Tai Chi or Hydrotherapy for People With Osteoarthritis of the Hip(s) or Knee(s)

NCT00123994 | Unknown

• 2 other identifiers: NAMCIG56RFP 95/0203
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to determine, in the framework of a randomized controlled clinical trial, whether Tai Chi can affect measurable improvements in self-reported outcomes such as pain, physical function and psychological well-being in people with osteoarthritis (OA) mainly affecting the hips or knees. The effectiveness of Tai Chi will be compared with both a non-intervention control group as well as with a formal exercise program, hydrotherapy. Hydrotherapy has long been considered an effective intervention for people with chronic OA although scientific evidence is weak at present. The main study hypotheses are that Tai Chi or hydrotherapy can significantly decrease pain and physical limitations; improve health-related quality of life; and promote psychological well being in patients with OA of the hip(s) or knee(s); and that Tai Chi and hydrotherapy are of equal efficacy.

Conditions

Osteoarthritis, Hip; Osteoarthritis, Knee

Keywords

TaiChi; Hydrotherapy; Exercise; Joint pain; Disability

Outcome Measures

Primary Outcomes (1)

• Self-reported pain and function (WOMAC)

Secondary Outcomes (4)

• General health status (SF-36)

• Psychological well being (DASS)

• Patient global assessment (100mm visual analogue scale [VAS])

• Physical performance: 50 feet walk time, stair time

Interventions

Tai Chi classes BEHAVIORAL

Hydrotherapy classes BEHAVIORAL

Eligibility Criteria

• Age: 59 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Symptomatic osteoarthritis of the hip(s) or knee(s) according to American College of Rheumatology (ACR) clinical and radiographic (hip) criteria.

You may not qualify if:

• Currently participating in recreational physical activity more than twice a week.
• Unable to walk indoors for more than 10 minutes without a walking aid.
• Unable to exercise at a moderate level due to major co-morbidity.
• Incontinent, afraid of water or uncontrolled epilepsy.
• Low back pain referring to limbs.
• Joint replacement surgery in past year.
• Arthroscopic surgery or intra-articular injections in knee or hip in past 3 months.

Sponsors & Collaborators

• St George Hospital, Australia: lead
• Australian Government Department of Health and Ageing: collaborator
• St George Division of General Practice, NSW, Australia.: collaborator
• The University of New South Wales: collaborator

Study Sites (1)

St George Hospital

Kogarah, New South Wales, 2217, Australia

Location

Related Publications (1)

• Fransen M, Nairn L, Winstanley J, Lam P, Edmonds J. Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Arthritis Rheum. 2007 Apr 15;57(3):407-14. doi: 10.1002/art.22621.

  PMID: 17443749 DERIVED

MeSH Terms

Conditions

Osteoarthritis, Hip; Osteoarthritis, Knee; Motor Activity; Arthralgia

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Behavior; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Marlene H Fransen, PhD MPH

  The George Institute, University of Sydney

  PRINCIPAL INVESTIGATOR

• John Edmonds, MB, BS

  St George Hospital, University of NSW

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: July 22, 2005
• First Posted: July 26, 2005
• Study Start: February 1, 2004
• Study Completion: October 1, 2005
• Last Updated: November 3, 2005

Record last verified: 2005-07

Locations

AU (1)