knee osteoarthritis
Conditions
Interventions
telemedicine-supported multicomponent exercise therapy group-Trial group:app-based exercise therapy + app-based patient education + WeChat video-based health coaching
usual care group-Control group:app-based patient education + drug therapy
Sponsors
West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: (1) 18 years old or older (2) Clinical signs and symptoms corresponding to KOA, according to the 2021 COA guidelines (3) Kellgren-Lawrence Grade I-III of KOA (4) Visual analogue scale (VAS) score =4 points (5) Access to smartphone or tablet (6) Participate in the experiment voluntarily and sign the informed consent (7) Accept random assignment Candidates who meet all the above criteria will be included.
Exclusion criteria
Exclusion criteria: (1) Knee arthroscopy or open surgery in the past 12 months, elective knee replacement (2) With other joint problems (such as severe osteoporosis, rheumatoid arthritis, fracture, gout, joint tuberculosis, or joint tumor) (3) Malignant illness or other major conditions (e.g. unstable cardiovascular disorders or lung disease, dementia) that restrict the ability to adhere to the recommended treatment (4) Cognitive impairment resulting in the inability to understand the physical therapist's instructions and the content in the app (5) Pregnant women (6) Patients with a history of mental and psychological disorders. (7) Other unsupervised situations are not suitable for exercising (in addition to self-reported situations that are not suitable for participating in the experiment, the Physical Activity Readiness Questionnaire (PAR-Q) will also be used to identify patients at risk of participating in the experiment without supervision.) (8) It cannot be guaranteed that there will be supervision and care from other family members during each exercise training session. (9) Cognitive impairment leads to the inability to understand the guidance of Physiotherapist and the content of online procedures (MMSE<24 points is recognized as cognitive impairment). Candidates meeting any of the above criteria will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analogue scale (VAS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC);Time up go (TUG);MOS item short from health survey (SF-36);Pain Self-Efficacy Questionnaire (PSEQ);Depression-Anxiety-Stress Scale (DASS21);Tampa Scale of Kinesiophobia (TSK);The Pain Catastrophizing Scale (PCS) ;The Exercise Adherence Rating Scale (EARS); | — |
Countries
China
Contacts
Public ContactSi-yi Zhu
West China Hospital, Sichuan University
Outcome results
None listed