The Effect of Hybrid Tele-rehabilitation Versus In Person Rehabilitation on Pain and Function in Patients With Knee Osteoarthritis

NCT ID: NCT06956222

Last Updated: 2025-05-04

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-04-01
• Study Completion Date: 2026-06-30

Brief Summary

People with knee osteoarthritis often need regular physiotherapy sessions to reduce pain and improve movement. Attendance of in-person sessions can be difficult because of travel and time. This study aims to learn if combining in-person and video sessions using Zoom works for people with knee osteoarthritis. The main questions it aims to answer are :

• Does combining in-person and video sessions improve pain and physical function in people with knee osteoarthritis?
• Does combining in-person and video sessions improve adherence to the exercise program?
• Are people satisfied with video sessions using Zoom?

The researchers will compare the use of one in-person session and one video session per week to the standard care of two in-person sessions per week.

Participants will :

• Attend either (one in-person and one video session per week) or (two in-person sessions per week) for 8 weeks.
• Perform exercise program that suits their needs during in-person and video sessions.
• Record the number of attended sessions over 8 weeks.
• Complete questionnaires about pain, physical function at the start and the end of the study.
• Complete questionnaire about usability and satisfaction at the end of the study.

Conditions

Knee Osteoarthritis

Study Design

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

Study Groups

Hybrid Tele-rehabilitation

participants will receive one in-person and one video session per week for 8 weeks. Both sessions include the same exercise program delivered by a physiotherapist.

Group Type: EXPERIMENTAL

Hybrid Tele-rehabilitation

Intervention Type: OTHER

In-person session: participants attend the session in physiotherapy clinic.They will receive exercises (attached in the study protocol document) under the physiotherapist's supervision, including watching and correcting exercise techniques.

Video session: participants attend video session via Zoom platform (Zoom Video Communications, inc., USA), an accessible internet-based platform from any laptop or mobile device that offers a real-time video and audio communications. Participants will receive a Zoom link with a unique password. During the video session, the physiotherapist accesses from the clinic using a laptop, while participants are based at their home. Participants will receive exercises (attached in the study protocol document) with real time instructions from the physiotherapist. Instructions on downloading and accessing Zoom platform will be given to the participants in the first in-person session to ensure their readiness to access the Zoom platform.

Standard Rehabilitation

participants will receive two in-person sessions per week for 8 weeks. All sessions include an exercise program delivered by a physiotherapist.

Group Type: ACTIVE_COMPARATOR

Standard Rehabilitation

Intervention Type: OTHER

In-person session: participants attend the session in physiotherapy clinic.They will receive exercises (attached in the study protocol document) under physiotherapist's supervision, including watching and correcting exercise techniques.

Interventions

Hybrid Tele-rehabilitation

In-person session: participants attend the session in physiotherapy clinic.They will receive exercises (attached in the study protocol document) under the physiotherapist's supervision, including watching and correcting exercise techniques.

Video session: participants attend video session via Zoom platform (Zoom Video Communications, inc., USA), an accessible internet-based platform from any laptop or mobile device that offers a real-time video and audio communications. Participants will receive a Zoom link with a unique password. During the video session, the physiotherapist accesses from the clinic using a laptop, while participants are based at their home. Participants will receive exercises (attached in the study protocol document) with real time instructions from the physiotherapist. Instructions on downloading and accessing Zoom platform will be given to the participants in the first in-person session to ensure their readiness to access the Zoom platform.

Intervention Type: OTHER

Standard Rehabilitation

In-person session: participants attend the session in physiotherapy clinic.They will receive exercises (attached in the study protocol document) under physiotherapist's supervision, including watching and correcting exercise techniques.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Mild to moderate knee osteoarthritis.
• Age 40 to 80 years old.
• Body Mass Index < 34 kg/m2.
• Numeric pain rating scale > 4 out of 10.
• Pain for more than 3 months.
• Morning stiffness lasting < 30 minutes (standard clinical criteria of knee osteoarthritis)
• Pain and crepitus with active motion (e.g., walking, sit to stand, stair climbing) (standard clinical criteria of knee osteoarthritis)
• Access to the device with an internet connection.
• Ability to use electronic devices or smart phones.

Exclusion Criteria

• Severe knee osteoarthritis and limited mobility or bonded to a wheelchair.
• Body Mass Index > 34 kg/m2
• On a waiting list for hip or knee surgery.
• Undergoing other forms of rehabilitation.
• Previous knee arthroplasty.
• Recent knee surgery within 6 months.
• Received cortisone injection within the previous 30 days.
• Rheumatoid arthritis, bilateral knee morning stiffness > 30 minutes.
• Unstable medical conditions.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

King Abdulaziz University

OTHER

Sponsor Role: lead

Responsible Party

Anfal Adnan Astek

Principle investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Anfal Astek

Role: PRINCIPAL_INVESTIGATOR

Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia

Locations

Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University

Jeddah, , Saudi Arabia

Site Status: RECRUITING

Countries

Saudi Arabia

Central Contacts

Anfal Astek

Role: CONTACT

aastek@kau.edu.sa

+966555668075

Facility Contacts

Hajed Al-Otiabi

Role: primary

hotaibi1@kau.edu.sa

+966126967474

References

Hinman RS, Kimp AJ, Campbell PK, Russell T, Foster NE, Kasza J, Harris A, Bennell KL. Technology versus tradition: a non-inferiority trial comparing video to face-to-face consultations with a physiotherapist for people with knee osteoarthritis. Protocol for the PEAK randomised controlled trial. BMC Musculoskelet Disord. 2020 Aug 7;21(1):522. doi: 10.1186/s12891-020-03523-8.

Reference Type: BACKGROUND

PMID: 32767989 (View on PubMed)

Provided Documents

Document Type: Study Protocol

View Document

Other Identifiers

Tele-rehabilitation in OA

Identifier Type: -

Identifier Source: org_study_id