Trial Outcomes & Findings for Physical Therapy Versus Internet-Based Exercise Training for Patients With Knee Osteoarthritis (NCT NCT02312713)

NCT ID: NCT02312713

Last Updated: 2017-10-27

Results Overview

Change over time in the primary outcome measure for this study, the WOMAC is a measure of lower extremity pain (5 items), stiffness (2 items), and function (17 items). The scale ranges from 0-96 with higher scores indicating worse symptoms and function.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

350 participants

Primary outcome timeframe

baseline, 4 months, and 12 months

Results posted on

2017-10-27

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Physical Therapy
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
no intervention
Overall Study
STARTED
140
142
68
Overall Study
COMPLETED
129
112
63
Overall Study
NOT COMPLETED
11
30
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Physical Therapy Versus Internet-Based Exercise Training for Patients With Knee Osteoarthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Total
n=350 Participants
Total of all reporting groups
Age, Continuous
65.7 years
STANDARD_DEVIATION 10.3 • n=5 Participants
65.3 years
STANDARD_DEVIATION 11.5 • n=7 Participants
64.3 years
STANDARD_DEVIATION 12.2 • n=5 Participants
65.3 years
STANDARD_DEVIATION 11.1 • n=4 Participants
Sex: Female, Male
Female
40 Participants
n=5 Participants
44 Participants
n=7 Participants
15 Participants
n=5 Participants
99 Participants
n=4 Participants
Sex: Female, Male
Male
100 Participants
n=5 Participants
98 Participants
n=7 Participants
53 Participants
n=5 Participants
251 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
9 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
134 Participants
n=5 Participants
138 Participants
n=7 Participants
67 Participants
n=5 Participants
339 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
8 Participants
n=7 Participants
2 Participants
n=5 Participants
11 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
24 Participants
n=5 Participants
33 Participants
n=7 Participants
13 Participants
n=5 Participants
70 Participants
n=4 Participants
Race (NIH/OMB)
White
109 Participants
n=5 Participants
94 Participants
n=7 Participants
49 Participants
n=5 Participants
252 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
8 Participants
n=4 Participants
Body Mass Index
31.9 kg/m2
STANDARD_DEVIATION 8.6 • n=5 Participants
31.5 kg/m2
STANDARD_DEVIATION 7.8 • n=7 Participants
30.1 kg/m2
STANDARD_DEVIATION 7.3 • n=5 Participants
31.4 kg/m2
STANDARD_DEVIATION 8.0 • n=4 Participants
Married or Living with Partner
80 Participants
n=5 Participants
93 Participants
n=7 Participants
42 Participants
n=5 Participants
215 Participants
n=4 Participants
Bachelors Degree or More Education
86 Participants
n=5 Participants
80 Participants
n=7 Participants
42 Participants
n=5 Participants
208 Participants
n=4 Participants
Employed
59 Participants
n=5 Participants
51 Participants
n=7 Participants
31 Participants
n=5 Participants
141 Participants
n=4 Participants
Low Income Financial Status
20 Participants
n=5 Participants
29 Participants
n=7 Participants
13 Participants
n=5 Participants
62 Participants
n=4 Participants
Fair or Poor Self-Reported Health
14 Participants
n=5 Participants
22 Participants
n=7 Participants
12 Participants
n=5 Participants
48 Participants
n=4 Participants
Number of Joints with Arthritis Symptoms
5.5 joints
STANDARD_DEVIATION 3.0 • n=5 Participants
5.2 joints
STANDARD_DEVIATION 3.1 • n=7 Participants
5.5 joints
STANDARD_DEVIATION 3.9 • n=5 Participants
5.4 joints
STANDARD_DEVIATION 3.2 • n=4 Participants
Self-reported Years with Arthritis Symptoms
14.1 years
STANDARD_DEVIATION 11.6 • n=5 Participants
11.6 years
STANDARD_DEVIATION 11.0 • n=7 Participants
14.2 years
STANDARD_DEVIATION 13.0 • n=5 Participants
13.1 years
STANDARD_DEVIATION 11.7 • n=4 Participants

PRIMARY outcome

Timeframe: baseline, 4 months, and 12 months

Change over time in the primary outcome measure for this study, the WOMAC is a measure of lower extremity pain (5 items), stiffness (2 items), and function (17 items). The scale ranges from 0-96 with higher scores indicating worse symptoms and function.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Western Ontario and McMasters Universities Osteoarthritis (WOMAC) Index Score
Baseline to 4 Month Change
-6.73 units on a scale
Interval -8.86 to -4.6
-6.06 units on a scale
Interval -8.29 to -3.84
-3.37 units on a scale
Interval -6.33 to -0.41
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Western Ontario and McMasters Universities Osteoarthritis (WOMAC) Index Score
Baseline to 12 Month Change
-4.42 units on a scale
Interval -6.66 to -2.17
-5.46 units on a scale
Interval -7.82 to -3.09
-2.83 units on a scale
Interval -5.93 to 0.27

