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Joint mobilization and resistance exercise training are effective conservative treatment options for the management of osteoarthritis. However, currently no study has highlighted the supplementary effects of resistance training in addition to joint mobilization in people suffering from knee osteoarthritis. The current study is aimed at bridging the gap in literature and providing evidence regarding the additive impact of resistance training to joint mobilization in knee osteoarthritis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Comparator | Active Comparator |
| |
| Experimental Group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Joint Mobilization | Procedure | Patellofemoral and tibiofemoral joint mobilization |
|
| Measure | Description | Time Frame |
|---|---|---|
| Walking related performance fatigability | Walking related performance fatigability will be measured using 6 minute walk test. Greater fatigability indicates poorer outcome. | 4 weeks |
| Stride Length | Gait analysis will be done to analyze stride length. A greater stride length signifies positive outcome and prognosis. | 4 weeks |
| Gait velocity | Gait analysis will be done to analyze gaot velocity. A greater gait velocity signifies positive outcome and prognosis. | 4 weeks |
| Knee Pain | Knee Pain will be measured using visual analogue scale (VAS) from 0-100mm. A higher score on VAS indicated greater pain. | 4 weeks |
| Knee range of motion | Knee range of motion will be measured using a goniometer. A higher ROM signifies positive outcome. | 4 weeks |
| Functional Disability | Knee functional disability will be assessed using Knee Osteoarthritis and Outcome Score (KOOS) with a score ranging from 0-100. A lower score on KOOS signifies greater functional disability. | 4 weeks |
| Isometric Muscle Strength | Isometric Muscle Strength will be quantified using dynamometer. A higher score on dynamometer signifies greater muscle strength and good prognosis. | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wania Maheen, DPT | Foundation University Islamabad | Principal Investigator |
| Muhammad Osama, PhD* | Foundation University Islamabad | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation Univeristy Islamabad | Islamabad | Pakistan |
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Double arm parallel design RCT
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| Resistance Exercise Training | Procedure | Lower limb resistance exercise training |
|
| Transcutaneous Electric Nerve Stimulation (TENS) | Device | Transcutaneous Electric Nerve Stimulation (TENS) |
|
| Heating Pad | Device | Heating pad for heat therapy |
|
| Functional capacity | 5 repetition sit to stand test will be used to determine knee related functional capacity, which will be quantified in terms of time. A smaller time will denote greater functional capacity. | 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 |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| 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 |
| D004599 | Electric Stimulation Therapy |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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