/cold pack, TENS and basic exercises. The study will be comparing the effects of both treatments after 4 weeks, with 3 sessions per week on alternate days. Patients will be assessed by Numeric pain rating scale (NPRS) for pain, by Universal Goniometer (UG) for the assessment of valgus angle and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functioning of knee. Statistical Analysis will be done by statistical package for social sciences SPSS version 26.

Studietype

Intervensjonell

Registrering (Antatt)

40

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000
        • University of Lahore Teaching Hospital, Lahore HOD Physio Department

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Nei

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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
Annen: Sahrmann's exercises
  • with and without resistance band-SLR
  • with and without resistance band-Hip extension
  • with and without resistance band-clamshells
  • IT Band stretch
  • Squatting in front of mirror
  • with resistance band-lateral walk
  • Hip lateral rotation
Aktiv komparator: 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
Annen: standard physical therapy treatment

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

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Numeric Pain Rating Scale (NPRS) - Pain Assessment
Tidsramme: upto 4 weeks

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
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) - Functional Outcome (Knee OA)
Tidsramme: upto 4 weeks

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
Universal Goniometer (UG) - Valgus Angle Measurement
Tidsramme: upto 4 weeks

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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Riphah International University

Etterforskere

  • Hovedetterforsker: Arooj Sohail, MSPT*, Riphah International University

Publikasjoner og nyttige lenker

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Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. juli 2026

Primær fullføring (Antatt)

1. september 2026

Studiet fullført (Antatt)

1. oktober 2026

Datoer for studieregistrering

Først innsendt

8. juni 2026

Først innsendt som oppfylte QC-kriteriene

8. juni 2026

Først lagt ut (Faktiske)

11. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

11. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

8. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • REC/RCR&AHS/25/0112 Arooj

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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