Degenerative Disease, Knee Pain Swelling, Meniscus Tear
Conditions
Brief summary
This randomized controlled trial aims to investigate the efficacy of the video-based exercise programs in patients with degenerative meniscus tears.
Detailed description
To investigate the efficacy of video-based exercise programs, voluntary patients with degenerative meniscus tears aged 40-65 years will be randomly assigned to three groups: the hybrid exercise group (HEG), the video-based exercise (VBE) group, and the standard exercise (SE) group. Interventions will be delivered over 16 sessions (twice a week for 8 weeks). The patients will be assessed at baseline and at the end of the 8-week intervention. Pain during activity, at rest, and at night will be assessed using the Visual Analog Scale (VAS). Active range of motion will be evaluated using a digital goniometer. Isometric muscle strength will be measured with a handheld dynamometer. The Knee Injury and Osteoarthritis Outcome Score (KOOS) will evaluate functional status and symptoms. The Western Ontario Meniscal Evaluation Tool (WOMET) will assess health-related quality of life. Adherence to the exercise program and the Global Rating of Change Scale will be evaluated.
Interventions
OTHERThe video-based exercise (VBE)
An 8-week exercise program will be implemented as part of the conservative treatment for degenerative meniscal tears. The physiotherapist will prepare an instructional video that provides a detailed explanation and demonstration of each exercise. Patients will watch this video at home and perform the exercises according to the video instructions.
OTHERThe standard exercise (SE)
An 8-week exercise program used in conservative treatment of degenerative meniscus tears will be performed. An exercise program will be performed at the clinic.
OTHERThe hybrid exercise (HE)
An 8-week exercise program will be implemented as part of the conservative treatment for degenerative meniscal tears using a hybrid telerehabilitation model. For the home-based component, the physiotherapist will prepare an instructional video that includes a detailed description and demonstration of each exercise. Patients will watch this video at home and perform the prescribed exercises by following the instructions provided in the video. In addition to the home program, patients will also participate in supervised exercise sessions conducted in the clinical setting.
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Being aged between 40 and 65 years * Having the degenerative meniscus tear in at least one knee * Having body mass index in the range of 18-30 kg/m2 * Feeling the pain that lasts for at least 2 months * Having grade 1 or grade 2 degenerative meniscal tear diagnosed by an orthopedic specialist according to the MRI results * Having the activity level is between 1 and 5 according to the Tegner Activity Scale * Having access to the internet via a computer or smartphone * Having the ability to read and write Turkish
Exclusion criteria
* Having undergone arthroscopic partial meniscectomy surgery due to degenerative meniscal tear * Participating in a physiotherapy program for degenerative meniscal tear in the last 12 weeks * Have received steroid injections in the last 6 months * Accompanying conditions such as injury to the surrounding ligaments, congenital anomaly in the affected knee, coxarthrosis and spinal stenosis * Presence of any systemic disorder that may affect assessment parameters * Failure to cooperate with assessments * Any vision or hearing problem that would prevent them from adapting to the assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee Injury and Osteoarthritis Outcome Score (KOOS) | Baseline | Short-term and long-term symptoms and function will be assessed with the Knee injury and Osteoarthritis Outcome Score (KOOS) that is developed as an extension of the WOMAC Osteoarthritis Index. The score is a percentage score from 0 to 100, 0 representing extreme problems and 100 representing no problems. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee Injury and Osteoarthritis Outcome Score (KOOS) | At the end of 8-week intervention | Short-term and long-term symptoms and function will be assessed with the Knee injury and Osteoarthritis Outcome Score (KOOS) that is developed as an extension of the WOMAC Osteoarthritis Index. The score is a percentage score from 0 to 100, 0 representing extreme problems and 100 representing no problems. |
| Visual Analogue Scale (VAS) | Baseline | Pain intensity will be measured using the visual analogue scale (VAS). The participants will be asked to indicate their perceived pain at rest, during activity and at night on the 10 cm line between no pain and terrible pain. The score will be determined by measuring the distance on 10 cm line using a ruler. The higher scores indicate an higher level of pain. |
| Active Range of Motion | Baseline | Active knee range of motion including flexion and extension will be measured described by the American Academy of Orthopaedic Surgeons (AAOS) using a digital goniometer. |
| Muscle Strength | Baseline | Isometric muscle strength will be measured with a handheld dynamometer for knee flexors and extensors. The process will be repeated three times in each direction, with the average value recorded. |
| Western Ontario Meniscal Evaluation Tool (WOMET) | Baseline | The health-related quality of life related to degenerative meniscal tear will be used with the WOMET, which is a disease-specific tool designed to evaluate health-related quality of life in patients with meniscal pathology. The WOMET contains sixteen items addressing three domains: nine items addressing physical symptoms; four items addressing disabilities due to sports, recreation, work, and lifestyle; and three items addressing emotions. The best and least symptomatic score is 0, and the highest and most symptomatic score possible is 1600. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Global Rating of Change | At the end of 8-week intervention | The Global Rating of Change is a single-item self-report measure used to assess the participant's perceived overall change following the intervention. At the end of the 8-week intervention, participants will be asked to rate how their current condition compares to their condition before the treatment. |
| Adherence to Exercise Programs | Throughout the 8-week intervention period | Adherence to the video-based exercise program will be monitored using daily participant-completed exercise logs and verified by weekly video submissions demonstrating the performance of selected exercises. The physiotherapist will directly monitor adherence to the clinic-based exercise program. |
Countries
Turkey (Türkiye)
Outcome results
None listed