Overview
Knee osteoarthritis (OA) is also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage. It is most common in the elder population. It results from functional disability and altered knee biomechanics. Risk factors of Knee OA include; older age, genetics and obesity, female gender. The aim of this study is to compare the effects of core stabilization exercises versus foot-ankle strengthening program on pain, physical function and quality of life in patients with knee osteoarthritis.
Description
A Randomized Clinical Trial will be conducted at Riphah Physiotherapy Clinic Lahore, FMH Physiotherapy Department, Hamza Hospital Physiotherapy Clinic, Lahore through convenient purposive sampling technique 46 patients which will be allocated by using simple randomization through computer generated software into Group A and Group B. Group A will be treated with core stabilization exercises and ankle-foot strengthening program and Group B will be treated with ankle-foot strengthening program at the frequency of 3 sets with 10 repetitions thrice per week in the total duration of 6 weeks. Outcome measures will be conducted through (NPRS), (WOMAC), Knee Osteoarthritis Outcome Score (KOOS) Questionnaire and quality of life (SF-36) questionnaire before and after 6 weeks. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.
Eligibility
Inclusion Criteria:
- Both genders of 40-65 years of age will include in this study.
- Knee OA of grade 1-2.
- Individuals with significant unilateral and bilateral knee osteoarthritis. symptoms and positive radio-graphical findings.
- Difficulty in walking/stair climbing.
Exclusion Criteria:
- Any history of knee fracture/ tumor/ infection and hip/knee surgery.
- Total Knee Replacement patients.
- Neurological disease.
- Patient received physical therapy treatment from last 6 months.
- Inflammatory Arthritis (Rheumatoid Arthritis)
- Use of any intra-articular injections (steroid/ hyaluronic acid/ PRP.) from last 3-6 months.