Evaluation of the Efficiency of Propioceptive Study According to Radiological Stages in Patients With Knee Osteoarthritis

Sponsor

Istanbul University (Other)

Overall Status

Recruiting

CT.gov ID

NCT06150170

Collaborator

(none)

Enrollment

Location

Arms

3.8

Anticipated Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Evaluation of the Efficiency of Propioceptive Study According to Radiological Stages in Patients with Knee Osteoarthritis

Condition or Disease	Intervention/Treatment	Phase
Knee Osteoarthritis	Other: Proprioceptive training	N/A

Detailed Description

We divided patients with knee osteoarthritis into two groups. Group 1 consisted of stage 1 and stage 2 patients. Group 2 consisted of stage 3 and stage 4 patients. Proprioceptive training was applied in both groups. Our aim is to evaluate the effect of proprioceptive exercises on knee osteoarthritis according to the radiological level.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

34 participants

Allocation:

Non-Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

Evaluation of the Efficiency of Propioceptive Study According to Radiological Stages in Patients With Knee Osteoarthritis

Actual Study Start Date :

Nov 21, 2023

Anticipated Primary Completion Date :

Dec 21, 2023

Anticipated Study Completion Date :

Mar 15, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Group 1 This group includes patients with grade 1 and grade 2 knee osteoarthritis.	Other: Proprioceptive training Proprioceptive exercises were applied to both groups. In addition to these exercises, balance, coordination and strengthening exercises will also be applied to both groups.
Experimental: Group 2 This group includes patients with grade 3 and grade 4 osteoarthritis.	Other: Proprioceptive training Proprioceptive exercises were applied to both groups. In addition to these exercises, balance, coordination and strengthening exercises will also be applied to both groups.

Arm

Intervention/Treatment

Experimental: Group 1

This group includes patients with grade 1 and grade 2 knee osteoarthritis.

Other: Proprioceptive training

Proprioceptive exercises were applied to both groups. In addition to these exercises, balance, coordination and strengthening exercises will also be applied to both groups.

Experimental: Group 2

This group includes patients with grade 3 and grade 4 osteoarthritis.

Other: Proprioceptive training

Proprioceptive exercises were applied to both groups. In addition to these exercises, balance, coordination and strengthening exercises will also be applied to both groups.

Outcome Measures

Primary Outcome Measures

Proprioception Sense [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
The sense of proprioception will be measured using a digital goniometer. It will be repeated 3 times. The average will be recorded

Secondary Outcome Measures

The Western Ontario and McMaster Universities Arthritis Index (WOMAC) [Evaluation will be performed before treatment and after 4 weeks rehabilitation program.]
The scale consists of 3 main headings and 24 questions. It is scored between 0 and 100. There is a negative correlation between scoring and functionality.
Visual Analogue Scale (VAS) [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
The levels of pain is felted at rest / activity / night will be measured using Visual Analogue Scale (VAS)..Patients will be asked to evaluate their pain status with a 10-point scale and high scores are positively correlated with pain
Pressure Pain Threshold Measurement [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
A digital algometer will be used for Pressure Pain Threshold Measurement. Digital algometer is a device that objectively evaluates the pressure pain threshold. Low values indicate increased sensitivity and pain sensation.
Range of Motion (ROM) [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
Knee,food and hip ROM will be evaluated with digital goniometer while the patient will be in supine and prone position.
Timed Up and Go Test (TUG) [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
The scale consists of 7 questions measuring the physical activity of the individual in the last 7 days. The activity level is determined according to the scale score.
Manual Muscle Test [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
Manual Muscle Test is a procedure for the evaluation of strength of individual muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM.
Short Form 36 (SF-36) [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
SF-36 will be used to assess physical and mental health-related quality of life. The total score is at least 0 and at most 100, and the high scores are positively correlated with high quality of life.
Global Rating of Change (GRC) Scale [4 weeks]
Global Rating of Change (GRC) scale will be used to assess the overall satisfaction levels of the patients. Patients will be asked to evaluate their post-treatment status with a 5-point likert scale and high scores are positively correlated with satisfaction.
International Physical Activity Scale (IPAQ) [Evaluation will be performed at Baseline (before treatment) and 4 weeks]
The scale consists of 7 questions measuring the physical activity of the individual in the last 7 days. The activity level is determined according to the scale score.

Eligibility Criteria

Criteria

Ages Eligible for Study:

35 Years to 70 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Diagnosed with knee osteoarthritis by a specialist physician using MRI, US or radiography and physical examination.
Being between the ages of 35-70
Stage 1-2-3-4 according to Kellegran Lawrence (K-L) in radiological examination

Exclusion Criteria:

Having active synovitis

Having received physical therapy in the last 6 months
Those with neurological problems that affect walking
Those with serious respiratory, central, peripheral, vascular and uncontrolled metabolic problems that will prevent exercise
Has had lower extremity surgery in the past
Intra-articular steroid injections within the last 6 months
Using psychoactive drugs
Those with serious vision, hearing and speech disorders
Patients with vestibular dysfunction will not be included in the study