The Effects of Home-Based Rehabilitation Treatments Among Persons With Symptomatic Knee Osteoarthritis

Study Overview
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Brief Summary
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Knee Osteoarthritis (OA) is one of the most frequent causes of physical disability and pain among adults. Recent evidence suggests that shorter exercise programs that incorporate kinesthesia, balance and agility (KBA) techniques may result in more rapid symptom relief and functional improvements in comparison to traditional therapeutic exercise. KBA techniques are designed to improve dynamic joint stability by using a series of activities which challenge balance and coordination. To determine the independent effects of KBA training on functional abilities, it is necessary to test it as a training program unto itself. The proposed clinical trial is designed to do this by using three training groups: KBA only; lower extremity strength training only; and a combination of the two. The total exercise time and intensity of each condition will be approximately equal. A non-exercise group will control for any effects related to the testing procedures and the passage of time. Community volunteer men and women age 50 and over with physician diagnosed symptomatic knee OA will participate.

Official Title
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The Effects of Home-Based Rehabilitation Treatments Among Persons With Symptomatic Knee Osteoarthritis.

Conditions
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Osteoarthritis

Intervention / Treatment
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* Other: KBA exercise
* Other: strength training exercise
* Other: KBA and strength training
* Other: Control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 50 years or over of either gender Self-reported knee pain Physician diagnosed tibiofemoral OA, unilateral or bilateral, per ACR guidelines Demonstrated minimal knee OA related dysfunction per WOMAC score Not engaged in a regular leg exercise program for minimum of 6 months Exclusion Criteria: High risk health status per (e.g.) ACSM guidelines Inability to obtain physician release for exercise Unresolved balance disorder Unresolved neurological disorder History of knee surgery or major knee trauma injury Hip or ankle instability, excessive weakness, surgery or major trauma injury Hip or knee replacement Intra-articular joint injection within 4 weeks of the study

Ages Eligible for Study
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Minimum Age: 50 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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>KBA exercise protocol | Other: KBA exercise<br>* KBA exercise protocol, 3 times per week for 8 weeks<br>|
| Experimental: 2<br>strength training exercise protocol | Other: strength training exercise<br>* strength training exercise, 3 times per week for 8 weeks<br>|
| Experimental: 3<br>KBA and strength training protocol | Other: KBA and strength training<br>* KBA and strength training exercise, 3 times per week for 8 weeks<br>|
| Sham Comparator: 4<br> | Other: Control group<br>* 8 week control group<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| (WOMAC) self assessment of physical function |  | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Knee Osteoarthritis, arthritis