Exercise Dosages and Exercise Adherence With Patients With Knee Osteoarthritis

NCT ID: NCT04357145

Last Updated: 2020-04-29

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-06-01
• Study Completion Date: 2020-10-30

Brief Summary

Although the effects of different exercise dosages for patients with osteoarthritis are compared in the literature, it is seen that studies on which exercise dosage is better are insufficient.The planned study has 2 main objectives:

• To examine the effects of different exercise dosages on exercise dependence
• To investigate the effect of different exercise dosages on pain and functional results

Detailed Description

Knee osteoarthritis (KO) is the most common musculoskeletal problem worldwide, leading to pain and loss of locomotor function. The Framingham Osteoarthritis Study shows that 19% of adults have radiographic effects on the knee joint. Individuals with advanced symptomatic KO have difficulties in their daily life activities. Among all diseases, KO most affects activities such as walking, climbing stairs and housework. A wide range of physiotherapy treatment methods are available in KO treatment such as strengthening exercises, aquatic exercises, aerobic exercises, proprioception exercise, orthotics, taping methods and the use of electrophysiological agents. High-quality evidences suggests that land-based exercise therapy maintains its positive effect on pain, quality of life and functionality for 2-6 months after the treatment. The dosage of exercise therapy can be adjusted by the duration, frequency, or resistance of the exercise. However, evidence-based information on exercise dosage is limited in KO treatment. While KO is treated in physiotherapy clinics, it is also supported by home exercises during and after treatment. However, it is a clinical problem that patients show low adherence to home exercise. With this study, it is aimed to compare the exercise adherence of patients who are given home exercise with different exercise dosages and to show their functional results. Participants with KO aged between 40-85 years will be included in the study and randomly divided into two groups. The number of repetitions of the high dosage exercise group will be 2 times more than standard exercise group. Participants will be asked to apply home exercise programs 4 times a week. Exercise adherence, pain, kinesiophobia and functionality will be evaluated. Our study will be the first to demonstrate the effect of different home exercise dosages on exercise adherence. The information to be obtained with this study is thought to contribute to the preparation of a better home exercise program. With the information to be obtained through this study, it can contribute to the preparation of a better home exercise program.The planned study has 2 main objectives:

• To examine the effects of different exercise dosages on exercise dependence
• To investigate the effect of different exercise dosages on pain and functional results

Conditions

Knee Osteoarthritis

Study Design

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

Study Groups

Standard Exercise Group

Exercise training is given to patients in the form of a home exercise program.

Group Type: ACTIVE_COMPARATOR

Standard Dosage Home Exercise Training

Intervention Type: OTHER

5-6 standard reputations for all exercises

Exercise Program to be Applied (0-3 Weeks):

Isometric knee extensor and adductor exercise

• Hamstring stretching exercise
• Terminal knee extension exercise
• Straight leg lifting exercise

Exercise Program to be Applied (3-12 Weeks):

• Stepping exercise
• Sit up and stand up without support
• Active knee flexion exercise
• Moving forward exercise

High Dosage Exercise Group

The high dosage exercise training group will implement the recommended exercise program 3 times more than the standard exercise group.

Group Type: EXPERIMENTAL

High Dosage Home Exercise Training

Intervention Type: OTHER

By giving more exercise to the experimental group, exercise adherence, pain and functionality will be compared with the standard exercise group.

3 times more reputation than control

Exercise Program to be Applied (0-3 Weeks):

Isometric knee extensor and adductor exercise

• Hamstring stretching exercise
• Terminal knee extension exercise
• Straight leg lifting exercise

Exercise Program to be Applied (3-12 Weeks):

• Stepping exercise
• Sit up and stand up without support
• Active knee flexion exercise
• Moving forward exercise

Interventions

High Dosage Home Exercise Training

By giving more exercise to the experimental group, exercise adherence, pain and functionality will be compared with the standard exercise group.

3 times more reputation than control

Exercise Program to be Applied (0-3 Weeks):

Isometric knee extensor and adductor exercise

• Hamstring stretching exercise
• Terminal knee extension exercise
• Straight leg lifting exercise

Exercise Program to be Applied (3-12 Weeks):

• Stepping exercise
• Sit up and stand up without support
• Active knee flexion exercise
• Moving forward exercise

Intervention Type: OTHER

Standard Dosage Home Exercise Training

5-6 standard reputations for all exercises

Exercise Program to be Applied (0-3 Weeks):

Isometric knee extensor and adductor exercise

• Hamstring stretching exercise
• Terminal knee extension exercise
• Straight leg lifting exercise

Exercise Program to be Applied (3-12 Weeks):

• Stepping exercise
• Sit up and stand up without support
• Active knee flexion exercise
• Moving forward exercise

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Having a diagnosis of unilateral or bilateral knee osteoarthritis.
• Being between stage 1-3 according to Kellgren-Lawrence criteria.
• Having at least 3 months of pain duration and decreased functioning.
• Being a volunteer who can read and write

Exclusion Criteria

• Physiotherapy or other conservative therapy during the previous 3 months or a history of major knee trauma.
• Having Inflammatory joint disease, hip symptoms more aggravating than the knee symptoms,
• Having comorbidities not allowing exercise such as cardiovascular, respiratory, systemic, or metabolic conditions limiting exercise tolerance.
• Participants with previously performed knee replacement surgery

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Marmara University

OTHER

Sponsor Role: lead

Responsible Party

Eda Tonga

Doctor of Philosophy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

563254

Identifier Type: -

Identifier Source: org_study_id