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IRCT2014010215936N1 IRCT 2014-01-26 Shahid Beheshti University of Medical Sciences ( International Branch) Comparing the effect of Taichi and close kinetic chain exercise on the knee osteoarthritis Comparing the effect of Taichi and close kinetic chain exercise on the knee osteoarthritis 2013-12-16 anticipated 48 Complete https://irct.ir/trial/15046 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Arthrosis of Knee. Intervention 1: Tai chi group: Applying ultrasound (1MHZ, 80 % pulse, intensity 1W/Cm2, 5 min), infrared ( 15 minutes),5 minute warm up exercises at the beginning of sessions, 10 minutes of the 6th. form of Yang style of tai chi exercise, 5 minute cool down exercises at the end of sessions.2.Close kinetic chain exercise group: Applying ultrasound (1MHZ, 80 % pulse, intensity 1W/Cm2, 5 min), infrared ( 15 minutes),5 minute static stretching of rectus femoris and hamstring muscles as warm up at the beginning of sessions, 10 minutes exercise including standing terminal knee extension( 10 second hold,10 times), mini squat in 15 degree of knee flex( 10 second hold,10 times), step up from the front (10 times),step up from the side(10 times) and lunge ( 10 second hold,10 times),Two minutes of rest between exercises, and 5 minutes static stretching of rectus femoris and hamstring muscles as cool down at the end of sessions. Intervention 2: Control group: applying ultrasound (1MHZ, 80 % pulse, intensity 1W/Cm2, 5 min), infrared ( 15 minutes).
public Dr Mehri Ghasemi
Devision of Research, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, OPP Bouali Hospital, Damavand Ave. Tehran, 1616913111, Iran.
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7756 1723 mehri_ghasemi@sbmu.ac.ir Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences scientific Mona Nahayatbin
Municipality clinic,number 13,Shahid Hatami st,Damavand Ave,Tehran,1741683536, Iran.
Tehran Iran (Islamic Republic of) 1741683536 +98 21 7743 9933 n_mona66@yahoo.com Municipality clinic,number 13 Iran (Islamic Republic of) inclusion criteria : anterior knee pain(at least 3 in VAS) , grade 2 and 3 of knee OA, aged 45 to 65 years old; absence of : malignancy and infection in the knee, metabolic, endocrine, cardiovascular, neurological and other musculo- skeletal diseases that affect a person's standing, bursitis around the patella corticosteroid injection within recent thirty days, using of non-steroidal anti-inflammatory drugs during the prior week, fracture and open knee wound, knee surgery in the past six months, low back and hip surgery, knee pain duration less than one year, knee hyper mobility and instability, cruciate ligament injuries, severe swelling around the knee, psychological problems physical therapy in the prior six months, using of exercise therapy for improving the performance of the lower extremities in prior six months. Exclusion criteria: unwilling to continuing the treatment program; incomplete treatment; using of non-steroidal anti-inflammatory drugs or steroid injection in the knee joint during the study; if during the 6 minute walk test subjects have symptoms such as chest pain, dyspnea, leg cramp, staggering, excessive sweating, Enabling of completing the test, two consecutive absences in the treatment sessions. 45 years 65 years Both 17.1 Other primary gonarthrosis Rehabilitation Rehabilitation Tai chi group: Applying ultrasound (1MHZ, 80 % pulse, intensity 1W/Cm2, 5 min), infrared ( 15 minutes),5 minute warm up exercises at the beginning of sessions, 10 minutes of the 6th. form of Yang style of tai chi exercise, 5 minute cool down exercises at the end of sessions.2.Close kinetic chain exercise group: Applying ultrasound (1MHZ, 80 % pulse, intensity 1W/Cm2, 5 min), infrared ( 15 minutes),5 minute static stretching of rectus femoris and hamstring muscles as warm up at the beginning of sessions, 10 minutes exercise including standing terminal knee extension( 10 second hold,10 times), mini squat in 15 degree of knee flex( 10 second hold,10 times), step up from the front (10 times),step up from the side(10 times) and lunge ( 10 second hold,10 times),Two minutes of rest between exercises, and 5 minutes static stretching of rectus femoris and hamstring muscles as cool down at the end of sessions. Control group: applying ultrasound (1MHZ, 80 % pulse, intensity 1W/Cm2, 5 min), infrared ( 15 minutes). Pain. Timepoint: Before treatment, after the sixth, twelfth and one month after treatment. Method of measurement: visual Analogue scale. Flexion and extension knee Range Of Motion. Timepoint: Before treatment, after the sixth, twelfth and one month after treatment. Method of measurement: Goniometry. Joint swelling above and 5 cm upper and lower of the patella. Timepoint: Before treatment, after the sixth, twelfth and one month after treatment. Method of measurement: Tape. Performance. Timepoint: Before treatment, after the sixth, twelfth and one month after treatment. Method of measurement: KOOS(Knee injury and Osteoarthritis Outcome Score) questionnaire and 6 -minute walk test. Balance. Timepoint: before treatment, after the sixth, twelfth and one month after treatment. Method of measurement: Berg Balance Scale. Shahid Beheshti University of Medical Sciences ( International Branch) Approved 2013-10-07 Shahid Beheshti University of Medical Sciences Shahid Beheshti University of Medical Sciences,Next to Taleghani Hospital,Evin,Shahid Chamran free way,Tehran,1985717443,Iran Tehran Iran (Islamic Republic of)