None listed
Conditions
Brief summary
The aim of this study is to examine whether patients who are waiting on a surgical waitlist for Total Knee Replacement, can decrease pain by participating in regular supervised exercise, together with targeted manual therapy. HYPOTHESIS: Patients with severe OA of the knee who participate in a Physiotherapy intervention programme will experience a reduction in knee pain.
Interventions
Patients will attend the Physiotherapy Dept for a supervised exercise programme twice weekly. They will attend for 24 sessions of 1 hour each, delivered twice weekly over a 12 week intervention period. They will attend the gym and the hydrotherapy pool at SCGH. Patients will be part of a group doing 1 hour of land based and 1 hour of water based exercise classes each week. These will be supervised by a Physiotherapist.
The land/gym based exercise class will include a combination of balance a
Patients will attend the Physiotherapy Dept for a supervised exercise programme twice weekly. They will attend for 24 sessions of 1 hour each, delivered twice weekly over a 12 week intervention period. They will attend the gym and the hydrotherapy pool at SCGH. Patients will be part of a group doing 1 hour of land based and 1 hour of water based exercise classes each week. These will be supervised by a Physiotherapist. The land/gym based exercise class will include a combination of balance and strength training using walking exercises, stepup and down exercises, theraband/elastic exercises, free weights and quadriceps machines and cycling. The pool exercise class will include a walking programme, stepping exercises, buoyancy assisted exercises for balance and specific water resisted leg strengthening exercises. Once each fortnight they will also receive manual therapy from a post-graduate qualified (Musculoskeletal) Physiotherapist. Patients will receive a total of 6 sessions of 10 minutes duration each, over the 12 week intervention period, of manual therapy. This will include gliding techniques to the patella and soft tissue techniques to the surrounding muscles. All patients will be registered for each session on an attendance sheet as per usual Physiotherapy Outpatient Department practice. Patient notes will also be completed on each occasion of service, including the date, treatment administered and type of exercise undertaken. These records wil be kept in accordance with the infrastructure already in place in the Department.
Sponsors
Sir Charles Gairdner Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
55 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
OA of the knee joint at a level of severity that the patient has been consented for a Total Knee Replacement (TKR), as a category 3. This means they will undergo surgery in less than 365 days.
Exclusion criteria
Previous TKR. Listed for bilateral TKR. Need for High Risk Anaesthetic assessment indicating significant medical comorbidities Weight of greater than 120kg. The gym equipment in the Physiotherapy Dept is not certified as safe above this weight. Open wounds and incontinence as patients are unable to participate in pool based exercise classes.
Outcome results
None listed