Chronic knee pain
Conditions
Interventions
A 12-week combined exercise and pain coping skills training program (EX-PCS group) will be delivered on a group basis. Duration of this combined program is 90 minutes per session once a week. Total of
Sponsors
Faculty of Sport Sciences, Waseda University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged >= 65 years 2. Knee pain for >= 3 months
Exclusion criteria
Exclusion criteria: 1. Averaged extremely mild knee pain within the last week: VAS<20 2. Averaged mild knee pain within the last week and high physical functions: 20<=VAS<30 and 5m-gait speed (male: <2.2sec, female: <2.4sec ) or TUG score (male: <5.0sec, female: <5.8sec ) 3. Spine or lower limb surgery within the past 6 months 4. Awaiting or planning spine or lower limb surgery within the next 12 months 5. Current or past (within 3 months) oral or intra-articular corticosteroid use 6. Neurological condition such as Parkinsons disease, multiple sclerosis or stroke 7. Systematic arthritic conditions such as rheumatoid arthritis 8. Unstable angina, severe heart valve disease, congenital heart disease, decompensated heart failure, uncontrolled irregular pulse 9. Cancer pain 10. Cognitive impairment (MMSE<=19) 11. Psychiatric history such as schizophrenia 12. Consultation a doctor for rehabilitation (except for osteopathic clinic) within the past 6 months 13. Past participation in a PCST program 14. Inability to walk unaided as this is necessary for some of the physical assessment 15. Inadequate written and spoken Japanese 16. Unable to comply with the protocol such as inability to attend therapy sessions or attend assessment appointments at the university
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measurements: Pre-and post-intervention; 3-month and 9-month after the intervention Outcomes: 1.Knee pain: Visual Analogue Scale (VAS) 2.Knee function: Western Ontario and McMaster Universities Osteoarthritis (WOMAC) | — |
Secondary
| Measure | Time frame |
|---|---|
| Measurements: Pre-and post-intervention; 3-month and 9-month after the intervention Outcomes: 1. Exercise adherence: the number of intervention session attendance, frequency of strength training and stage of change for strength training behavior 2. Medical care seeking behavior: frequency of medical care seeking behavior for knee pain during last 3-month 3. Medication-taking behavior: use of medication for knee pain during last 3-month 4. Walking behavior: frequency of walking and walking time 5. Physical activity and sedentary behavior: Accelerometer (Active style Pro, OMRON) 6. Physical function: grip strength test, isometric knee extension strength test (hand held dynamometer), 5m walking time test, Timed Up & Go test, five-repetition sit-to-stand test, one-leg standing with opened eyes test 7. Psychological measures: Pain Self-efficacy Questionnaire, Coping Strategies Questionnaire, Pain Catastrophizing Scale, Hospital Anxiety and Depression scale, Brief fear of movement scale, Self-efficacy for strength training behavior 8. Health-related quality of life: SF-8, EQ-5D 9. Body composition: Body mass index (BMI), skeletal muscle mass | — |
Countries
Japan
Contacts
Public ContactKoichiro Oka
Waseda University Faculty of Sport Sciences
Outcome results
None listed