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Knee osteoarthritis (OA) is a chronic, progressive musculoskeletal disorder, which is marked by degeneration of articular cartilage, subchondral bone remodeling, inflammation of the synovium, and limitation of knee joint function. It is also among the primary causes of chronic pains, disability, and diminished physical functions in middle-aged and older adults across the world. Knee OA clinically appears with pain in the joints, stiffness, crepitus, reduced mobility, muscle weakness, and gradual impairment of activities of daily living, which eventually affects independence and quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| In-Clinic Rehabilitation | Experimental | Hot pack (for 15 minutes) Strengthening Exercises
|
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| Tele-Rehabilitation | Experimental | Hot pack (for 15 minutes) Strengthening Exercises
|
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| In-Clinic Rehabilitation | Other | Hot Pack & Strengthening Exercises |
| |
| Measure | Description | Time Frame |
|---|---|---|
| WOMAC to assess knee function | The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is a widely used, self-administered 24-item questionnaire designed to evaluate pain, joint stiffness, and physical function in patients with knee or hip osteoarthritis. It measures these three dimensions to assess disease severity and treatment outcomes. | 6 Weeks |
| MMT to assess knee muscle strength | Manual Muscle Testing (MMT) is a generally valid and reliable tool for assessing muscle strength in patients with neuromusculoskeletal dysfunction, demonstrating good consistency, particularly in clinical settings with trained examiners. It is widely used for grading muscle strength (0-5 scale), though it has limited sensitivity in detecting small strength changes and may have a ceiling effect for high-functioning individuals. | 6 Weeks |
| VAS to assess pain | The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain." | 6 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
Biologically identified.
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| Name | Affiliation | Role |
|---|---|---|
| Ayesha Sadiq, MSPT (OMPT) | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| THQ Hospital Dargai | Dargai | KPK | 23060 | Pakistan |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Tele-Rehabilitaion |
| Other |
Hot Pack & Strengthening Exercises |
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