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Lower limb strengthening, especially the quadriceps training, is of much necessity for patients with knee arthroplasty. As the quadriceps strengthening exercises play a vital role in controlling gait pattern during walking and different activities. Vastus inetrmedius muscle responsible for the last 10 degree of knee extension. This enable the knee joint to be in locked position which is the stable position during gait.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Quadriceps Set & Terminal Knee Extension Exercises Group (Study Group) | Experimental |
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| Traditional Physical Therapy Group (Control Group) | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quadriceps Set Exercise | Procedure | Quadriceps knee set exercises was introduced with the patient in sitting position and pillow was placed under his knee joint then ask patient to dorsiflex his ankle and extend knee make hold 10 second then relax. Two exercises session per week for four week. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analoge Scale (VAS) | VAS is a straight horizontal line of usually 100 mm. The ends are defined as the extreme limits of the pain . It is orientated from the left (worst) to the right (least) pain. | Four weeks |
| Quadriceps Muscle Strength | it will be measured using a hand held dynamometer. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Range of Motion (ROM) | ROM of last ten degree of knee extension measured by goniometer | 4 weeks |
| Oxford Knee Score (OKS) | The OKS is a patient reported outcome measure that consists of 12 questions about an individual's level of function, activities of daily living and how they have been affected by pain over the preceding four weeks.The Oxford Knee Score (OKS) ranges from 0 to 48, 0 = Worst possible knee pain/function. 48 = Best possible knee pain/function. |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jouf University | Sakakah | Saudi Arabia |
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| Terminal Knee Extension | Procedure | Terminal knee extension exercise using Thera band was introduced with the patient in sitting or standing position and the theraband was placed around his knee joint. Two exercises session per week for four week. |
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| Traditional Physical Therapy | Procedure | Traditional physical therapy program will include passive stretching exercise to the hamstrings while the patient is supine lying flex the hip while the knee extended and hold for 30-45 seconds, strengthening exercise to the guadriceps muscle by extending the knee whie the patient is in the sitting position. |
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| 4 weeks |
| The Western Ontario and McMaster Universities Osteoarthritis Index (The WOMAC) | It is a questionnaire of 24-item. Self-administered tool used to assess pain, stiffness, and physical function in patients with hip and knee osteoarthritis. WOMAC Likert Version (0-96 total) Each item scored: 0 = none
| 4 weeks |