A randomized clinical trial to evaluate the effectiveness of an instrumental rehabilitation protocol compared with standard protocol In patients with knee osteoarthritis.
This is a randomized clinical trial designed to compare two intervention aimed at reducing and improving knee function in patients with knee osteoarthritis \- sixty subjects suffering from knee osteoarthritis will be recruited; 30 per group. A: instrumental rehabilitation B:standard rehabilitation All patients who meet the clinical inclusion and exclusion criteria will have a standard radiography * selected patients will be invited to participate and will be informed of the purpose and conduct of the study * patients will be randomized to either the instrumental rehabilitation programme groupe or the standard rehabilitation group * patients in both groups will have a protocol that will be extended over 6 weeks * participants will be assessed primarily for function and pain, as well as other secondary endpoints , at baseline at 3 weeks and at 12 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
60
For the experimental group: Isokinetic training Antigravity treadmill Posturography For the control group: Patients will receive a standard rehabilitation prescription comprising: Physiotherapy , muscle stretching and strengthening , proprioceptive exercises, and self-programmed
Houda EL Moudane
Rabat, Morocco
RECRUITINGHouda EL Moudane
Salé, Morocco
RECRUITINGLe Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is an assessment tool developed to measure pain, stiffness, and physical function in individuals with osteoarthritis, primarily in the knee and hip. Patients' responses to each question are typically scored on a scale ranging from 0 to 4, where 0 signifies "no symptoms" and 4 signifies "severe symptoms." Scores obtained in each subscale can be combined to provide a total score or used individually to assess specific aspects of osteoarthritic symptoms.
Time frame: 12 weeks
Joint amplitude measurements
using a goniometer to evaluate the extent of knee flexion and extension
Time frame: 12 weeks
muscle testing of hamstring and quadriceps
Muscle testing is employed to assess hamstring and quadriceps strength on a qualitative scale ranging from 0 to 5
Time frame: 12 weeks
time up and go
is utilized to evaluate patient mobility and balance, measured in seconds,Less than 13.5 seconds: Low risk of falling; the person has good walking speed and functional mobility. 13.5 seconds or more: High risk of falling; the person does not have good walking speed or functional mobility.
Time frame: 12 weeks
the Visual Analog Scale
the Visual Analog Scale (VAS), a graded scale ranging from 0 to 100 millimeters, 0 no pain and 100 severe pain
Time frame: 12 weeks
quality of life index
the SF12 questionnaire is administered to assess quality of life,The minimum value is 0, and the maximum value is 100,Scores above 50 indicate a better-than-average health-related quality of life, while scores below 50 suggest below-average health.
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Time frame: 12 weeks
results of balance plateform assessement
the surface area of the confidence ellipse in square millimeters , length of the stabilogram in millimeters, x and y coordinates of the center of pressure in millimeters
Time frame: 12 weeks
muscle testing of hamstring and quadriceps using an isokinetic dynamometer
peak torque in newtons and body weight in newtons per kilogram
Time frame: 12 weeks
walking test
support symmetry in percentage and step length in centimeters
Time frame: 12 weeks