Clinical trial NCT04165187: Effects of Body Awareness Therapy in Knee Osteoarthritis
Official title: The Effects of Body Awareness Therapy on Pain, Balance and Functional Capacity in Patients With Knee Osteoarthritis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Osteoarthritis
Keywords: knee osteoarthritis
body awareness therapy
pain
functional capacity
Lead sponsor: Bezmialem Vakif University
Sponsor class: OTHER
Collaborators: name: Medipol University
First posted: 2019-11-15
Enrollment: 40
Sex: FEMALE
Minimum age (years): 45
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the effect of Body Awareness Therapy (BAT) on pain, balance and functional capacity in patients with knee osteoarthritis.

Individuals will divided into two groups: training group and control group. Both groups will receive exercise training as a home program. Individuals in study group will participate in BAT training 3 days for 6 weeks. Assessments will be made before and after the 6-week study program.

Detailed description: Symptoms such as pain, morning stiffness, and decreased muscle strength lead to a decrease in functional capacity and quality of life in knee osteoarthritis. It is estimated that 80% of patients with osteoarthritis have movement limitation and 25% are unable to perform significant daily activities. It is also stated that increases the risk of falls due to decrease proprioception in patients with knee osteoarthritis. In addition to physical symptoms, it is reported in the literature that symptoms such as sleep disturbance, depression and anxiety are seen and play a role in pain experience.

It is stated in the literature that hypersensitivity of the central nervous system causes painful perception of normal body functions in chronic osteoarthritis, which leads patients to compensatory and dysfunctional movement strategies.

Body Awareness Therapy (BAT) is a mind-body treatment approach directed towards awareness of body senses and how the body is used. The aim is to integrate the body and soul in the individual's experiences and to restructure body awareness and control.

The aim of this study is to investigate the effect of BAT on pain, balance and functional capacity in patients with knee osteoarthritis.

The study will consist of patients with stage 2-3 knee osteoarthritis according to Kellgren-Lawrence classification.

The individuals included in the study will be divided into two groups as training and control groups using a computer-based randomization program.

Both groups will be given a home program consisting of joint range of motion, stretching, strengthening and proprioceptive exercises. The control group will perform home exercise program and follow up will be made at once a week. The training group will participate in BAT for 3 days/week for 6 weeks in addition to home exercise program. Assessments will be made before and after the 6-week study program.

Eligibility criteria: Inclusion Criteria:

* Primary knee Osteoarthritis
* Stage 2 -3 according to Kellgren - Lawrence Classification

Exclusion Criteria:

* Previous surgery in the lower extremity
* Neuromuscular disease
* Vestibular pathology
* Physiotherapy intervention or intra-articular injection within the last 6 months

Primary outcomes:
measure: Visual analog scale
timeFrame: six weeks
measure: Single leg stability
timeFrame: six weeks
measure: 6 minute walk test
timeFrame: six weeks
measure: 5 times sit to stand test
timeFrame: six weeks
measure: Stair climb test
timeFrame: six weeks
measure: Hand-held dynamometer
timeFrame: six weeks
Secondary outcomes:
measure: Western Ontario and McMaster Universities osteoarthritis index (WOMAC)
timeFrame: six weeks
measure: Fall risk
timeFrame: six weeks
measure: joint range of motion
timeFrame: six weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Bezmialem Vakif University
state: Eyup
Study officials:
affiliation: Bezmialem Vakif University
name: Kubra Alpay
role: PRINCIPAL_INVESTIGATOR
References: