In-Clinic Versus Tele-Rehabilitation in Women With Knee Osteoarthritis

Riphah International University26 enrolled

Overview

* To compare the effectiveness of in clinic rehabilitation versus tele rehabilitation in improving knee function in women diagnosed with knee OA. * To assess the impact of both rehabilitation approaches on improving strength. * To evaluate the effects of in-clinic and tele-rehabilitation on pain reduction in women with knee osteoarthritis.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Total Knee Replacement

Interventions

In-Clinic RehabilitationOTHER

Hot Pack \& Strengthening Exercises

Tele-RehabilitaionOTHER

Hot Pack \& Strengthening Exercises

Eligibility

Sex: FEMALEMin age: 40 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Only female participant * Age 40 to 60 years * Radiographically confirmed OA (Grade II or III) * Self-limitation in walking, climbing or ADLs * Access to smartphone, tablet, or computer with internet Exclusion Criteria: * Advanced OA (G IV) * Other joint disorder * Recent surgeries * Pregnancy * Swelling and morning stiffness more than 30 min

Locations (1)

THQ Hospital Dargai

Dargai, KPK, Pakistan

Outcomes

Primary Outcomes

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.

Time frame: 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.

Time frame: 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."

Time frame: 6 Weeks

Data from ClinicalTrials.gov

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