A non-inferiority trial comparing different modes of physiotherapy service delivery and their effect on knee pain and physical function in people with knee osteoarthritis.

The University of Melbourne0 个研究点目标入组 394 人开始时间: 2019年9月9日最近更新: 2024年6月18日

适应症

试验速览

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•i) meet National Institute for Health and Care Excellence clinical criteria for knee OA:
•i. age 45 years or older;
•ii. activity-related knee joint pain;
•iii. morning knee stiffness lasting no more than 30 mins,
•ii) report history of knee pain of at least 3mths duration;
•iii) report knee pain on most days of the past month;
•iv) report an average pain score of at least 4 on an 11-point numeric rating scale during walking over the previous week;
•v) report difficulty walking and climbing stairs;
•vi) access to a device with internet connection;
•vii) willing and able to travel to the nearest trial physiotherapist if required, for treatment, and;
•viii) pass Exercise and Sports Science Australia stage 1 pre-exercise screening questions (consists of seven questions which are answered YES or NO, and are designed to identify individuals with signs or symptoms of underlying disease, or who may be at higher risk of an adverse event during exercise).

•i) inability to speak English;
•ii) on waiting list for/planning knee/hip surgery in next 12 months;
•iii) previous arthroplasty on affected knee;
•iv) recent knee surgery (past 6 months);
•v) consulting/ed physiotherapy or doing strengthening exercise for knee (past 6 months);
•vi) self-reported inflammatory arthritis (e.g. rheumatoid arthritis);
•vii) any neurological condition affecting lower limbs; and/or
•viii) any unstable/uncontrolled cardiovascular condition.
•Clearance to participate from a general practitioner will be required for anyone who i) reported a fall (past 12 months) or is house-bound due to immobility; or ii) who fails the Exercise and Sports Science Australia stage 1 pre-exercise screening questions.

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