Effect of physiotherapy on pain and physical function in people with arthritis affecting their kneecap

Not Applicable

Recruiting

• Conditions: Patellofemoral osteoarthritis; Musculoskeletal - Osteoarthritis

• Registration Number: ACTRN12608000288325
• Lead Sponsor: Dr Kay M Crossley

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2008-06-05
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

To be included in the study, participants must fulfil the following criteria: (i) aged at least 40 years; (ii) anterior- or retro-patellar knee pain aggravated by at least two activities that load the PFJ (eg stair ambulation, squatting and/or rising from sitting); (iii) pain severity at least 4 on an 11 point numerical pain scale during aggravating activities; (iv) pain during these activities present on most days during the past month; (v) osteophyte grade at least grade 1 in the lateral PFJ compartment on skyline x-ray

Exclusion Criteria

Exclusion criteria include: (i) concomitant pain from other knee structures, hip or lumbar spine; (ii) current or previous physiotherapy for knee pain (prior 12 months); (iii) contra-indications to the treatments (eg tape allergy); (iv) recent knee injections (prior 3 months); (v) planned lower limb surgery in the following 6 months; (vi) body mass index more than 34 kg.m2; (vii) medial patellofemoral OA (osteophytes or joint space narrowing on a skyline x-ray) that is more severe than lateral patellofemoral OA; (viii) moderate to severe concomitant tibiofemoral OA (Kellgren and Lawrence grade more than grade 2 on an postero-anterior radiograph); (ix) knee or hip arthroplasty or osteotomy; (xi) physical inability to undertake testing procedures or; (x) other medical conditions, including arthritic conditions which could affect testing or treatment outcomes; (xi) inability to understand written and spoken English.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Knee pain severity on aggravating activity (stairs or squat) (past week) on a 0-100mm horizontal visual analogue scale (VAS)[baseline and 12 weeks];Physical function will be assessed on the physical function subscale of the Western Ontario MacMaster Universities (WOMAC) Osteoarthritis Index.[baseline and 12 weeks];Participants will rate their perceived overall change in symptoms following treatment on a 5 point ordinal scale: 1-much improved, 2-improved, 3-no change, 4-worse, 5-much worse, giving a perceived global effect score[baseline and 12 weeks]

Secondary Outcome Measures

Name	Time	Method
Sport and Recreational Function and Knee Related Quality-Of-Life will be assessed using the relevant scales of the Knee Injury and Osteoarthritis Outcome Score.[baseline and 12 weeks];Observed functional tests including the step test, a timed stair ascent/descent task, and a chair rise test.[baseline and 12 weeks];Physical Activity Scale for the Elderly (PASE).[baseline and 12 weeks];Treatment expectation and self efficacy questionnaires[baseline and 12 weeks]