Which Physical Therapy Program is Cost-effective in Knee Osteoarthritis?

Not Applicable

Completed

• Conditions: Osteoarthritis, Knee
• Interventions: Other: Physical therapy program

• Registration Number: NCT04736069
• Lead Sponsor: Ufuk University

Brief Summary

Knee osteoarthritis (OA) is a disease with significant levels of socioeconomic burden to the society. P The non-pharmacologic interventions in knee OA include weight loss, exercise, and physical therapy. In this study, we aimed to to compare the cost-effectiveness of inpatient and outpatient physical therapy programs in patients with knee osteoarthritis.

Detailed Description

Knee osteoarthritis (OA) is a major problem for society with a heavy economic burden. Especially in the elderly population, integrated rehabilitation programs are frequently used to improve patients' symptoms and quality of life. To estimate the costs and utility of the rehabilitation programs may help clinicians decide optimal treatment strategy with proper usage of resources. Therefore, we aimed to to compare the cost-effectiveness of inpatient and outpatient physical therapy programs in patients with knee osteoarthritis.The study included 52 patients with the diagnose of knee osteoarthritis. Patients were divided into two groups. Group 1 (n=30) received 21 sessions of inpatient physical therapy program including electrotherapy, superficial- deep heat applications and basic knee exercise program. Group 2 (n=22) received the same physical therapy program at outpatient clinic.

Study Timeline

• Study Start: 2011-03-01
• Primary Completion: 2013-01-30
• Study Completion: 2013-01-30
• Study First Submitted: 2021-01-27
• Study First Submitted QC: 2021-01-29
• Study First Posted: 2021-02-03
• Results First Submitted: 2021-02-19
• Status Verified: 2021-04
• Results First Submitted QC: 2021-04-26
• Last Update Submitted: 2021-04-26
• Results First Posted: 2021-05-18
• Last Update Posted: 2021-05-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

-Knee OA diagnosed patients based on American College of Rheumatology Criteria

Exclusion Criteria

• visual disturbances
• malignancy
• inflammatory rheumatic diseases
• pregnancy
• advanced cardiovascular, kidney or liver pathologies
• uncontrolled hypertension
• patients who had injuries in their lower extremities
• patients who underwent under total hip or knee prosthetic surgeries.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Outpatient physical therapy program	Physical therapy program	The group received the same physical therapy program including electrotherapy, superficial-deep heat applications and basic knee exercise program at outpatient clinic.
Inpatient physical therapy program	Physical therapy program	The group received 21 sessions of physical therapy program including electrotherapy, superficial- deep heat applications and basic knee exercise program at inpatient clinic.

Primary Outcome Measures

Name	Time	Method
Quality of Life; Short-Form 36-General Health	Change from Baseline Short-Form 36 scores at 6 months	Short-Form 36 (SF-36) which is composed of eight multi-item scales as bodily pain, physical functioning, social functioning, role-physical, role-emotional, vitality, general health, mental health. Each score of these scales ranging from 0 to 100; higher scores indicating higher QoL.
Median Total Cost Per Participant for Health Care	baseline-six months	median total expenses for health care at the end of the study
Pain; Visual Analog Scale (VAS)	Change from Baseline VAS scores at 6 months	Patients were requested to sign their pain level on a 10 cm horizontal line with terminal ends of 'no pain' and 'the worst pain'
Physical Function; Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index	Change from Baseline WOMAC scores at 6 months	WOMAC questionnaire includes five items for pain, two for stiffness, and 17 for functional limitation (score range 0-68). All the items are scored on a scale of 0-4, with higher scores indicating a higher level of symptoms or physical disability.
Fall Risk Assessment; Hendrich II Fall Risk Scale	Change from Baseline Hendrich II Fall Risk Scale at 6 months	The scale includes seven items. These items are confusion \& disorientation, depression, change in excretion, dizziness, gender, antiepileptic \& benzodiazepine use, and get up and walk test. The final score is the sum of these scores; (the score range is between 0-16; 16 is the highest possible score) Patients five or more scores on the scale are considered to be at high risk.