Current management of patients with knee osteoarthritis in community physiotherapy practice: an observational study
- Conditions
- Knee OsteoarthritisMusculoskeletal - OsteoarthritisPhysical Medicine / Rehabilitation - Physiotherapy
- Registration Number
- ACTRN12620000188932
- Lead Sponsor
- niversity of New South Wales
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 56
People who present with knee OA defined as
•activity related joint pain
•morning stiffness<30 mins
•over 45 years old
These participants may also have
. bony enlargement
•crepitus on active motion
•deformity fixed flexion
•+/-varus/valgus
•knee instability
•peri-articular or joint tenderness
•pain on patellar femoral compression
•swelling
All physiotherapists working in the practices, who have given consent, will be included in the study.
Patients will be excluded from participation if they have
•inflammatory arthritis
•rheumatoid arthritis
•gout
•history of/or current infection in the joint
•cognitive impairment
•significant trauma
•hemi or total knee replacement of affected joint
•have had knee surgery in the last 12 months
•or are being treated under workers compensation
Physiotherapists will be excluded from participation if they choose to opt out and do not consent, or withdraw consent at any time during the project.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Primary outcome 1 - Proportion of patients who are recorded as receiving care according to guidelines, as assessed by audit of patient treatment notes.[Timepoint. at 6 weeks post enrolment.];Primary outcome 2 - Proportion of patients who have patient-reported outcomes incorporated into their assessment and management plan, as assessed by audit of patient treatment notes.[Timepoint. at 6 weeks post enrolment.]
- Secondary Outcome Measures
Name Time Method Secondary outcome 1 – knee stiffness, as assessed by patient reported outcome (Knee injury and Osteoarthritis Outcome Score)[Timepoint. Baseline and 12 weeks post enrolment.];Secondary outcome 2 – knee pain, as assessed by patient reported outcomes (Knee injury and Osteoarthritis Outcome Score and Multidimensional Health Assessment Questionnaire)[Timepoint. Baseline and 12 weeks post enrolment.];Secondary outcome 3 – knee function, as assessed by patient reported outcomes (Knee injury and Osteoarthritis Outcome Score and Multidimensional Health Assessment Questionnaire)[Timepoint. Baseline and 12 weeks post enrolment.];Secondary outcome 3 – Polysymptomatic distress, as assessed by patient reported outcomes (2011 Fibromyalgia criteria questionnaire)[Timepoint. Baseline and 12 weeks post enrolment.]