Knee osteoarthritis. Osteoarthritis of knee
Conditions
Interventions
Intervention 1: Intervention group 1: In selected exercise using booster sessions (in follow-up) group: The participants will be submitted to a program of 3-month (36 sessions+ 1 education) of selecte
Sponsors
Rheumatology Research Center (RRC), Dr. Shariati Hospital
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: Age 40 years or older A clinical diagnosis of knee osteoarthritis (defined as knee pain for >3 months and minimum 3 times a week, early morning stiffness <30 minutes, crepitus, bony tenderness, and no palpable warmth) Radiographically established knee osteoarthritis (determined by Kellgren and Lawrence grade 1 to 3 on the 1-4 scale) Ability to read and write Persian and having access to and ability to use a smartphone or tablet for a period of follow up or the presence of a person next to the patient to help her/him No participation in formal strength training or physical therapy for more than 30 minutes a week in the past 6-month
Exclusion criteria
Exclusion criteria: Illiterate patients without caregivers (child, nurse, caregiver) Severe osteoporosis Clinical history of tumors or cancer Patients in the post-surgery period or submitted to previous physical therapy (over 30 min) in the past six months or to any health/pain education strategy Active Inflammatory joint diseases (rheumatoid arthritis, gout, calcium pyrophosphate deposition disease) Underwent any lower extremity joint replacement Procedure Alzheimer diseases Severe Patellofemoral osteoarthritis Neurological diseases (parkinson's disease, stroke, multiple sclerosis, muscular dystrophy, motor neurone disease, huntington's disease) Autoimmune disease, and mental illnesses
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain (Visual Analog Scale, Western Ontario and McMaster Universities Osteoarthritis index in knee osteoarthritis), Stiffness and physical functional (Western Ontario and McMaster Universities Osteoarthritis index in knee osteoarthritis). Timepoint: All the primary outcomes will be measured at the initial evaluation, after the end of 36 session exercise intervention, and after the end of 6-month follow up. Method of measurement: Pain: Visual Analogue Scale, and Western Ontario and McMaster Universities Osteoarthritis index in knee osteoarthritis. Stiffness and physical functional: Western Ontario and McMaster Universities Osteoarthritis index in knee osteoarthritis. | — |
Secondary
| Measure | Time frame |
|---|---|
| Psychological factors (Pain Self-Efficacy Questionnaire (PSEQ), Scales Stress and Anxiety, Depression (DASS), Tampa Scale for Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS)). Timepoint: All the primary outcomes will be measured at the initial evaluation, after the end of 36 session exercise intervention, and after the end of 6-month follow up. Method of measurement: Psychological factors: Pain Self-Efficacy Questionnaire (PSEQ), Scales Stress and Anxiety, Depression (DASS), Tampa Scale for Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS).;Physical Function (30 Second Sit to Stand Test and Timed UP and Go). Timepoint: All the primary outcomes will be measured at the initial evaluation, after the end of 36 session exercise intervention, and after the end of 6-month follow up. Method of measurement: Physical Function: 30 Second Sit to Stand Test and Timed UP and Go.;Active Range of motion (goniometer). Timepoint: The range of motion will be measured at the initial evaluation, after the end of 36 session exercise intervention, and after the end of 6-month follow-up. Method of measurement: Range of motion: goniometer.;Muscle strength (dynamometer). Timepoint: The muscle strength will be measured at the initial evaluation, after the end of 36 session exercise intervention, and after the end of 6-month follow-up. Method of measurement: Muscle strength: dynamometer.;Exercise Adherence (The Exercise Adherence Rating scale (EARS)). Timepoint: The adherence to exercise will be measured after the end of 6-month follow-up. Method of measurement: Exercise Adherence: The Exercise Adherence Rating scale (EARS).;Quality of life (Quality of life: Short Form Health Survey (SF-12)). Timepoint: The quality of life will be measured at the initial evaluation, after the end of 36 session exercise intervention, and after the end of 6-month follow-up. Method of measurement: Quality of life: Short Form Health Survey (SF-12).;Risk of fall (Short Falls Efficacy Scale International ( | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactZohreh Gholami
The University of Kharazmi
Outcome results
None listed