Internet Mediated physiotherapy and Pain Coping skills Training for people with persistent knee pain - IMPACT trial

Not Applicable

Recruiting

• Conditions: Physical Medicine / Rehabilitation - Physiotherapy; Persistent knee pain; Musculoskeletal - Osteoarthritis

• Registration Number: ACTRN12614000243617
• Lead Sponsor: The University of Melbourne

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-03-07
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 148

Inclusion Criteria

Aged 50 years and over

Persistent knee pain for more than 3 months and for most days of the past month

Self-reported average walking pain level over the past week of equal to or greater than 4 out of 10 on a numeric rating scale

WOMAC physical function score of >20 (at least mild-moderate dysfunction)

Current email address and access to a computer with broadband internet connection

Able to commit approximately 12 months to the study and willing to do regular home exercises and pain coping skills training practice if allocated to the combined intervention or education only groups.

Exclusion Criteria

Have had or on the waiting list for a knee or hip joint replacement on the painful knee side

Have had or are planning knee joint surgery, intra-articular injection therapy on the painful knee within the past/next 6 months

Have seen a health practitioner and had treatment (e.g. physiotherapy, chiropractic, osteopathy, acupuncture etc) for knee pain, or participated in a muscle strengthening exercise program or a pain coping skills program, in the past 6 months

Systemic arthritic condition

Any neurological conditions such as a stroke, Multiple sclerosis, polio, neuropathy, peripheral nerve disease or Parkinson’s disease that affects the lower-limb and limits the ability to exercise safely

Any other major joint pain (e.g. back, hip or ankle) that currently limits the ability to exercise

Self-reported high-level depression (score of >21 on the depression subscale of the Depression, Anxiety and Stress Scale (DASS-21)

People without a good level of written and spoken English

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Average walking knee pain in the past week - 11 point numeric rating scale[13 weeks];Physical function - WOMAC Osteoarthritis Index physical function subscale[13 weeks]

Secondary Outcome Measures

Name	Time	Method
Overall pain - WOMAC Osteoarthritis Index pain subscale[13weeks];Perceived change overall - 7 point ordinal scale[13 weeks];Perceived change in pain - 7 point ordinal scale[13 weeks<br>];Perceived change in function - 7 point ordinal scale[13 weeks];Health related quality of life - AQoL2 questionnaire[13 weeks];Self reported psychological measures:<br><br>Arthritis Self Efficacy Scale<br>Coping Strategies Questionnaire<br>Pain Catastrophising Scale<br>Depression, Anxiety and Stress (DASS-21) Questionnaire[13 weeks]