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

This is a validated, 5-item questionnaire that assesses patients' satisfaction with their ability to complete basic functional tasks that are often affected by lower extremity OA, including stair-climbing, walking, doing housework (light and heavy, and lifting and carrying). All 5 items are rated on a 7 point scale ranging from Very Dissatisfied (-3) Very Satisfied (+3). The total scale ranges from -15 to +15,with higher scores indicating greater satisfaction with function.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the Satisfaction With Physical Function Scale
Baseline to 4 Month Change
0.84 units on a scale
Interval 0.6 to 1.09
0.35 units on a scale
Interval 0.09 to 0.61
0.28 units on a scale
Interval -0.07 to 0.63
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the Satisfaction With Physical Function Scale
Baseline to 12 Month Change
0.39 units on a scale
Interval 0.14 to 0.64
0.43 units on a scale
Interval 0.16 to 0.7
0.16 units on a scale
Interval -0.19 to 0.51

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

One of 4 tests that objectively assessed physical function. These 4 tests included: unilateral stand time; time to rise from a chair and return to the seated position for 30 seconds; timed up and go- rise from a seated position, walk a short distance and return to seated position; and a 2 minute step test. For this outcome measure, the 2 minute step test, the minimum is 0 steps and there is no maximum scale score (participants complete as many steps as they can in 2 minutes); greater steps indicate better function.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function - 2 Minute Step Test
Baseline to 4 Month Change
-0.68 number of steps taken in 2 minutes
Interval -5.07 to 3.71
-3.54 number of steps taken in 2 minutes
Interval -8.2 to 1.11
-8.43 number of steps taken in 2 minutes
Interval -14.61 to -2.24
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function - 2 Minute Step Test
Baseline to 12 Month Change
1.11 number of steps taken in 2 minutes
Interval -3.45 to 5.67
1.12 number of steps taken in 2 minutes
Interval -3.76 to 6.0
0.00 number of steps taken in 2 minutes
Interval -6.49 to 6.48

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

One of 4 tests that objectively assessed physical function. These 4 tests included: unilateral stand time; time to rise from a chair and return to the seated position for 30 seconds; timed up and go- rise from a seated position, walk a short distance and return to seated position; and a 2 minute step test. For this outcome measure, the unilateral stand test, scores scan range from 0-10 seconds, with higher time indicating better balance.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function- Unilateral Stand Time
Baseline to 4 Month Change
-0.59 seconds
Interval -1.15 to -0.03
0.02 seconds
Interval -0.57 to 0.61
0.04 seconds
Interval -0.75 to 0.82
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function- Unilateral Stand Time
Baseline to 12 Month Change
-0.05 seconds
Interval -0.6 to 0.5
-0.05 seconds
Interval -0.64 to 0.53
-0.09 seconds
Interval -0.88 to 0.69

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

One of 4 tests that objectively assessed physical function. These 4 tests included: unilateral stand time; time to rise from a chair and return to the seated position for 30 seconds; timed up and go- rise from a seated position, walk a short distance and return to seated position; and a 2 minute step test. For this outcome measure, the 30 second chair stand test, the minimum is 0 stands and there is no maximum scale score (participants complete as many stands as they can in 30 seconds; greater numbers of stands indicate better function.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function - 30 Second Chair Stand
Baseline to 4 Month Change
-0.13 number of stands from a chair in 30 sec
Interval -0.87 to 0.61
0.50 number of stands from a chair in 30 sec
Interval -0.29 to 1.28
0.18 number of stands from a chair in 30 sec
Interval -0.87 to 1.23
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function - 30 Second Chair Stand
Baseline to 12 Month Change
0.16 number of stands from a chair in 30 sec
Interval -0.49 to 0.82
0.90 number of stands from a chair in 30 sec
Interval 0.2 to 1.6
0.66 number of stands from a chair in 30 sec
Interval -0.27 to 1.58

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

One of 4 tests that objectively assessed physical function. These 4 tests included: unilateral stand time; time to rise from a chair and return to the seated position for 30 seconds; timed up and go- rise from a seated position, walk a short distance and return to seated position; and a 2 minute step test. For this outcome measure, the timed up and go, there are no minimum or maximum scores (participants complete the task as quickly as they are able); shorter (lower) times indicate better function.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function- Timed Up and Go
Baseline to 4 Month Change
-0.62 seconds
Interval -1.34 to 0.09
-0.87 seconds
Interval -1.63 to -0.11
-0.23 seconds
Interval -1.24 to 0.78
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Objective Physical Function- Timed Up and Go
Baseline to 12 Month Change
-0.77 seconds
Interval -1.57 to 0.04
-1.49 seconds
Interval -2.35 to -0.63
-0.26 seconds
Interval -1.4 to 0.87

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

Depressive symptoms and severity will be assessed using the PHQ-8, a reliable and valid measure of depression71. The PHQ-8 is an eight-item survey derived from the Primary Care Evaluation of Mental Disorders (PRIME-MD) diagnostic tool, and consists of items corresponding to the depression criteria listed in the Diagnostic and Statistics Manual Fourth Edition (DSM-IV). Each of the eight questions is scored as 0 (not at all) to 3 (nearly every day), so that total scores range from 0 to 24, with higher scores indicating more depressive symptoms.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the Patient Health Questionnaire-8
Baseline to 4 Month Change
-0.46 units on a scale
Interval -0.94 to 0.02
-0.22 units on a scale
Interval -0.73 to 0.29
0.33 units on a scale
Interval -0.36 to 1.01
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the Patient Health Questionnaire-8
Baseline to 12 Month Change
0.1 units on a scale
Interval -0.45 to 0.65
0.1 units on a scale
Interval -0.49 to 0.69
0.99 units on a scale
Interval 0.22 to 1.77

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

The KOOS is a patient-reported outcome measurement instrument, developed to assess the patient's opinion about their knee and associated problems. Five KOOS subscale scores were administered: Pain (9 items), Function in daily living (17 items), Function in Sport and Recreation (5 items), and knee-related Quality of Life (4 items). All items are scored on 5-point Likert scales. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 4 Month Change - KOOS ADL
6.8 units on a scale
Interval 4.53 to 9.06
5.47 units on a scale
Interval 3.08 to 7.87
3.37 units on a scale
Interval 0.16 to 6.57
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 4 Month Change - KOOS Pain
6.2 units on a scale
Interval 3.75 to 8.65
7.77 units on a scale
Interval 5.17 to 10.38
3.84 units on a scale
Interval 0.38 to 7.29
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 12 Month Change - KOOS Pain
3.67 units on a scale
Interval 1.05 to 6.29
6.18 units on a scale
Interval 3.38 to 8.98
2.82 units on a scale
Interval -0.86 to 6.5
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 12 Month Change - KOOS ADL
4.65 units on a scale
Interval 2.3 to 7.01
4.99 units on a scale
Interval 2.48 to 7.49
2.2 units on a scale
Interval -1.1 to 5.5
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 4 Month Change - KOOS Sport/Rec
5.6 units on a scale
Interval 2.44 to 8.77
5.4 units on a scale
Interval 2.03 to 8.77
1.69 units on a scale
Interval -2.82 to 6.2
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 12 Month Change - KOOS Sport/Rec
5.44 units on a scale
Interval 2.07 to 8.8
5.98 units on a scale
Interval 2.33 to 9.64
-0.03 units on a scale
Interval -4.76 to 4.7
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 4 Month Change - KOOS QOL
5.56 units on a scale
Interval 2.93 to 8.19
5.9 units on a scale
Interval 3.11 to 8.69
2.27 units on a scale
Interval -1.45 to 5.99
Change From Baseline to Month 4 and Change From Baseline to Month 12 in The Knee Injury and Osteoarthritis Outcome Score (KOOS)
Baseline to 12 Month Change - KOOS QOL
4.21 units on a scale
Interval 1.64 to 6.78
6.8 units on a scale
Interval 4.06 to 9.54
-0.93 units on a scale
Interval -4.53 to 2.66

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

The PROMIS adult sleep related impairment item bank focuses on self-reported perceptions of alertness, sleepiness, and tiredness during usual waking hours, and the perceived functional impairments during wakefulness associated with sleep problems or impaired alertness. It assesses sleep-related impairment over the past seven days. This scale includes 8 items, each measured on a 5-point Likert scale. Per PROMIS scoring instructions, raw scores are converted into standardized t-scores with a mean of 50 and standard deviation of 10. T-scores can range from 30.5-77.6; higher scores indicate worse sleep impairment.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in The PROMIS Sleep-related Impairment Instrument
Baseline to 4 Month Change
-3.13 units on a scale
Interval -4.37 to -1.89
-0.94 units on a scale
Interval -2.26 to 0.38
-0.54 units on a scale
Interval -2.32 to 1.23
Change From Baseline to Month 4 and Change From Baseline to 12 Month in The PROMIS Sleep-related Impairment Instrument
Baseline to 12 Month Change
-2.16 units on a scale
Interval -3.47 to -0.86
-0.45 units on a scale
Interval -1.84 to 0.94
-1.1 units on a scale
Interval -2.93 to 0.72

