Tai Chi or Hydrotherapy for People With Osteoarthritis of the Hip(s) or Knee(s)
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- Self-reported pain and function (WOMAC)
研究概览
简要总结
The aim of this study is to determine, in the framework of a randomized controlled clinical trial, whether Tai Chi can affect measurable improvements in self-reported outcomes such as pain, physical function and psychological well-being in people with osteoarthritis (OA) mainly affecting the hips or knees. The effectiveness of Tai Chi will be compared with both a non-intervention control group as well as with a formal exercise program, hydrotherapy. Hydrotherapy has long been considered an effective intervention for people with chronic OA although scientific evidence is weak at present. The main study hypotheses are that Tai Chi or hydrotherapy can significantly decrease pain and physical limitations; improve health-related quality of life; and promote psychological well being in patients with OA of the hip(s) or knee(s); and that Tai Chi and hydrotherapy are of equal efficacy.
详细描述
A single blinded randomized controlled clinical trial with 3 allocation groups:
- Tai Chi: maximum 15 people per group, twice weekly, 12 weeks.
- Hydrotherapy: maximum 15 people per group, twice weekly, 12 weeks.
- Control: 12 weeks waiting time prior to allocation to active intervention.
A specially designed Tai Chi program (Tai Chi for Arthritis, Paul Lam) will be provided in a community setting by trained instructors. Hydrotherapy sessions will be held at the St. George Hospital under supervision of registered physiotherapists with rheumatology and hydrotherapy experience.
Outcomes will be measured twice: 12 and 24 weeks after randomisation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single
入排标准
- 年龄范围
- 59 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Symptomatic osteoarthritis of the hip(s) or knee(s) according to American College of Rheumatology (ACR) clinical and radiographic (hip) criteria.
排除标准
- •Currently participating in recreational physical activity more than twice a week.
- •Unable to walk indoors for more than 10 minutes without a walking aid.
- •Unable to exercise at a moderate level due to major co-morbidity.
- •Incontinent, afraid of water or uncontrolled epilepsy.
- •Low back pain referring to limbs.
- •Joint replacement surgery in past year.
- •Arthroscopic surgery or intra-articular injections in knee or hip in past 3 months.
结局指标
主要结局
Self-reported pain and function (WOMAC)
次要结局
- General health status (SF-36)
- Psychological well being (DASS)
- Patient global assessment (100mm visual analogue scale [VAS])
- Physical performance: 50 feet walk time, stair time