Does a tailored physical activity program and a progressive resistance home exercise program delivered using e-Health and health coaching improves physical function in individuals with chronic low back pain and/or knee osteoarthritis who live in rural Australia compared to usual care?

The University of Sydney0 sites156 target enrollmentSeptember 5, 2018

Overview

No summary available.

Registry

who.int

Start Date

September 5, 2018

End Date

September 30, 2021

Last Updated

4 years ago

Study Type

Interventional

Sex

All

Sponsor

•Non\-specific LBP and/or knee pain lasting for at least 3 months. Participants who report both conditions will be stratified based on their primary complaint by reporting which condition concerns them the most.
•Pain level: LBP: Equal or greater than 3/10 on the 11\-point numeric pain rating scale in the past week and knee: Equal or greater than 3/10 on the 11\-point numeric pain rating scale over most days of the past month.
•Be in the process of seeking care through Dubbo or Orange outpatient physiotherapy department or are intending to access care (which incur costs to patients or healthcare system) in the next 3 months for their back and/or knee pain
•Reside in very remote, remote, inner and outer regional areas (based on the Australian Standard Geographical Classification Remoteness Area)
•Be fluent in English (verbal and written)
•Have adequate hearing and eyesight
•Independent ambulatory status
•Have current internet access and access to it at least once a month
•Own an internet\-capable device with a display, camera, microphone and speaker (smartphone, tablet or computer).
•Have a self\-rated ability to use the internet at\-least fair (using a 4\-item scale from poor, fair, good to excellent)

•Recent or imminent spinal surgery (within 12 months)
•Recent or imminent knee surgery (arthroscopy within 6 months; knee replacements/osteotomy within 12 months)
•Any recent corticosteroid injections (knee or back in the past 6 months)
•Evidence of radiculopathy, nerve root, spinal cord, cauda equine compression or lumbar neurogenic claudication
•Any known suspected serious spinal pathology (fracture, metastatic, inflammatory or infective diseases, widespread neurological disorder)
•LBP caused by involvement in a road traffic accident in the last 12 months or ongoing litigation
•Have a comorbid condition that would prevent active participation in performing strengthening exercises at home or increasing physical activity levels
•Diagnosis of fibromyalgia or a systematic arthritic condition
•Current or planned pregnancy
•Recent fall history deemed to impose risk for potential injury