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

The PROMIS Fatigue instruments evaluate a range of self-reported symptoms, from mild subjective feelings of tiredness to an overwhelming, debilitating, and sustained sense of exhaustion that likely decreases one's ability to execute daily activities and function normally in family or social roles. Fatigue is divided into the experience of fatigue (frequency, duration, and intensity) and the impact of fatigue on physical, mental, and social activities. It assesses fatigue over the past seven days, This scale includes 8 items, each measured on a 5-point Likert scale. Per PROMIS scoring instructions, raw scores are converted into standardized t-scores with a mean of 50 and standard deviation of 10. T-scores can range from 33.1-77.8; higher scores indicate worse fatigue.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in The PROMIS Fatigue Instrument
Baseline to 12 Month Change
0.09 units on a scale
Interval -1.05 to 1.24
0.88 units on a scale
Interval -0.35 to 2.1
2.52 units on a scale
Interval 0.93 to 4.12
Change From Baseline to Month 4 and Change From Baseline to 12 Month in The PROMIS Fatigue Instrument
Baseline to 4 Month Change
-0.91 units on a scale
Interval -2.21 to 0.38
0.57 units on a scale
Interval -0.81 to 1.94
1.55 units on a scale
Interval 0.31 to 3.42

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

The Brief Fear of Movement Scale is a six item scale for assessing fear of movement in OA. The scale specifically assesses activity avoidance due to pain-related fear of movement. All items are measured on a 4-point scale from "strongly agree" to "strongly disagree." The score ranges from 0-24 with higher scores indicating more fear of movement.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the The Brief Fear of Movement Scale
Baseline to 4 Month Change
-0.34 units on a scale
Interval -0.84 to 0.15
0.01 units on a scale
Interval -0.52 to 0.53
0.45 units on a scale
Interval -0.26 to 1.15
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the The Brief Fear of Movement Scale
Baseline to 12 Month Change
0.28 units on a scale
Interval -0.19 to 0.74
0.06 units on a scale
Interval -0.44 to 0.56
0.28 units on a scale
Interval -0.37 to 0.93

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

The Physical Activity Scale for the Elderly (PASE) is a self-report, 12-item scale that measures level occupational, household, and leisure activity during a one-week period. This scale was particularly developed for use among older adults; although all participants in the proposed study will not be age 65 or over, patients with knee OA typically have more limited physical activity than the general population. Therefore we believe this scale will be more applicable to our participant group than scales that were developed for younger adults. The typical range for the total PASE score is 0-400, with higher scores indicating greater activity.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the Physical Activity Scale for the Elderly (PASE)
Baseline to 4 Month Change
2.25 units on a scale
Interval -9.18 to 13.68
-11.52 units on a scale
Interval -23.79 to 0.74
-4.7 units on a scale
Interval -21.04 to 11.64
Change From Baseline to Month 4 and Change From Baseline to 12 Month in the Physical Activity Scale for the Elderly (PASE)
Baseline to 12 Month Change
8.28 units on a scale
Interval -2.01 to 18.56
8.19 units on a scale
Interval -2.99 to 19.37
1.17 units on a scale
Interval -13.11 to 15.45

SECONDARY outcome

Timeframe: baseline, 4 months, and 12 months

Number of minutes per week, on average, they are completing strengthening, stretching, and aerobic exercises. The minimum score is 0, and there is no maximum score; higher scores indicate more weekly activity.

