Manual Therapy Versus Exercise on Knee Osteoarthritis

NCT ID: NCT00988468

Last Updated: 2010-11-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2010-08-31

Brief Summary

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Earlier research has shown that exercising while receiving manual therapy improves function and reduces pain in people with knee osteoarthritis. However, very little is known about the mechanisms by which manual therapy and exercise reduce pain and improve function. This study will ask subjects with knee osteoarthritis to receive one of the following interventions: (1) no treatment, (2) exercise only, or (3) manual therapy only. Measures will be taken of the patient's knee range of motion, knee swelling and pain before and after receiving the intervention. These measures will be analyzed to determine what effect exercise and manual therapy applied to the knee have on improving knee range of motion and reducing knee pain and swelling. Swelling will be measured using an ultrasound device which is used to take pictures inside the knee. This type of ultrasound measurement is painless and harmless.

Detailed Description

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Conditions

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Knee Osteoarthritis

Keywords

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Knee Osteoarthritis Manual Therapy Therapeutic Exercise Ultrasound Effusion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Manual Therapy

Subjects will receive oscillatory (grade 1 \& 2) manual knee mobilization for 15 minutes at various knee range of motion positions.

Group Type EXPERIMENTAL

Manual Therapy

Intervention Type PROCEDURE

Grade 1 and 2 oscillatory manual mobilization of the tibiofemoral joint at various ranges of motion.

Therapeutic Exercise

Subjects will perform 15 minutes of combined resistance exercise and aerobic exercise.

Group Type EXPERIMENTAL

Therapeutic Exercise

Intervention Type BEHAVIORAL

Subjects will perform 5 minutes of lower extremity cycle ergometer with minimal resistance followed by 10 minutes of resistance exercise to the quadriceps at 3 tibiofemoral positions (0 degrees, 30 degrees and 60 degrees of knee flexion).

Control

Subjects will watch a 15 minute instructional video on a health topic.

Group Type PLACEBO_COMPARATOR

Video Observation

Intervention Type BEHAVIORAL

Subjects will watch a 15 minute video on a health topic unrelated to knee osteoarthritis.

Interventions

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Manual Therapy

Grade 1 and 2 oscillatory manual mobilization of the tibiofemoral joint at various ranges of motion.

Intervention Type PROCEDURE

Therapeutic Exercise

Subjects will perform 5 minutes of lower extremity cycle ergometer with minimal resistance followed by 10 minutes of resistance exercise to the quadriceps at 3 tibiofemoral positions (0 degrees, 30 degrees and 60 degrees of knee flexion).

Intervention Type BEHAVIORAL

Video Observation

Subjects will watch a 15 minute video on a health topic unrelated to knee osteoarthritis.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of knee osteoarthritis.

Exclusion Criteria

* Inability to ambulate at least 100 feet, ride a stationary bicycle for at least 10 minutes, or lie in the prone position for at least 10 minutes,
* Intra-articular knee injection within one month of study inception,
* A history of exercise induced or uncontrolled angina within three months of the study entry,
* Severe dyspnea at rest,
* Previous bilateral total knee arthroplasty,
* Pregnancy, OR
* The absence of knee pain at the time of recruitment for the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Texas Tech University Health Sciences Center

OTHER

Sponsor Role lead

Responsible Party

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Texas Tech University Health Sciences Center

Principal Investigators

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Dan Poulsen, PhD

Role: PRINCIPAL_INVESTIGATOR

Texas Tech University Health Sciences Center

Locations

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Texas Tech University Health Sciences Center

Lubbock, Texas, United States

Site Status

Countries

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United States

References

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Other Identifiers

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L10-004

Identifier Type: -

Identifier Source: org_study_id