The Video-Based Exercise Program in Degenerative Meniscus Tears
- Conditions
- Meniscus TearKnee Pain SwellingDegenerative Disease
- Interventions
- Other: The standard exercise group (SE)Other: The video-based exercise (VBE) group
- Registration Number
- NCT05266365
- Lead Sponsor
- Istanbul University - Cerrahpasa
- Brief Summary
This randomized-controlled trial aims to investigate the efficacy of a video-based exercise program in patients with degenerative meniscus tears.
- Detailed Description
To investigate the efficacy of a video-based exercise program, voluntary patients with degenerative meniscus tears, aged between 40 and 65 years, will be randomly divided into two groups: the video-based exercise (VBE) group and the standard exercise (SE) group. Interventions will be applied for 16 sessions (twice a week for eight weeks). The patients will be assessed at baseline and the end of the 8-week intervention. The pain during activity, at rest, and night will be assessed with the Visual Analog Scale (VAS). The active range of motion will be evaluated with a digital goniometer. Isometric muscle strength will be measured with a handheld dynamometer. The Knee Injury and Osteoarthritis Outcome Score (KOOS) will evaluate the functional status and symptoms. The Western Ontario Meniscal Evaluation Tool (WOMET) will assess health-related quality of life.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 70
- 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 the ability to read and write Turkish
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description The standard exercise group (SE) The standard exercise group (SE) Each subject in the standard exercise group will receive a treatment protocol consisting of stretching exercises, strengthening exercises and functional exercises for knee and hip. The Video-based exercise (VBE) group The video-based exercise (VBE) group Each subject in the video-based exercise group will receive a treatment protocol consisting of stretching exercises, strengthening exercises and functional exercises for knee and hip.
- Primary Outcome Measures
Name Time Method 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 Outcome Measures
Name Time Method Active Range of Motion At the end of 8-week intervention 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.
Western Ontario Meniscal Evaluation Tool (WOMET) At the end of the 8-week intervention 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.
Visual Analogue Scale (VAS) After 8-week intervention 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.
Muscle Strength At the end of the 8-week intervention 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.
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.
Trial Locations
- Locations (1)
Istanbul University-Cerrahpasa
🇹🇷Istanbul, Bakırkoy, Turkey