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IRCT20221205056713N3 IRCT 2024-07-26 Rashid Latif Medical college Effects of retro walking exercises and clamshell exercises in osteoarthritis Combined Effects of Retro Walking Exercises and Clamshell Exercises on Pain, Strength and Balance among Osteoarthritis Patients 2024-07-25 anticipated 34 Complete https://irct.ir/trial/78115 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will randomly divided in two groups (group A group B) by using lottery method. Both groups will be given conventional physical therapy treatment. Group A patients will be treated with the retro walking exercises and Group B patients will be treated with retro walking and clamshell exercises, Blinding description: Subjects in two groups will blinded from other treatment options. However they will be instructed to report any adverse effects during trial. Data will assessed by a third person which will not known about the study so trial will be single blinded study. (as outcome assessor will be blinded). N/A Osteoarthritis of knee. Intervention 1: Intervention group: Group will be treated with Clamshell exercise. we will take diagnosed patients of Osteoarthritis and perform clamshell walking exercises. Firstly patient is positioned in supine lying regular period of 6 days in a week for application of hot pack over knee for 10 min and start Clamshell walking in treadmill which includes clamshell walking two session per day (10 min per session) for 3 weeks on a treadmill at their maximum pace. The treatment duration will be 45 min in each session for a regular period of 6 days in a week. Both groups will receive hot pack for 10 min prior to exercise in order to warm up the muscle. Pre-test values will be taken on the first day and the post-test values will be taken after the total study duration of 3 week. Intervention 2: Intervention group: Group B will be treated with , we take diagnosed patients of osteoarthritis and performed clamshell exercises along with retro walking exercises. Firstly, apply hot pack for 10 minutes in order to warm up and for improvement of circulation in muscles. Then we will strengthen the gluteus-medius to-tensor-fasciae latae by performing the clamshell and abduction exercises. unilateral wall-squat showed a significantly greater Gluteus med/TFL activation, side-lying hip abduction with anterior log-rolling position showed significantly greater Gluteus med activation, side-lying hip abduction exercise, side bridge exercise with knee flexion strengthen the Gluteus med/TFL muscle activation ratio than side bridge exercise or side bridge exercise with knee flexion and hip abduction. 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 It is not yet known if there will be a plan to make this available
public Sidra Ishaq
35-KM, Ferozepur Road. Lahore.
Lahore Pakistan 54900 +92 321 1185253 ishaqsidra8@gmail.com Rashid Latif Medical College scientific Hafiza Nida Rasheed
35-KM, Ferozepur Road. Lahore
Lahore Pakistan 54900 +92 336 4535979 naddia.rasheed20@gmail.com Rashid Latif Medical College Pakistan Both genders male and female age above 40 years . Patients diagnosed with OA and confirmed by radiographic imaging History of knee pain in past 30 days 40 years no limit Both Patients diagnosed with rheumatoid arthritis Having history of ankle or knee surgery History of intra-articular injection in knee joint in past 1 year Patients having dizziness or balance problems Pregnant females M17 Osteoarthritis of knee Treatment - Other Treatment - Other Intervention group: Group will be treated with Clamshell exercise. we will take diagnosed patients of Osteoarthritis and perform clamshell walking exercises. Firstly patient is positioned in supine lying regular period of 6 days in a week for application of hot pack over knee for 10 min and start Clamshell walking in treadmill which includes clamshell walking two session per day (10 min per session) for 3 weeks on a treadmill at their maximum pace. The treatment duration will be 45 min in each session for a regular period of 6 days in a week. Both groups will receive hot pack for 10 min prior to exercise in order to warm up the muscle. Pre-test values will be taken on the first day and the post-test values will be taken after the total study duration of 3 week Intervention group: Group B will be treated with , we take diagnosed patients of osteoarthritis and performed clamshell exercises along with retro walking exercises. Firstly, apply hot pack for 10 minutes in order to warm up and for improvement of circulation in muscles. Then we will strengthen the gluteus-medius to-tensor-fasciae latae by performing the clamshell and abduction exercises. unilateral wall-squat showed a significantly greater Gluteus med/TFL activation, side-lying hip abduction with anterior log-rolling position showed significantly greater Gluteus med activation, side-lying hip abduction exercise, side bridge exercise with knee flexion strengthen the Gluteus med/TFL muscle activation ratio than side bridge exercise or side bridge exercise with knee flexion and hip abduction Pain. Timepoint: Before treatment and 4 weeks after treatment. Method of measurement: By using Numeric pain rating scale. Balance. Timepoint: Before treatment and 4 weeks after treatment. Method of measurement: By using Balance berg scale. Muscle strength. Timepoint: Before treatment and 4 weeks after treatment. Method of measurement: Sit to stand test. Rashid Latif Medical college Approved 2023-10-10 The institutional board of Rashid Latif Medical College, Lahore 35KM Ferozepur Road, Lahore. Lahore Pakistan