Integrating Hybrid Telerehabilitation Into Routine Physiotherapy Practice for Anterior Knee Pain: Protocol for a Real-World Pragmatic Mixed-Methods Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Exercise Adherence (ATEMPT Score)
研究概览
简要总结
This study will examine how hybrid telerehabilitation is used in routine physiotherapy care for adults with anterior knee pain. Approximately 30 participants will be followed for 72 weeks while receiving individualized treatment from their physiotherapist, supported by the moveUP mobile application. The application provides prescribed exercises, educational information, communication with the physiotherapist, and progress monitoring.
The study will assess adherence to rehabilitation, pain, knee function, quality of life, psychological factors, and physical activity. It will also explore whether patient adherence and physiotherapist engagement are associated with clinical outcomes. Interviews with patients and healthcare professionals will examine barriers and facilitators to using the platform in routine care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years or older.
- •Clinical diagnosis of anterior knee pain, including patellofemoral pain, patellar tendinopathy, Hoffa's fat pad syndrome, chondromalacia, or femoropatellar, tibiopatellar, or tibiofemoral osteoarthritis not requiring surgery.
- •Access to a smartphone compatible with the moveUP application.
排除标准
- •Currently awaiting spine or lower-limb surgery.
- •Lower-limb surgery or other invasive intervention within the previous two years.
- •Joint prosthesis.
- •Acute trauma to the trunk or lower limbs, or fracture, dislocation, or other musculoskeletal pathology of the affected lower limb within the previous six months.
- •Saphenous nerve neuritis or Ehlers-Danlos syndrome.
- •Severe osteoarthritis requiring joint replacement, systemic inflammatory joint disease (including rheumatoid arthritis or gout), or joint infection.
- •Persistent low back pain lasting three months or longer.
- •Vascular, respiratory, or neurological conditions that interfere with participation.
- •Cognitive or psychiatric impairment limiting application use or communication.
- •Pregnancy.
研究组 & 干预措施
Hybrid Telerehabilitation
Participants receive individualized physiotherapy for anterior knee pain supported by the moveUP mobile application over 72 weeks. Treatment is prescribed and adapted by the treating physiotherapist according to individual patient needs.
干预措施: Hybrid Telerehabilitation (Behavioral)
结局指标
主要结局
Exercise Adherence (ATEMPT Score)
时间窗: Baseline and weeks 6, 12, 18, 24, 36, 48, 60, and 72
Exercise adherence will be assessed using the Adherence to Exercise for Musculoskeletal Pain Tool (ATEMPT). Total scores range from 6 to 30, with higher scores indicating greater adherence.
Pain Intensity (Visual Analog Scale)
时间窗: Baseline and weeks 6, 12, 18, 24, 36, 48, 60, and 72
Pain intensity will be measured using a 0-100 mm Visual Analog Scale (VAS), where 0 indicates no pain and 100 indicates the worst pain imaginable. Higher scores indicate greater pain intensity.
次要结局
- Physical Activity (Daily Step Count)(Daily/weekly)
- Knee Function (Anterior Knee Pain Scale)(aseline and weeks 6, 12, 18, 24, 36, 48, 60, and 72)
- Health-Related Quality of Life (EQ-5D)(Baseline and weeks 6, 12, 18, 24, 36, 48, 60, and 72)
- Fear of Movement (Tampa Scale for Kinesiophobia)(Baseline and weeks 6, 12, 18, 24, 36, 48, 60, and 72)
- Pain Catastrophizing (Pain Catastrophizing Scale)(Baseline and weeks 6, 12, 18, 24, 36, 48, 60, and 72)
研究者
Farraj Miguel
PhD candidate
Université Libre de Bruxelles