Effects of Sahrmann's Approach Versus Conventional Treatment Oin Patients With Knee Osteoarthritis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Sahrmann's exercises, standard physical therapy treatment.
- Who it may be relevant to
- Registry conditions: Knee Osteoarthritis. Basic parameters: 40 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Effects of Sahrmann's Approach Versus Conventional Treatment on Pain, Valgus Angle and Functional Disability in Patients With Knee Osteoarthritis
Overview
Osteoarthritis (OA) of the knee, also referred to as degenerative joint disease, is normally due to wear and tear and progressive cartilage loss in the articular cartilage. Osteoarthritis is most prevalent condition among older adults. The objective of the study will be to compare the effects of Sahrmann's approach versus conventional treatment on pain, valgus angle and functional disability in patients with knee osteoarthritis.
Detailed description
This randomized controlled trial will be conducted at Sehat Medical Complex, Hanjarwal and Sir Ganga Ram Hospital, Lahore. Sample size of the study will be 40. We will include the patients of age between 40-60 years, with diagnosis of knee osteoarthritis of grade 2, their pain intensity should be 3 points on NPRS and with gradual onset of pain from past 3 months, with valgus angle of knee \> 10° and a positive HKA angle \> 1° of valgus knee OA on radiographs. All the participants will be randomly divided into two groups. GROUP A which will be EXPERIMENTAL GROUP, will receive Sahrmann's approach protocol and GROUP B which will be CONTROL GROUP, will receive conventional treatment. Both groups will receive baseline treatment including hot pack/cold pack, TENS and basic exercises. The study will be comparing the effects of both treatments after 4 weeks, with 3 sessions per week on alternate days. Patients will be assessed by Numeric pain rating scale (NPRS) for pain, by Universal Goniometer (UG) for the assessment of valgus angle and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functioning of knee. Statistical Analysis will be done by statistical package for social sciences SPSS version 26.
Interventions
- Other Sahrmann's exercises
* with and without resistance band-SLR * with and without resistance band-Hip extension * with and without resistance band-clamshells * IT Band stretch * Squatting in front of mirror * with resistance band-lateral walk * Hip lateral rotation - Other standard physical therapy treatment
Comparator group patients will receive, Conventional treatment exercises. • ROMs, SLR, VMO's and Quadriceps strengthening, Partial squatting, Terminal knee extension ROM, ITB, Hamstrings and gastrocnemius stretching
Primary outcome measures
- Numeric Pain Rating Scale (NPRS) - Pain Assessment [Time frame: upto 4 weeks]
- Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) - Functional Outcome (Knee OA) [Time frame: upto 4 weeks]
- Universal Goniometer (UG) - Valgus Angle Measurement [Time frame: upto 4 weeks]
Eligibility criteria
Inclusion criteria
- Males and females between 40 to 60 years of age.
- Diagnosed patients of knee Osteoarthritis with grade 2.
- Valgus angle of knee > 10°.
Exclusion criteria
- Any other inflammatory conditions.
- Rheumatoid arthritis, ankylosing spondylitis or any other auto immune disorder
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- University of Lahore Teaching Hospital, Lahore HOD Physio Department — Lahore
Publications
- Hamood R, Tirosh M, Fallach N, Chodick G, Eisenberg E, Lubovsky O. Prevalence and Incidence of Osteoarthritis: A Population-Based Retrospective Cohort Study. J Clin Med. 2021 Sep 21;10(18):4282. doi: 10.3390/jcm10184282. PMID 34575394
- Ramazanian T, Yan S, Rouzrokh P, Wyles CC, O Byrne TJ, Taunton MJ, Maradit Kremers H. Distribution and Correlates of Hip-Knee-Ankle Angle in Early Osteoarthritis and Preoperative Total Knee Arthroplasty Patients. J Arthroplasty. 2022 Jun;37(6S):S170-S175. doi: 10.1016/j.arth.2021.12.009. Epub 2022 Feb 21. PMID 35210147
- Mousavi F, Kajbafvala M, Mohsenifar H, Salehi R, Hejazi A. The effect of movement system impairment-based classification treatment compared to routine physiotherapy on pain, disability, alignment, and movement impairments in individuals with tibiofemoral rotation syndrome: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2024 Apr 25;16(1):94. doi: 10.1186/s13102-024-00883-9. PMID 38664767
- Coaccioli S, Sarzi-Puttini P, Zis P, Rinonapoli G, Varrassi G. Osteoarthritis: New Insight on Its Pathophysiology. J Clin Med. 2022 Oct 12;11(20):6013. doi: 10.3390/jcm11206013. PMID 36294334
- Mohammad Jabbar K, Gandomi F. The effects of national academy of sports medicine and sahrmann training on foot pressure distribution in flexed posture students. Iranian Rehabilitation Journal. 2021;19(1):99-110.
- Zamani P, Kalantari KK, Fashkhami AN, Baghban AA, Mehravar M, Yazdi MS. Efficacy of treatment based on the movement system impairment classification in people with knee pain: a study protocol. Iran Red Crescent Med J. 2022;24:e1767.
- Nouman M, Shabnam J, Anwar S, Perveen W, Alexe DI, Sanchez-Gomez R, Sava MA, Alexe CI. Effect of Iliotibial Band Myofascial Release Combined with Valgus Correction Exercise on Pain, Range of Motion, Balance, and Quality of Life in Patients with Grade II Knee Osteoarthritis: A Randomized Clinical Trial. Life (Basel). 2024 Oct 27;14(11):1379. doi: 10.3390/life14111379. PMID 39598178
- Kalunke A. A Comparative Study on the Effectiveness of Rhythmic Stabilization Technique (PNF) and Conventional Physiotherapy in the Treatment of Knee Osteoarthritis. Journal of Internal Medicine and Pharmacology (JIMP). 2024;1(03):50-8.
Identifiers
NCT: NCT07642258 · REC/RCR&AHS/25/0112 Arooj