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CTRI Number  CTRI/2024/05/067719 [Registered on: 21/05/2024] Trial Registered Prospectively
Last Modified On: 22/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   In our study we will be including patients with knee osteoarthritis. We will be giving Patellar Tendon Loading Exercises to see its effect on functional disability, pain and motor recruitment of quadriceps muscle.  
Scientific Title of Study   Effectiveness of Patellar Tendon Loading Exercises on Functional Disability, Pain and Electromyographic Activity of Quadriceps Muscle in Patients with Knee Osteoarthritis - A Pilot Randomized Controlled Trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Divya Manghwani 
Designation  Postgraduate Student 
Affiliation  MGM Institute of Physiotherapy, Aurangabad 
Address  Department of Musculoskeletal Physiotherapy, OPD-4, MGM Institute of Physiotherapy, Aurangabad.

Aurangabad
MAHARASHTRA
431003
India 
Phone  7840966474  
Fax    
Email  divimanghwani8@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanket Mungikar 
Designation  Associate Professor 
Affiliation  MGM Institute of Physiotherapy 
Address  Department of Musculoskeletal Physiotherapy, OPD-4, MGM Institute of Physiotherapy, Aurangabad.

Aurangabad
MAHARASHTRA
431003
India 
Phone  9730770107  
Fax    
Email  sanketmungikar@mgmiop.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sanket Mungikar 
Designation  Associate Professor 
Affiliation  MGM Institute of Physiotherapy 
Address  Department of Musculoskeletal Physiotherapy, OPD-4, MGM Institute of Physiotherapy, Aurangabad.

Aurangabad
MAHARASHTRA
431003
India 
Phone  9730770107  
Fax    
Email  sanketmungikar@mgmiop.edu.in  
 
Source of Monetary or Material Support
Modification(s)  
MGM Institute of Physiotherapy N-6 Cidco, Aurangabad,431003 Maharashtra,India. 
 
Primary Sponsor
Modification(s)  
Name  MGM Institute of Physiotherapy 
Address  N-6 Cidco, Aurangabad,431003 Maharashtra,India. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Divya Sevakram Manghwani  MGM medical college and Hospital  Musculoskeletal Physiotherapy Department, OPD-1,MGM Institute of Physiotherapy, N-6 Cidco, Aurangabad
Aurangabad
MAHARASHTRA 
7840966474

divimanghwani8@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee for Reseach on Human Subjects  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M171||Unilateral primary osteoarthritisof knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Physiotherapy  Conventional Physiotherapy[IFT + Exercises(Isometric quadriceps exercise,Isometric hamstring exercise,Straight leg raising(SLR) exercise, Isometric hip adduction exercise, Hip abduction exercise, Hip Extension exercise, Dynamic Quadriceps)] will be given to knee osteoarthritis patients, 3 sessions/week for 6 weeks  
Intervention  Patellar Tendon Loading Exercises and conventional physiotherapy  Progressive Patellar Tendon Loading Exercises(which includes progression of 5 exercises: 1)walking to interval jogging 2)step ups and step down 3)squats 4) lunge 5)Decline squats) will be given along with conventional physiotherapy to knee osteoarthritis patients, 3 sessions/week for 6 weeks.  
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients of both genders.
2.Age group 45-60 years.
3.Patients with Kellgren Lawrence grade 1 and grade 2(Diagnosed Mild OA).
4.Patients with activity related joint pain.
5.Patients with functional difficulty.
 
 
ExclusionCriteria 
Details  1.Patients with H/O of Knee surgery (Arthroplasty / arthroscopy) or Fracture.
2.Patient received Intra-articular injection in last 3 months.
3.Patient with Diagnosed Osteoporosis grade 3.
4.Patients with systemic conditions like RA.
5.Patients with neurological conditions(Parkinson Disease, stroke).
6.BMI more than 30.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Functional Disability  Pre and Post Intervention Period (6 week) 
 
Secondary Outcome  
Outcome  TimePoints 
Pain  Pre and Post Intervention Period (6 week) 
Electromyographic Activity of Quadriceps Muscle  Pre and Post Intervention Period (6 week) 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   30/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  30/05/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Patients with Knee Osteoarthritis will be included in the study trial if they met the inclusion criteria. The written and oral consent of all patients will be taken, and procedure will be explained. Demographic data will be noted. Baseline data which include Functional Disability, pain and Electromyographic Activity of Quadriceps Muscle will be assessed. The patients will be randomly divided into two study groups intervention group and control group. The patients will receive intervention as per the group allocation for 6 weeks. The intervention group will receive Progressive Patellar Tendon Loading Exercises in addition to the conventional physiotherapy whereas the control group will receive conventional physiotherapy only. Patellar Tendon Loading Exercises include progression of 5 exercises (1-Waking to interval jogging, 2-Step ups and Step down, 3-Squats, 4- Lunges, 5-Decline Squats) will be given 3 sessions/week for 6 weeks. Conventional Physiotherapy Includes IFT + Exercises (Isometric quadriceps exercise, Isometric hamstring exercise, Straight leg raising (SLR) exercise, Isometric hip adduction exercise,  Hip abduction exercise, Hip Extension exercise, Dynamic Quadriceps) will be given 3 sessions/week for 6 weeks. All participants will be receiving one session of 30-40 minutes per day. Outcome measures will be assessed pre and post intervention period. Statistical analysis of the collected data will be done. Conclusion will be established based on the obtained results of the study.

 
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