Efficacy of Hip Strengthening on Dynamic Knee Stability, Disability and Gait in Knee Osteoarthritis

Sponsor

Cairo University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT04509830

Collaborator

(none)

Enrollment

Arms

Anticipated Duration (Months)

Study Details

Study Description

Brief Summary

this study will be conducted to investigate the role of hip strengthening in improving dynamic knee stability, gait parameter, lower extremity strength and disability in knee osteoarthritis

Condition or Disease	Intervention/Treatment	Phase
Knee Osteoarthritis	Other: hip strengthening Other: quadriceps strengthening, stretch hamstring,cuff muscles	N/A

Detailed Description

knee osteoarthritis accounts for more than 80% of the total burden of the diseases. patients with knee osteoarthritis had worse spatiotemporal gait parameter and dynamic instabitity. there are significant hip muscle weakness in knee osteoarthritis. hip muscle weakness leads to improper alignment and stress in knee joint. hip muscle strength can affect knee joint loading and disease progression in knee osteoarthritis. muscles of the lower extremity play a critical role in the preservation of normal knee joint function by providing dynamic knee joint stability and shock absorption, while maintaining safe transfer of forces across the joint.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

88 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

randomized control trialrandomized control trial

Masking:

Double (Care Provider, Outcomes Assessor)

Masking Description:

double blinded

Primary Purpose:

Treatment

Official Title:

Efficacy of Hip Strengthening on Dynamic Knee Stability, Disability and Gait in Knee Osteoarthritis

Anticipated Study Start Date :

Jan 1, 2021

Anticipated Primary Completion Date :

Sep 1, 2021

Anticipated Study Completion Date :

Oct 1, 2021

Arms and Interventions

Arm	Intervention/Treatment
Experimental: hip strengthening resistance training for hip abductor, hip extensor, and hip external rotator will be performed.cuff weights will be used with 80% of 1 repetition maximum at 3 sets of 8 repetitions with 10-15 second rest between repetitions and 1-2 minute rest between sets.	Other: hip strengthening resistance training for hip abductor, hip extensor, and hip external rotator Other: quadriceps strengthening, stretch hamstring,cuff muscles multi-angle isometric quadriceps strengthening and hamstring and cuff self stretch
Active Comparator: quadriceps strengthening, stretch for hamstring,cuff muscles quadriceps strengthening: multi-angle isometric exercise from sitting position will be performed. cuff weights will be used with 3 sets of 12 repetitions at 40% of 1 reprtition maximum. self stretch for hamstring and cuff muscles from supine position. the procedure will be repeated 4 times.	Other: quadriceps strengthening, stretch hamstring,cuff muscles multi-angle isometric quadriceps strengthening and hamstring and cuff self stretch

Arm

Intervention/Treatment

Experimental: hip strengthening

resistance training for hip abductor, hip extensor, and hip external rotator will be performed.cuff weights will be used with 80% of 1 repetition maximum at 3 sets of 8 repetitions with 10-15 second rest between repetitions and 1-2 minute rest between sets.

Other: hip strengthening

resistance training for hip abductor, hip extensor, and hip external rotator

Other: quadriceps strengthening, stretch hamstring,cuff muscles

multi-angle isometric quadriceps strengthening and hamstring and cuff self stretch

Active Comparator: quadriceps strengthening, stretch for hamstring,cuff muscles

quadriceps strengthening: multi-angle isometric exercise from sitting position will be performed. cuff weights will be used with 3 sets of 12 repetitions at 40% of 1 reprtition maximum. self stretch for hamstring and cuff muscles from supine position. the procedure will be repeated 4 times.

Other: quadriceps strengthening, stretch hamstring,cuff muscles

multi-angle isometric quadriceps strengthening and hamstring and cuff self stretch

Outcome Measures

Primary Outcome Measures

dynamic knee stability [baseline]
dynamic knee stability will be measured by frontal plane projection angle

Eligibility Criteria

Criteria

Ages Eligible for Study:

40 Years to 65 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

age 40 to 65 years grade 2-3 on KL grade BMI 25 to 32 kg/m2 medial KOA

Exclusion Criteria:

lateral KOA intraarticular corticosteriod injection into knee within pervious 3 months significant comorbidity individuals with known hip osteoarthritis previous trauma affection one or both hips history of other medical conditions affecting the knee joint previous replacement of any joint in the lower extremity low back pain cognitive impairment

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Cairo University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

HebaAllah Elsayed Mohamed Elsaeed, head of physiotherapy department at Benha fever hospital, Cairo University

ClinicalTrials.gov Identifier:

NCT04509830

Other Study ID Numbers:

hip strength on KOA

First Posted:

Aug 12, 2020

Last Update Posted:

Dec 30, 2020

Last Verified:

Dec 1, 2020

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Osteoarthritis

Osteoarthritis, Knee

Study Results

No Results Posted as of Dec 30, 2020