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IRCT201702222793N4 IRCT 2017-06-27 Vice chancellor for research of Ahvaz Jundishapur University of Medical Sciences Comparison of an etiologic-based exercise and conventional exercises on knee loading in individuals with Knee osteoarthritis. Comparison of effectiveness of an etiologic-based exercise and conventional exercises on knee loading, pain and functional activity in individuals with Knee osteoarthritis: A randomized clinical trials. 2017-05-22 anticipated 30 Complete https://irct.ir/trial/2633 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Randomization by sealed envelope, Randomization description: The volunteers were divided among the treatment groups by using the closed envelopes.The closed were only available to a technician at the research center who was not a part of the research team.After the pre-treatment evaluation, patients were asked to select one envelope from a box containing several envelopes. After opening the envelope, the patient was referred to the therapist based on the patient's group number to begin treatment. Than the covariate adaptive randomization technique was used for group assignment ensuring a balanced assignment of participants over the covariates of pain severity, the K-L score, age and body mass index, Blinding description: Results were evaluated by a person who was not involved in the study design. She was only aware of the participants' illnesses and the consequences that need to be measured. So outcome assessor were blinded to the study purpose, number of groups, and treatment differences. She was also unaware of any patient group. The data analyzer was entered into the research group after completing the study. He was blind to all aspects of the study including purpose, groups, and treatments and he identified treatment groups as groups 1, 2 and 3 without recognizing the differences. N/A Knee osteoarthritis. Intervention 1: Intervention group 1: Patients treated for 4 weeks and 3 sessions per week by 20 minute electrical stimulation, educational leaflet, 5 minute continuous ultrasound therapy, hot pack and 3 set yoga exercise and 20 minute medial thrust gait training. Intervention 2: Intervention group 2: Patients treated for 4 weeks and 3 sessions per week by 20 minute electrical stimulation, educational leaflet, 5 minute continuous ultrasound therapy, hot pack and 3 set quadriceps and hamstring strength training by the resistance flexion and extension knee exercise. Intervention 3: Intervention group: Patients will be treated for 4 weeks and 3 sessions per week by 20 minute electrical stimulation, educational leaflet, 5 minute continuous ultrasound therapy, hot pack and 20 minute walking exercise on treadmill. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is I need to consult with the research team.
public Dr. Zahednejad
Ahvaz Jundishapur University of Medical Sciences, Esfand Avenue, Golestan
Ahvaz Iran (Islamic Republic of) 15794-61357 +98 61 3161 dr.shzahed@gmail.com Ahvaz Jundishapur University of Medical Sciences scientific Dr. Zahednejad
Ahvaz Jundishapur University of Medical Sciences, Esfand Avenue, Golestan
Ahvaz Iran (Islamic Republic of) 15794-61357 +98 61 3161 dr.shzahed@gmail.com Ahvaz Jundishapur University of Medical Sciences Iran (Islamic Republic of) having mild to moderate chronic osteoarthritis of unilaterally or bilaterally tibiofemoral joint according to the method of Kellgren and Lawrance 45-76 years old a history of symptoms more than a month being able to walk without assistant devices having the recent anterior and lateral x-ray image of knee 45 years 76 years Both Reporting other diseases such as: diabetes, diseases of musculoskeletal, neuromuscular and uncontrolled diseases of cardiovascular, respiratory and uncontrolled hypertension the use of injections or other invasive treatments (such as surgery) in the lower extremities during the last three months having an artificial hip or knee joints taking painkiller history of trauma to knee joint during last week performing regular professional exercise extreme physical weakness M17 Primary gonarthrosis, bilateral Treatment - Other Treatment - Other Treatment - Other Intervention group 1: Patients treated for 4 weeks and 3 sessions per week by 20 minute electrical stimulation, educational leaflet, 5 minute continuous ultrasound therapy, hot pack and 3 set yoga exercise and 20 minute medial thrust gait training. Intervention group 2: Patients treated for 4 weeks and 3 sessions per week by 20 minute electrical stimulation, educational leaflet, 5 minute continuous ultrasound therapy, hot pack and 3 set quadriceps and hamstring strength training by the resistance flexion and extension knee exercise. Intervention group: Patients will be treated for 4 weeks and 3 sessions per week by 20 minute electrical stimulation, educational leaflet, 5 minute continuous ultrasound therapy, hot pack and 20 minute walking exercise on treadmill. Knee joint loading. Timepoint: pre and post treatment and 1 month after treatment. Method of measurement: assesment of knee aduction moment by 3D motion analysis and force plate. Functional activity. Timepoint: pre and post intervention and one month after intervention. Method of measurement: using of 2 minute walking test. Pain. Timepoint: study pre and post intervention and one month after intervention. Method of measurement: using of visual analogue scale and the short WOMAC scale. Vice chancellor for research of Ahvaz Jundishapur University of Medical Sciences Approved 2017-06-17 Ahvaz Jundishapur University of Medical Sciences Ethics Committee Ahvaz Jundishapur University of Medical Sciences, Esfand Avenue, Golestan Ahvaz Khouzestan Iran (Islamic Republic of)