The Effect of Telerehabilitation-Based Exercise and Training on Outcome Measures in Patients With Knee Osteoarthritis

NCT05209893 | Completed

• 1 other identifier: 24/III
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Video exercise component of the telerehabilitation would provide additional contribution to the patients. The aim of this study is to compare the effects of telerehabilitation-based exercise program and conventional (given on paper) exercise and training combination practices on pain, functionality, balance, proprioception and quality of life in patients with knee OA.

Conditions

Osteoarthritis; Knee Arthritis

Keywords

Gonarthrosis; Knee Osteoarthritis

Outcome Measures

Primary Outcomes (8)

• Visual Analog Scale (VAS)

  On a 10 cm straight line or numerical scale (0: no pain, 10: unbearable pain).

  Change from Baseline Pain at 8 weeks

• Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

  WOMAC consists of 3 main headings: pain intensity, stiffness, and physical function. The total score ranges from 0 (no disability) to 96 (complete disability).

  Change from Baseline Subjective Function at 8 weeks

• Muscle Strength Test with Lafayette Hand Held Dynamometer

  It is an objective muscle strength measurement tool. Measurements are made 3 times. A rest of 120 seconds is given between measurements. The highest measured value is noted.

  Change from Baseline Muscle Strength at 8 weeks

• Proprioception Measurement with Baseline Bubble Inclinometer

  The "absolute angle difference", which is the difference between the targeted angle and the angle realized by the patient in each repetition, is recorded. The arithmetic mean of the absolute angle difference of 3 repetitions is the result data.

  Change from Baseline Proprioception at 8 weeks

• Timed Up and Go Test (TUG)

  Patients are asked to get up from a standard chair, walk 3 meters a safe and comfortable pace, and return without stopping to sit back in the chair safely. The elapsed time is calculated.

  Change from Baseline "Timed Up and Go" test performance at 8 weeks

• Five Times Sit to Stand Test (5TSTS)

  The test involves patients getting up and sitting again without support from a chair 5 times as soon as possible. Measurements are made with a stopwatch.

  Change from Baseline "Five Times Sit to Stand" test performance at 8 weeks

• 3-Meter Backward Walk Test (3MBW)

  It is determined by measuring a distance of 3 meters. Participants are asked to walk backwards safely but as quickly as possible and stop at the finish line. The time is recorded with a stopwatch.

  Change from Baseline "3-Meter Backward Walk" test performance at 8 weeks

• Modified Four Square Step Test (mFSST)

  A suitable ground is divided into four identical squares with a "+" shaped line. Squares are numbered clockwise with numbers 1-4. The patient takes steps on the 1, 2, 3 and 4 squares in sequence without pressing the lines.The test ends when the last foot contact is cut off from the square. The time is recorded with a stopwatch.

  Change from Baseline "Modified Four Square Step" test performance at 8 weeks

Secondary Outcomes (3)

• EQ-5D-5L

  Change from Baseline General Quality of Life at 8 weeks

• Telemedicine Satisfaction Questionnaire

  Change from Baseline General Telemedicine Satisfaction at 8 weeks

• Telehealth Usability Questionnaire

  Change from Baseline General Usability Satisfaction at 8 weeks

Study Arms (2)

Telerehabilitation (TR)

EXPERIMENTAL

The TR group will be followed up through the application within the 8-week home exercise program.

Other: Telerehabilitation

Paper Based Rehabilitation (PBR)

ACTIVE COMPARATOR

The PBR group will be followed up through the paper instruction within the 8-week home exercise program.

Other: Paper Based Rehabilitation

Interventions

Telerehabilitation OTHER

Application based video home exercise for the knee osteoarthritis

Telerehabilitation (TR)

Paper Based Rehabilitation OTHER

Paper instruction based home exercise for the knee osteoarthritis

Paper Based Rehabilitation (PBR)

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged between 40 to 65 years
• Being diagnosed with knee osteoarthritis by an orthopedist
• Having a value of 1 or 2 in the Kellgren Lawrence classification
• Having and being able to use the equipment to receive video-based exercise and education support
• Having signed the consent form

You may not qualify if:

• Situations that will prevent assessments or communication with the individual
• Knee surgery history
• Having other joint pathologies
• Orthopedic and neurological problems that would prevent evaluation and/or treatment

Sponsors & Collaborators

• Ege University: lead

Study Sites (1)

Muğla Sıtkı Koçman Training and Research Hospital

Muğla, Turkey (Türkiye)

Location

Related Publications (1)

• Tumturk I, Bakirhan S, Ozden F, Gultac E, Kilinc CY. Effect of Telerehabilitation-Based Exercise and Education on Pain, Function, Strength, Proprioception, and Psychosocial Parameters in Patients With Knee Osteoarthritis: A Randomized Controlled Clinical Trial. Am J Phys Med Rehabil. 2024 Mar 1;103(3):222-232. doi: 10.1097/PHM.0000000000002335. Epub 2023 Sep 5.

  PMID: 37678215 DERIVED

MeSH Terms

Conditions

Osteoarthritis; Osteoarthritis, Knee

Interventions

Telerehabilitation

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Fatih Özden, PhD

  Muğla Sıtkı Koçman University

  PRINCIPAL INVESTIGATOR

• Cem Yalın Kılınç, MD

  Muğla Sıtkı Koçman University

  PRINCIPAL INVESTIGATOR

• Emre Gültaç, MD

  Muğla Sıtkı Koçman University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Phd, Associate Professor

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: January 6, 2022
• First Posted: January 27, 2022
• Study Start: January 24, 2022
• Primary Completion: May 27, 2022
• Study Completion: July 5, 2022
• Last Updated: July 21, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)