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to determine the supplementary effects of Kaltenborn sustained stretch mobilization when combined with resistance training in the management of knee osteoarthritis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Resistance exercise + joint mobilization | Experimental |
| |
| Resistance Exercise | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Resistance Exercise Training | Procedure | Resistance Exercise Training for knee |
|
| Measure | Description | Time Frame |
|---|---|---|
| Knee Pain | Knee Pain will be quantified using Numeric Pain Rating Scale (NPRS). NPRS is a 11 point scale form 0-10. Lower Score on NPRS signifies less pain, whereas higher score on NPRS signifies more pain. | 4 weeks |
| Physical Function | To determine the physical function related to knee osteoarthritis Western Ontario and McMaster Universities Arthritis Index (WOMAC) will be used with a total of 24 items and a higher score on WOMAC signifies poor outcome. | 4 weeks |
| Isometric Muscle Strength | Modified Sphygmomanometer will be used to measure isometric muscle strength of the muscles of the knee joint. A higher score signifies greater strength. | 4 weeks |
| Functional Mobility strength | 5 repetition sit to stand test will be used to determine functional mobility strength. Less time to complete the task signifies better outcome. | 4 weeks |
| Cadence | Observational gait analysis will be used to determine cadence. A higher score signifies better outcome. | 4 weeks |
| Gait velocity | Observational gait analysis will be used to determine cadence. A higher score signifies better outcome. | 4 weeks |
| Stride length | Observational gait analysis will be used to determine cadence. A higher score signifies better outcome. |
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Inclusion Criteria:
Grade I-III knee OA Both male and female nee osteoarthritis for at least 3 months knee pain no more than 8/10
Exclusion Criteria:
Malignancy Any additional Inflammatory disorders Infection Knee trauma lower limb fracture Lumbar radiculopathy or myelopathy knee surgery Intra-articular steroid therapy in the last 2 months Total knee replacement (TKR). Total hip replacement (THR). Any neurological disorder Any cardio-pulmonary complications Rheumatoid arthritis Septic arthritis Recent history of trauma Osteoporosis or osteomyelitis Grade IV osteoarthritis
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| Name | Affiliation | Role |
|---|---|---|
| Anas Hameed | Foundation University Islamabad | Principal Investigator |
| Muhammad Osama | Foundation University Islamabad | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University Islamabad | Islamabad | Federal | 66000 | Pakistan |
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| Joint Mobilization | Procedure | Tibiofemoral and Patellofemoral Joint Mobilization |
|
| 4 weeks |
| Knee range of motion (ROM) | Gonimeter will be used to measure knee range of motion.. A higher score signifies better outcome. | 4 weeks |
| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| D055070 | Resistance Training |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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