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IRCT20190715044216N5 IRCT 2022-01-09 Riphah International University Comparison of effects of ankle position on isometric quadriceps strengthening in osteoarthritis of knee joint COEOAPOIQSIOOKJ Comparison of effects of ankle position on isometric quadriceps strengthening in osteoarthritis of knee joint 2022-01-01 anticipated 36 Complete https://irct.ir/trial/60916 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Crossover, Purpose: Treatment, Randomization description: Taking into account the above mentioned inclusion and exclusion criteria, patients will be recruited in the study through convenient sampling technique and then will be randomly assigned to each group according to consort guideline 2010. Written informed consent will be taken. After enrollment into study, patient will be allocated either to Group 1 , Group 2 and Group 3 by lottery method. No. of Chits will be equal to total sample size. Each patients will be requested to draw a chit from the box and after that patient will be recruited into either Group 1 or Group 2 and 3. 0 (exploratory trials) knee Osteoarthritis. Intervention 1: Intervention group 1:will perform quadriceps exercise with ankle in planter flexion position in supine lying + shortwave diathermy for 20 minutes and A foam roller will be place under the knee and advice the patient to extend their knee by pushing the back of knee into plinth without using hip extension while keep your ankle in planter flexion during exercise.The hold time for isometric contraction will be 10 sec follow by a rest period of 5 sec in between the contractions. Each patient will be complete 2 sessions in a day , in each session consist of 1 set of 10 repetitions of quadriceps exercise perform once at the hospital and once at home for the 4 days/4-week time for testing. Intervention 2: Intervention group 2: will perform quadriceps exercise with ankle in dorsiflexion position in supine lying + shortwave diathermy for 20 minutes and A foam roller will be place under the knee and advice the patient to extend their knee by pushing the back of knee into plinth without using hip extension while keep your ankle in planter flexion during exercise.The hold time for isometric contraction will be 10 sec follow by a rest period of 5 sec in between the contractions. Each patient will be complete 2 sessions in a day , in each session consist of 1 set of 10 repetitions of quadriceps exercise perform once at the hospital and once at home for the 4 days/4-week time for testing. Intervention 3: Intervention group 3: will perform quadriceps exercise with ankle in neutral ankle position in supine lying + shortwave diathermy for 20 minutes and A foam roller will be place under the knee and advice the patient to extend their knee by pushing the back of knee into plinth without using hip extension while keep your ankle in planter flexion during exercise.The hold time for isometric contraction will be 10 sec follow by a rest period of 5 sec in between the contractions. Each patient will be complete 2 sessions in a day , in each session consist of 1 set of 10 repetitions of quadriceps exercise perform once at the hospital and once at home for the 4 days/4-week time for testing. Yes - There is a plan to make this available What will be shared: comparison of effects of ankle position on isometric quadriceps strengthening in osteoarthritis of knee joint When: 30-6-2022 To whom: people working in academic situation Conditions: Author will review the request Where to obtain: amnabashir41@gmail.com How to obtain: request will be entertained through email after which people working in academic institutions will be granted request Comments:
public Amna Bashir
House#924 street# 12 Umar Farooq Block Mohalla Islam Colony Pakpattan
Lahore Pakistan 57400 +92 305 9710474 amnabashir41@gmail.com Riphah international university scientific Amna Bashir
House#924 street# 12 Umar Farooq Block Mohalla Islam Colony Pakpattan
lahore Pakistan 57400 +92 307 8325405 amnabahir41@gmail.com Riphah International University Pakistan X-ray findings of primary osteoarthritis patients with grade ≥ 2 according to Kellgren Lawrence scale Male and female both were included Age from 40-60 years old patients were included Unilateral and bilateral involvement, in case of bilateral involvement more symptomatic knee was included; pain in and around the knee 40 years 60 years Both less ankle ROM History with any injury either soft tissue or bony Pain radiating into leg in patients with low back pain Any neurological signs History with NSAID past three months Any inflammatory disease such as Gout History with RA, ankylosing spondylitis History with metal implants, noncooperative patient, patient with mental disorders Patients with BMI ≥40 kg/m2 (morbid obesity) M17 Osteoarthritis of knee Rehabilitation Rehabilitation Rehabilitation Intervention group 1:will perform quadriceps exercise with ankle in planter flexion position in supine lying + shortwave diathermy for 20 minutes and A foam roller will be place under the knee and advice the patient to extend their knee by pushing the back of knee into plinth without using hip extension while keep your ankle in planter flexion during exercise.The hold time for isometric contraction will be 10 sec follow by a rest period of 5 sec in between the contractions. Each patient will be complete 2 sessions in a day , in each session consist of 1 set of 10 repetitions of quadriceps exercise perform once at the hospital and once at home for the 4 days/4-week time for testing. Intervention group 2: will perform quadriceps exercise with ankle in dorsiflexion position in supine lying + shortwave diathermy for 20 minutes and A foam roller will be place under the knee and advice the patient to extend their knee by pushing the back of knee into plinth without using hip extension while keep your ankle in planter flexion during exercise.The hold time for isometric contraction will be 10 sec follow by a rest period of 5 sec in between the contractions. Each patient will be complete 2 sessions in a day , in each session consist of 1 set of 10 repetitions of quadriceps exercise perform once at the hospital and once at home for the 4 days/4-week time for testing. Intervention group 3: will perform quadriceps exercise with ankle in neutral ankle position in supine lying + shortwave diathermy for 20 minutes and A foam roller will be place under the knee and advice the patient to extend their knee by pushing the back of knee into plinth without using hip extension while keep your ankle in planter flexion during exercise.The hold time for isometric contraction will be 10 sec follow by a rest period of 5 sec in between the contractions. Each patient will be complete 2 sessions in a day , in each session consist of 1 set of 10 repetitions of quadriceps exercise perform once at the hospital and once at home for the 4 days/4-week time for testing Pain, strength. Timepoint: 4 weeks after intervention. Method of measurement: NPRS scale,MMT and WOMAC scale. Pain, strength and functional activity level will be measure in planterflexion group. Timepoint: Pre-readings than post-readings after 4 weeks . 4 treatment sessions in a week will be given to the subjects. Method of measurement: WOMAC scale, NPRS, MMT. Pain, strength and functional activity level will be measure in Dorsiflexion group. Timepoint: Pre-readings than post-readings after 4 weeks . 4 treatment sessions in a week will be given to the subjects. Method of measurement: WOMAC, NPRS, MMT. Pain, strength and functional activity level will be measure in neutral ankle position group. Timepoint: Pre-readings than post-readings after 4 weeks . 4 treatment sessions in a week will be given to the subjects. Method of measurement: WOMAC, NPRS , MMT. student Approved 2021-06-07 Riphah international research and ethics committe 28M Quid e azam industrial estate kot lakhpat lahore Lahore punjab Pakistan