Efficacy of Telerehabilitation in Patients With Degenerative Meniscal Injury

Study Overview
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Brief Summary
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The aim of the study is to compare the home exercise program performed with video-based telerehabilitation in patients with degenerative meniscal injury, and the home exercise program performed with one-on-one training in the hospital with conventional methods.

Detailed Description
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Conventional rehabilitation (CR) practices will be applied to the first study group. Telerehabilitation (TR) application will be applied to the second study group. It is aimed to evaluate the patients in terms of pain, functionality, quality of life and exercise compliance.

Official Title
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The Effect of Telerehabilitation and Conventional Rehabilitation on Clinical Outcomes and Exercise Compliance in Patients With Degenerative Meniscal Injury

Conditions
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Meniscus; Degeneration

Intervention / Treatment
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* Other: Telerehabilitation
* Other: Paper Based Rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female patients aged 18 - 65 years Having been diagnosed with degenerative meniscus injury by an orthopedist by MRI examination Having signed the consent form Exclusion Criteria: Situations that will prevent assessments or communication with the individual Having an operation due to degenerative meniscus injury problem Orthopedic and neurological problems that would prevent evaluation and/or treatment

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomised controlled trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Telerehabilitation (TR)<br>The TR group will be followed up through the application within the 8-week home exercise program. | Other: Telerehabilitation<br>* Application based video home exercise for the degenerative meniscus injury<br>|
| Active Comparator: Paper Based Rehabilitation (PBR)<br>The PBR group will be followed up through the paper instruction within the 8-week home exercise program. | Other: Paper Based Rehabilitation<br>* Paper instruction based home exercise for the degenerative meniscus injury<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale (VAS) | On a 10 cm straight line or numerical scale (0: no pain, 10: unbearable pain). | Change from Baseline VAS at 8 weeks | 
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) | WOMAC consists of 3 main headings: pain intensity, stiffness, and physical function. The total score ranges from 0 (no disability) to 96 (complete disability). | Change from Baseline WOMAC at 8 weeks | 
| SF-12 | SF 12 is a self-evaluation scale. It consists of seven items. Its score ranged from 0 to 100, with higher scores indicating better physical and mental health functioning. | Change from Baseline SF-12 at 8 weeks | 
| Muscle Strength Test with Lafayette Hand Held Dynamometer | It is an objective muscle strength measurement tool. Measurements are made 3 times. A rest of 120 seconds is given between measurements. The highest measured value is noted. | Change from Baseline Dynamometer Value at 8 weeks | 
| Proprioception Measurement with Baseline Bubble Inclinometer | The absolute angle difference, which is the difference between the targeted angle and the angle realized by the patient in each repetition, is recorded. The arithmetic mean of the absolute angle difference of 3 repetitions is the result data. | Change from Baseline Inclinometer Value at 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EARS | In order to observe the individual's adaptation to exercise, the motivation levels of the patients regarding the exercise program are evaluated with the exercise diary prepared by the researchers of the study. It is scored between 0 to 24. Higher scores indicate greater adherence. | Change from Baseline EARS at 8 weeks | 
| TSUQ | It consists of 21 items. With this survey, the satisfaction levels and usability of individuals using the telemedicine service are evaluated. The total score is scored between 17 and 85. Higher scores indicate higher satisfaction and usability. | Change from Baseline TSUQ at 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Degenerative meniscus injury, Telerehabilitation