Effects of Body Awareness Therapy in Knee Osteoarthritis

NCT ID: NCT04165187

Last Updated: 2020-07-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-01-01
• Study Completion Date: 2020-06-20

Brief Summary

The aim of this study is to investigate the effect of Body Awareness Therapy (BAT) on pain, balance and functional capacity in patients with knee osteoarthritis.

Individuals will divided into two groups: training group and control group. Both groups will receive exercise training as a home program. Individuals in study group will participate in BAT training 3 days for 6 weeks. Assessments will be made before and after the 6-week study program.

Detailed Description

Symptoms such as pain, morning stiffness, and decreased muscle strength lead to a decrease in functional capacity and quality of life in knee osteoarthritis. It is estimated that 80% of patients with osteoarthritis have movement limitation and 25% are unable to perform significant daily activities. It is also stated that increases the risk of falls due to decrease proprioception in patients with knee osteoarthritis. In addition to physical symptoms, it is reported in the literature that symptoms such as sleep disturbance, depression and anxiety are seen and play a role in pain experience.

It is stated in the literature that hypersensitivity of the central nervous system causes painful perception of normal body functions in chronic osteoarthritis, which leads patients to compensatory and dysfunctional movement strategies.

Body Awareness Therapy (BAT) is a mind-body treatment approach directed towards awareness of body senses and how the body is used. The aim is to integrate the body and soul in the individual's experiences and to restructure body awareness and control.

The aim of this study is to investigate the effect of BAT on pain, balance and functional capacity in patients with knee osteoarthritis.

The study will consist of patients with stage 2-3 knee osteoarthritis according to Kellgren-Lawrence classification.

The individuals included in the study will be divided into two groups as training and control groups using a computer-based randomization program.

Both groups will be given a home program consisting of joint range of motion, stretching, strengthening and proprioceptive exercises. The control group will perform home exercise program and follow up will be made at once a week. The training group will participate in BAT for 3 days/week for 6 weeks in addition to home exercise program. Assessments will be made before and after the 6-week study program.

Conditions

Knee Osteoarthritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

BAT+Home exercise program

The patients in this group will participate in BAT for 3 days a week for 6 weeks in addition to home exercise program.

Group Type: EXPERIMENTAL

Body Awareness Therapy

Intervention Type: OTHER

Body scanning, stretch-release movements, centralization, contact with the ground, postural stability, movement flow and free breathing will be performed during sessions in lying, sitting and standing positions.

Home exercise program

Intervention Type: OTHER

Home exercise program will consist of joint range of motion, stretching, strengthening and proprioceptive exercises for lower extremity.

Home exercise program

The patients in the control group will perform home exercise program, two times a day, 7 days a week for 6 weeks.

Group Type: ACTIVE_COMPARATOR

Home exercise program

Intervention Type: OTHER

Home exercise program will consist of joint range of motion, stretching, strengthening and proprioceptive exercises for lower extremity.

Interventions

Body Awareness Therapy

Body scanning, stretch-release movements, centralization, contact with the ground, postural stability, movement flow and free breathing will be performed during sessions in lying, sitting and standing positions.

Intervention Type: OTHER

Home exercise program

Home exercise program will consist of joint range of motion, stretching, strengthening and proprioceptive exercises for lower extremity.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Primary knee Osteoarthritis
• Stage 2 -3 according to Kellgren - Lawrence Classification

Exclusion Criteria

• Previous surgery in the lower extremity
• Neuromuscular disease
• Vestibular pathology
• Physiotherapy intervention or intra-articular injection within the last 6 months

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Medipol University

OTHER

Sponsor Role: collaborator

Bezmialem Vakif University

OTHER

Sponsor Role: lead

Responsible Party

Kübra Alpay

Lecturer of Pysiotherapy and Rehabilitation Department

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kubra Alpay

Role: PRINCIPAL_INVESTIGATOR

Bezmialem Vakif University

Locations

Bezmialem Vakif University

Istanbul, Eyup, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Alpay K, Sahin M. Effects of basic body awareness therapy on pain, balance, muscle strength and functionality in knee osteoarthritis: a randomised preliminary trial. Disabil Rehabil. 2023 Dec;45(26):4373-4380. doi: 10.1080/09638288.2022.2151650. Epub 2022 Nov 29.

Reference Type: DERIVED

PMID: 36444879 (View on PubMed)

Other Identifiers

Kubra1

Identifier Type: -

Identifier Source: org_study_id