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IRCT20170712035052N1 IRCT 2019-03-08 Islamic Azad University Effect of Backward Gait on Biomechanical Walking Parameters in Patients with Knee Osteoarthritis Effects of retrowalking training protocol on Gait Kinematics and kinetics parameters of patients with medial knee osteoarthritis 2015-05-31 anticipated 66 Complete https://irct.ir/trial/37909 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. 3 medial knee Osteoarthritis. Intervention 1: Intervention group: The subjects were 21 healthy men and 42 male patients with knee osteoarthritis who were divided into experimental and control groups according to the Kellgren and Lawrence radiologic scale and the visual analogue scale.The effects of retro-gait training protocol on Kinematics and kinetics parameters knee osteoarthritis gait hasn’t been considered in the literature. Effects of retro walking: reducing shear force, increasing extensor moment and to gain flexibility around knee, decrease in eccentric quadriceps activity , patellofemoral joint stresses that are often associated with anterior knee pain. Therefore, these advantages make retro-gait a safe and effective component of rehabilitation programs. The experimental group performed backward gait training for six weeks, 3 sessions per weeks. Subjects accomplish a five minute warm-up on followed by backward gait exercises. Backward gait training protocol including Interval training (3 set, 2-4-6 reps), continuous training (2sets,2 and 3 minutes), Stretching exercises(3 minute), Strength training , Exercise intensity increased in the second week. Patients were stopped immediately once they report pain or discomfort during retro gait. Each exercise session began with warm up exercises , followed by backward gait exercises and ended up by cool-down exercises. Intervention 2: Control group: The 42 patients with knee OA were divided into experimental and control groups according to the Kellgren and Lawrence radiologic scale and the visual analogue scale. Participants in the control group did not receive any training. Intervention 3: Control group: Furthermore, among the staff of the university 21 healthy male peers were selected as normal controls. The participants in the normal control group did not receive any training during the study period. 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 No more information
public Ali Jalalvand
Hamadan Province, Hamedan, Professor Mussivand Blvd
Hamedan Iran (Islamic Republic of) 6518115743 +98 81 3448 1000 jalalvand_ali@iauh.ac.ir Islamic Azad University scientific Ali Jalalvand
Hamadan Province, Hamedan, Professor Mussivand Blvd
Hamedan Iran (Islamic Republic of) 6518115743 +98 81 3448 1000 jalalvand_ali@iauh.ac.ir Islamic Azad University Iran (Islamic Republic of) All patients were able to perform activities of daily living including walking, running, up and down stairs The patients were knee osteoarthritis according to the Kelgerand and Lawrence index with grade 2 and 3 osteoarthritis 45 years 60 years Male No patient had problems in standing and walking Radiological symptoms of osteoarthritis in the knee, pain and tenderness on the medial side of the knee. All patients with knee OA were not in the acute phase of the disease The lack of consumption (non-steroid anti-inflammatory) from a week before entering the study. Not having history of trauma, injury or surgery, and lower limb fracture Not having history of joint threatening diseases (Osteonecrosis, diabetes, osteoporosis, rheumatoid arthritis, musculoskeletal neurological disease) The lack of a long history of drug use and non-drug addiction M17 Osteoarthritis of knee Rehabilitation Other Other Intervention group: The subjects were 21 healthy men and 42 male patients with knee osteoarthritis who were divided into experimental and control groups according to the Kellgren and Lawrence radiologic scale and the visual analogue scale.The effects of retro-gait training protocol on Kinematics and kinetics parameters knee osteoarthritis gait hasn’t been considered in the literature. Effects of retro walking: reducing shear force, increasing extensor moment and to gain flexibility around knee, decrease in eccentric quadriceps activity , patellofemoral joint stresses that are often associated with anterior knee pain. Therefore, these advantages make retro-gait a safe and effective component of rehabilitation programs. The experimental group performed backward gait training for six weeks, 3 sessions per weeks. Subjects accomplish a five minute warm-up on followed by backward gait exercises. Backward gait training protocol including Interval training (3 set, 2-4-6 reps), continuous training (2sets,2 and 3 minutes), Stretching exercises(3 minute), Strength training , Exercise intensity increased in the second week. Patients were stopped immediately once they report pain or discomfort during retro gait. Each exercise session began with warm up exercises , followed by backward gait exercises and ended up by cool-down exercises. Control group: The 42 patients with knee OA were divided into experimental and control groups according to the Kellgren and Lawrence radiologic scale and the visual analogue scale. Participants in the control group did not receive any training. Control group: Furthermore, among the staff of the university 21 healthy male peers were selected as normal controls. The participants in the normal control group did not receive any training during the study period. Kinematics parameters (the Spatial, Temporal, Distance variables and ROMs). Timepoint: This study was performed with a pretest-posttest design in two groups (healthy and patient) and an experimental group (subjects with medial knee osteoarthritis). Method of measurement: A Vicon motion analysis system with T-Series cameras were used to measure the Kinematics parameters. The Kinematics parameters of gait including were calculated by Vicon Nexus 1.8.5 software in pretest-posttest trials. All data were then extracted by Polygon 3.5.1. Kinetics parameters (vertical ground reaction forces, Peak adduction moment and adduction moment impulse). Timepoint: This study was performed with a pretest-posttest design in two groups (healthy and patient) and an experimental group (subjects with medial knee osteoarthritis). Method of measurement: A Vicon motion analysis system with four T-Series cameras and two Kistler force plates were used to measure parameters by Vicon Nexus 1.8.5 , Polygon 4.1.2 software . Islamic Azad University Approved 2015-05-23 Ethics committee of Hamedan University of Medical Sciences Hamadan University of Medical Sciences, Shahid Fahmideh Ave. Hamadan, Islamic Republic of Iran Hamedan Hamadan Iran (Islamic Republic of)