Ignite Creation Date:
2024-05-06 @ 8:17 PM
Last Modification Date:
2024-10-26 @ 3:24 PM
Study NCT ID:
NCT06329128
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-03-25
First Post:
2024-03-18
Brief Title:
Evaluation of the Effectiveness of Manual Therapy in Patients With Knee Osteoarthritis
Sponsor:
Hasan Kalyoncu University
Organization:
Hasan Kalyoncu University
Study Overview
Official Title:
Evaluation of the Effectiveness of Manual Therapy in Patients With Knee Osteoarthritis Randomized Controlled Single-blind Clinical Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to investigate the effects of three different applications Manual therapy electrotherapy and home program on long-term pain joint range of motion and secondarily the functional level of the knee
Detailed Description:
Osteoarthritis OA It is a chronic degenerative joint disorder characterized by joint pain stiffness decreased range of motion and muscle weakness The main goal of healthcare professionals is to control the pain that increases with the gradually decreasing quality of life and to improve functions as a result Conservative treatments include medical approaches as well as methods with demonstrated therapeutic effects such as exercise and physical activity Exercise plays an important role in the management of chronic disabling disease Looking at systematic reviews there is high evidence that exercise reduces pain and improves physical function in patients with knee osteoarthritis Manual therapy approaches have also been used recently to inhibit movement limitation and pain in the joint and studies showing their benefits are increasing The American College of Rheumatology has stated that it is beneficial to add manual therapy sessions to individual exercises in rehabilitation methods for patients In terms of physiotherapy approaches in OA electrotherapy modalities with low evidence are used Among these modalities the effects of TENS and Ultrasound are the most studied applications Although the effects of TENS compared to placebo have been shown there are also opposite results regarding TENS and ultrasound applications There are many studies in the literature comparing types of manual therapy and investigating their combination with exercise Some studies have demonstrated the effects of combining exercise treatments with a manual therapy program in improving pain and function A recent study showed that patients who participated in an MT program had improved functional level compared to those who did not receive MT but exercise therapy alone was superior in improving performance-based functional scores A few studies comparing manual therapy with electrotherapy have been conducted recently In this study TENS and cold application were shown to be ineffective in improving pain joint stiffness and physical functions compared to manual therapy in patients with OA While manual therapy can reduce pain in OA thanks to its neurophysiological effects it also aims to correct the changed arthrokinematics by restoring the optimal kinematics between joint accessory mobility and joint surfaces Taylor et al showed that the combination of exercise and extension mobilization applied in a single session can reduce end-range rotational stiffness However in the applications comparisons are made between manual therapy and exercise combination or manual therapy and electrotherapy modalities To our knowledge there is no study in the literature comparing three different applications Therefore we hypothesized that manual therapy would be more effective than electrotherapy modalities and a home program in the long term in patients with knee OA The aim of this study is to investigate the effects of three different applications Manual therapy electrotherapy and home program on long-term pain joint range of motion and secondarily the functional level of the knee
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None