Outcome measures

Outcome measures
Measure
Standard Physical Therapy
n=140 Participants
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 Participants
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 Participants
no intervention
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Additional Self-Report Physical Activity Items
Baseline to 4 Month Change - Strengthening Exercis
1.78 minutes per week
Interval 0.99 to 2.57
1.27 minutes per week
Interval 0.44 to 2.11
0.43 minutes per week
Interval -0.69 to 1.54
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Additional Self-Report Physical Activity Items
Baseline to 12 Month Change - Strengthening Exerc
1.07 minutes per week
Interval 0.23 to 1.91
1.21 minutes per week
Interval 0.32 to 2.1
-0.14 minutes per week
Interval -1.32 to 1.04
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Additional Self-Report Physical Activity Items
Baseline to 4 Month Change - Stretching
1.45 minutes per week
Interval 0.76 to 2.15
0.97 minutes per week
Interval 0.23 to 1.72
-0.4 minutes per week
Interval -1.39 to 0.6
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Additional Self-Report Physical Activity Items
Baseline to 12 Month Change - Stretching
0.27 minutes per week
Interval -0.37 to 0.92
0.72 minutes per week
Interval 0.04 to 1.41
-1.34 minutes per week
Interval -2.24 to -0.44
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Additional Self-Report Physical Activity Items
Baseline to 4 Month Change - Aerobic Exercises
1 minutes per week
Interval -0.02 to 2.02
1.79 minutes per week
Interval 0.71 to 2.88
-0.09 minutes per week
Interval -1.53 to 1.35
Change From Baseline to Month 4 and Change From Baseline to 12 Month in Additional Self-Report Physical Activity Items
Baseline to 12 Month Change - Aerobic Exercises
0.48 minutes per week
Interval -0.67 to 1.63
0.41 minutes per week
Interval -0.82 to 1.63
-1.59 minutes per week
Interval -3.21 to 0.04

Adverse Events

Standard Physical Therapy

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

Internet Based Exercise Training

Serious events: 12 serious events
Other events: 0 other events
Deaths: 2 deaths

Wait List Control

Serious events: 9 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Standard Physical Therapy
n=140 participants at risk
Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content. Physical Therapy: Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises.
Internet Based Exercise Training
n=142 participants at risk
Participants assigned to the internet-based exercise training arm will be given access to a program that aims to tailor exercises based on individuals' functional levels. The program assigns specific exercises, progresses these exercises as appropriate over time, and shows individual video clips to demonstrate appropriate performance of exercises. Internet Based Exercise Training: Participants assigned to the PT arm will receive 3-8 individual visits with a physical therapist. The content of these visits will be "semi-standardized," meaning that they will include some common core components (e.g., evaluation, prescription of home exercise program), but the therapists will have flexibility in terms of how many visits are appropriate and the details of the visit content.
Wait List Control
n=68 participants at risk
no intervention
Infections and infestations
Osteomyelitis of left foot
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Blood and lymphatic system disorders
Chronic Leukemia
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Vascular disorders
Pulmonary Embolism
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Respiratory, thoracic and mediastinal disorders
Shortness of breath, CHF exacerbation, pneumonia
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Gastrointestinal disorders
Left femoral hernia resulting in small bowel obstruction
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Surgical and medical procedures
Posterior Lumbar Decompression & Fusion Surgery
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
1.5%
1/68 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
Cardiac disorders
Heart Blockage
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
2.9%
2/68 • Number of events 2 • Data were collected for 12 months, ending at participants' final follow up time point.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Stage 1 Uterine Cancer
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
1.5%
1/68 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
Surgical and medical procedures
Total Knee Replacement
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Cardiac disorders
Heart Attack
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Nervous system disorders
Presyncope
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
1.5%
1/68 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
Surgical and medical procedures
Cataract Surgery
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Nervous system disorders
Syncope
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Cardiac disorders
Bradycardia
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Surgical and medical procedures
Pacemaker implant for Sick sinus syndrome
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Injury, poisoning and procedural complications
Odontoid fracture
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
1.5%
1/68 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
Respiratory, thoracic and mediastinal disorders
Asthma Exacerbation
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Infections and infestations
Sepsis from E.Coli UTI
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
1.5%
1/68 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
Injury, poisoning and procedural complications
C1 Cervical Fracture
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
1.5%
1/68 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
Surgical and medical procedures
Laproscopy w/total hysterectomy
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Surgical and medical procedures
Laparoscopic cholecystectomy for cholelithiasis
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
1.5%
1/68 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
Infections and infestations
Appendicitis with peritoneal abscess
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Infections and infestations
MRSA bacteremia
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Immune system disorders
Anaphylaxis after insect bites
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Injury, poisoning and procedural complications
Fall with fracture of right shoulder and right wrist pain
0.71%
1/140 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/142 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Infections and infestations
C. Diff Colitis
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.
Nervous system disorders
Stroke
0.00%
0/140 • Data were collected for 12 months, ending at participants' final follow up time point.
0.70%
1/142 • Number of events 1 • Data were collected for 12 months, ending at participants' final follow up time point.
0.00%
0/68 • Data were collected for 12 months, ending at participants' final follow up time point.

Other adverse events

Adverse event data not reported

Additional Information

Kelli Allen

University of North Carolina at Chapel HIll

Phone: 919-966-0558

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place