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IRCT20161221031506N5 IRCT 2021-04-15 Mashhad University of Medical Sciences Comparative effect of two hamstring strengthening methods in patients with knee osteoarthritis MOAS A comparative study of lateral hamstring strengthening versus overall hamstring strengthening on pain, disability, and quality of life, and foot loading pattern in patients with primary osteoarthritis and varus deformity: randomized clinical trial 2021-04-04 anticipated 40 Complete https://irct.ir/trial/54538 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The randomization method will be the block randomization method and based on that, the randomization unit will be individual. Randomization will be done using a sealed envelope. The grouping will be done by the secretary of the physiotherapy department. The secretary of the physiotherapy department will select a card from the envelope after referring the person to the physiotherapy department. The patients will be assigned to one of two groups, Blinding description: The assessor will be blinded from the patient’s grouping. The statistical analysis will be performed by one of authors who blinded about the label of grouping. N/A Knee osteoarthritis. Intervention 1: Intervention group: All hamstring therapy exercises in this group will be performed with external rotation of the tibia and the stretch will focus on medial hamstring muscle. Intervention 2: Control group: In this group, hamstring exercises will be applied on the muscle in general and the hamstring muscle will be stretched completely. 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 There is no more information
public Hamed Mamipour Gharanjick
Room 313, 2st Floor, Department of Physiotherapy, School of Paramedical Sciences, Mashhad University of Medical Sciences. Vakilabad Blvd, Bahonar Blvd, Pardis campus, Mashhad, Iran
Mashhad Iran (Islamic Republic of) 9177948964 +98 51 3869 8719 hamed.mamipour72@gmail.com Mashhad University of Medical Sciences scientific Hamed Mamipour Gharanjick
Room 313, 2st Floor, Department of Physiotherapy, School of Paramedical Sciences, Mashhad University of Medical Sciences. Vakilabad Blvd, Bahonar Blvd, Pardis campus, Mashhad, Iran
Mashhad Iran (Islamic Republic of) 9177948964 +98 51 3869 8719 hamed.mamipour72@gmail.com Mashhad University of Medical Sciences Iran (Islamic Republic of) Knee pain on last six months. Pain scale (VAS) should be higher than 4 out of 10. OA patients will have Knee varrus deformity, knee crepitus, and significant limited ROM. Graded 2, and 3 based on Kellgren and Lawrence scale. 30 years 70 years Both Any knee alignment corrective surgery Candidate for joint replacement surgery Any severe change in patient's gait due to pain and limited ROM ligament instability (Grade 3) The involvement of the patellofemoral joint or the lateral femoral condyle is greater than the medial condyle (diagnosed by X-ray) Any disorders that limit daily movements and activities Corticosteroids usage for the knee pain in the last three months Use assistive devices such as knee orthoses and walker Patients with varrus deformity (grade 1, and 3) Cognitive problems diagnosed using EMMSE questionnaire Spinal stenosis, and lumbar disc herniation M17.10 Unilateral primary osteoarthritis, unspecified knee Rehabilitation Placebo Intervention group: All hamstring therapy exercises in this group will be performed with external rotation of the tibia and the stretch will focus on medial hamstring muscle. Control group: In this group, hamstring exercises will be applied on the muscle in general and the hamstring muscle will be stretched completely. Pain. Timepoint: At the time of referral - after 12 sessions of treatment - one month after treatment. Method of measurement: visual analog scale. Disability. Timepoint: Pre-treatment, Immediately after completion of treatment - one month after completion of treatment. Method of measurement: Based on the KOOS questionnaire. Disability. Timepoint: Pre-treatment, Immediately after completion of treatment - one month after completion of treatment. Method of measurement: Tegner activity scale questionnaire. Quality of life. Timepoint: Pre-treatment, Immediately after completion of treatment - one month after completion of treatment. Method of measurement: OAKHQOL questionnaire. Foot loading pattern (medial-to-lateral COP index(MLCOPi)). Timepoint: At the time of referral - after 12 sessions of treatment. Method of measurement: Using a foot scan device. Mashhad University of Medical Sciences Approved 2021-02-13 The Ethics Committee of Mashhad University of Medical Sciences Head Office of Mashhad University of Medical Science, Qoreishi Center, Daneshgah st., Mashhad, Iran Mashhad Razavi Khorasan Iran (Islamic Republic of)