knee osteoarthritis
Conditions
Interventions
Experimental group:Patella mobilization therapy 16 weeks
waitlist group:waitlist control
Sponsors
Professor Regina Wing Shan SIT
Eligibility
Sex/Gender
All
Age
45 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1) Aged = 45 to = 75 years old; 2) Diagnosis of knee OA based on clinical criteria as defined by the American Rheumatology Association; 3) Have experienced moderate to severe knee pain for at least 3 months, defined as a score of 3 or more (0-6 ordinal response scale) on the question What is the average level of your left/right knee pain? 4) Involvement of anterior knee compartment and exhibit 2 of the following criteria on initial assessment: pain on direct compression of the patella against the femoral condyles with the knee in full extension, tenderness on palpation of the posterior surface of the patella, pain on resisted knee extension, and pain with isometric quadriceps contraction against suprapatellar resistance with the knee in slight flexion.
Exclusion criteria
Exclusion criteria: 1) Previous operation either open or arthroscopic, on the referring knee 2) Body mass index = 35 kg/m2 3) Any knee injections within 1 month 4) Inflammatory or post-infectious knee arthritis 5) Daily use of opioid medication 6) Co-morbidity severe enough to prevent participation in the study protocol like attendance at scheduled appointments 7) Fixed flexion deformity >5 degree and varus and valgus deformity > 15 degree made manual mobilization of the patella impossible.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The composite Western Ontario McMaster University Osteoarthritis Index (WOMAC)assessed at week 0 and week 24.; | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) A visual analogue score (0-100mm) to assess knee pain of each symptomatic knee ;2) Knee flexion range;3) 30 second chair stand performance test;4) timed up and go test;5) 40 m fast-paced walk test;6) Compliance of the home based medial thigh exercise will be assessed by a 7 day recall on the number of days in the exercise participations;7) Type and frequency of analgesics use will be assessed by pill counting in the past 7 days.;8)EuroQuol-5;9) Standford Expectancy questionnaire (SAQ);10) International Physical Activity Questionnaire (IPAQ); | — |
Countries
China
Contacts
Public ContactProfessor Regina Wing Shan SIT
Division of Family Medicine and Primary Health Care, The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong
Outcome results
None listed