Implementation of a physiotherapy led, multidisciplinary model of care for the management of knee osteoarthritis in community practice: a pilot study

Not Applicable

• Conditions: Knee osteoarthritis; Musculoskeletal - Osteoarthritis; Public Health - Health service research

• Registration Number: ACTRN12620000218998
• Lead Sponsor: niversity of New South Wales

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-02-24
• Last Update Posted: 3 March 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

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

Exclusion Criteria

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

Study & Design

• Study Type: Interventional
• 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.<br><br>[Timepoint. at 6 weeks after recruitment.];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.<br>[Timepoint. at 6 weeks after recruitment.];Primary outcome 3 - Acceptability of the developed model to the physiotherapists where acceptability reflects the extent to which the patients and physiotherapists consider the intervention to be appropriate (level of satisfaction) based on what they anticipated or experienced, as assessed by interview of patients and physiotherapists. Interviews will take approximately 30 mins in a one-to-one format, either, face to face or by telephone as able.[Timepoint. at 6 weeks after recruitment of final participant.]

Secondary Outcome Measures

Name	Time	Method
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 after recruitment.];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 after recruitment.];Secondary outcome 3 – Polysymptomatic distress, as assessed by patient reported outcomes (2011 Fibromyalgia criteria questionnaire)[Timepoint. Baseline and 12 weeks after recruitment.];Secondary outcome 1 – knee stiffness, as assessed by patient reported outcome (Knee injury and Osteoarthritis Outcome Score)[Timepoint. Baseline and 12 weeks after recruitment.]