Clinical trial NCT05272748: The Effects of Conventional Exercise Combined With Core Stabilization Exercise by Telerehabilitation in Patients With Hip and/or Knee Osteoarthritis
Official title: The Effects of Conventional Exercise Combined With Core Stabilization Exercise by Telerehabilitation on Pain, Postural Control, Functional Level and Fear of Fall in Patients With Hip and/or Knee Osteoarthritis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hip Osteoarthritis
Knee Osteoarthritis
Keywords: hip osteoarthritis
knee osteoarthritis
telerehabilitation
core stabilization
Lead sponsor: Saglik Bilimleri Universitesi
Sponsor class: OTHER
First posted: 2022-03-09
Enrollment: 23
Sex: FEMALE
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Age-related hip and knee osteoarthritis is the leading cause of pain and locomotor problems worldwide. There is no definitive solution in the treatment of hip and knee osteoarthritis. In the guidelines of the American Rheumatology Association, pharmacological and non-pharmacological treatment methods are recommended for the treatment of hip and knee osteoarthritis. The effectiveness of different exercise programs for the periarticular muscles in hip and knee osteoarthritis has been proven, but there is no consensus on the superiority of exercise protocols over each other. With the increase in home isolation of individuals due to the COVID-19 pandemic, telerehabilitation applications have gained popularity.In the literature, there is a need for studies investigating the effectiveness of core stabilization exercises in patients with hip and knee osteoarthritis. Therefore, our study will help develop alternative exercises for individuals with hip and knee osteoarthritis. In the literature, there is no study investigating the effectiveness of core stabilization exercises applied with the telerehabilitation method in patients with knee osteoarthritis and comparing them with conventional exercise. According to the data to be obtained as a result of the study, the use of core stabilization exercises in the treatment of hip and knee osteoarthritis will contribute to the literature as an alternative exercise method. The application of these exercises with the telerehabilitation method in the treatment of hip and knee osteoarthritis will highlight new studies in the literature as a unique methodology. Thus, it will contribute to the development of cost-effective rehabilitation methods in the treatment of hip and knee osteoarthritis.

The hypotheses of this study are as follows:

H0:There is no difference between the effects of combined exercise with telerehabilitation (conventional exercise + core stabilization exercise) and the effects of conventional exercise in the treatment of hip and/or knee osteoarthritis.

H1:Combined exercise with telerehabilitation application (conventional exercise + core stabilization exercise) is more effective than conventional exercise in the treatment of hip and/or knee osteoarthritis.

Main Purpose: To compare the effects of conventional exercise and core stabilization exercises by telerehabilitation on pain, postural control, functional level, and fear of falling in patients with hip and/or knee osteoarthritis.

Secondary Purposes:

* To evaluate the effects of core stabilization exercises on pain, postural control, functional level, fear of falling in female patients with hip and/or knee osteoarthritis.
* To evaluate the effectiveness of telerehabilitation exercise in female patients with hip and/or knee osteoarthritis.
* To determine the possible limitations that may be encountered in the application of exercise by telerehabilitation in female patients with hip and/or knee osteoarthritis and to provide appropriate conditions for the patients.


Eligibility criteria: Inclusion Criteria:

* Woman
* 40 years or older
* Diagnosed with primary hip and/or knee osteoarthritis as a result of radiological and clinical examination
* Informed written consent

Exclusion Criteria:

* Using an assistive device
* Prior orthopedic surgery of the knee and hip
* Intra-articular injection of the knee in the last 3 months
* Clinical or radiological meniscus, cartilage and/or ligament problem
* Severe physical trauma in the past 3 months
* Severe psychological trauma in the past 3 months
* Arterial and venous circulation disorder
* Presence of skin lesions on and around the knee joint
* Presence of neuromuscular disease and/or neurological deficit
* Presence of vertigo, diabetes mellitus, hearing and vision problems
* Not having the technologies to access telerehabilitation services

Primary outcomes:
measure: Numerical Rating Scale (NRS)
timeFrame: Change from Baseline NRS Score at 8 weeks
measure: Berg Balance Scale (BBS)
timeFrame: Change from Baseline BBS Score at 8 weeks
measure: Timed Up and Go Test (TUG)
timeFrame: Change from Baseline TUG Score at 8 weeks
measure: Knee Injury and Osteoarthritis Outcome Score - Physical Function Short Form (KOOS-PS)
timeFrame: Change from Baseline KOOS-PS Score at 8 weeks
measure: Hip Disability and Osteoarthritis Outcome Score - Physical Function Short Form (HOOS-PS)
timeFrame: Change from Baseline HOOS-PS Score at 8 weeks
measure: The Falls Efficacy Scale International (FES-I)
timeFrame: Change from Baseline FES-I Score at 8 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Sağlık Bilimleri University
city: Istanbul
country: Turkey
facility: Sağlık Bilimleri Üniversitesi Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
Study officials:
affiliation: Sağlık Bilimleri University
name: Zuhal Didem Takinacı, Asst. Prof.
role: PRINCIPAL_INVESTIGATOR
affiliation: Sağlık Bilimleri Üniversitesi Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
name: İlknur Aktaş, MD., Prof.
role: PRINCIPAL_INVESTIGATOR
References: