The Effect of Quadriceps Sets Exercise on Knee Joint Biomechanics and Functional Outcomes of Post-Total Knee Arthroplasty Patients

Cairo University36 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Total Knee Arthroplasty

Interventions

Quadriceps Set ExercisePROCEDURE

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.

Terminal Knee ExtensionPROCEDURE

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.

Traditional Physical TherapyPROCEDURE

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.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age (ranging from 40 to 60 years old). 2. Weight (ranging from 65 to 75 kg). 3. Height (ranging from 150 to 165 cm) 4. Sex ( male/ female). 5. Patients who undergoing total knee arthroplasty after 1 months until one year after operation. Exclusion Criteria: 1. Cognitive impairment. 2. Neuromuscular impairment. 3. Patient can't walk alone (need of assistive device).

Locations (1)

Jouf University

Sakakah, Saudi Arabia

Outcomes

Primary Outcomes

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.

Time frame: Four weeks

Quadriceps Muscle Strength

it will be measured using a hand held dynamometer.

Time frame: 4 weeks

Secondary Outcomes

Range of Motion (ROM)

ROM of last ten degree of knee extension measured by goniometer

Time frame: 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.

Time frame: 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 1. = mild 2. = moderate 3. = severe 4. = extreme Total score ranges from: 0 = best possible (no symptoms). 96 = worst possible (severe symptoms).

Time frame: 4 weeks

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.