Physical Therapy Program and Treatment Expectations in Knee Osteoarthritis
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age50+
SponsorGazi University
About this trial
To our knowledge, no studies have been conducted in the literature investigating the relationship between the success of physical therapy programs applied in knee osteoarthritis and patients' pre-treatment expectations. The rationale for this study is to demonstrate the possible relationship between treatment expectations and the benefits seen from conventional physical therapy programs in patients with knee osteoarthritis, and to provide clinicians with a different perspective in knee osteoarthritis treatment planning.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Agreeing to participate in the study
Being over 50 years of age
Having a clinically and radiographically confirmed diagnosis of knee osteoarthritis
Having grade 2-3-4 knee osteoarthritis according to the Kellgren-Lawrence grading system
Disqualifiers
Previous knee surgery
Conditions that prevent exercise (such as incurable malignancy, active systemic infection, non-union fracture)
Presence of accompanying neurological disease affecting the lower extremity
Severe cognitive impairment (neuropsychiatric disease or condition that will impede cooperation, such as psychosis, dementia)
Trial population
Patients aged 50 years and older who present with knee pain and are found to have grade 2 or higher gonarthrosis according to the Kellgren-Lawrence classification on X-ray imaging.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Physical Therapy
Other interventionPatients in both groups will receive 15 sessions of a conventional physical therapy program.
Treatment groups
84 Participants
are divided into 2 treatment groupsGroup A: Those with Low Treatment Expectations1 intervention
Group B: Those with High Treatment Expectations1 intervention
Trial outcomes
Primary outcomes
1
The Western Ontario and McMaster Universities Arthritis Index (WOMAC) score
WOMAC score evaluation following the last treatment session. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a widely used, validated questionnaire designed to assess pain, stiffness, and physical function in patients with knee and hip osteoarthritis. It consists of 24 items divided into three subscales: pain (5 items), stiffness (2 items), and physical function (17 items). Patients rate their symptoms on a Likert scale, with higher scores indicating worse pain, stiffness, or functional limitations. The WOMAC is commonly used in clinical research to evaluate the efficacy of various treatments for osteoarthritis.
Time frame
From enrollment day to the end of the rehabilitation program at 4 weeksSecondary outcomes
1
Pain level; VAS score
The Visual Analog Scale (VAS) is a tool used to measure a patient's level of pain. It consists of a straight line with endpoints defining extreme limits such as 'no pain' and 'worst pain imaginable.' The patient marks on the line the point that they feel represents their perception of their current state. This method is simple, reliable, and widely used in both clinical and research settings to quantify pain intensity.
Time frame
From enrollment day to the end of the rehabilitation program at 4 weeks2
Timed Up and Go Test (TUG)
A rapid, standardized clinical tool used to measure a person's functional mobility, dynamic balance, and fall risk. It measures the time it takes for a person to get up from a chair, walk 3 meters (10 feet), turn around, walk back, and sit down again.
Time frame
From enrollment day to the end of the rehabilitation program at 4 weeks3
Stair Climbing Test (SCT)
The stair climbing test assesses lower body strength, functional capacity, and cardiopulmonary fitness by measuring how quickly you can safely climb and descend a flight of stairs. Versions are available with 3 to 12 steps; this study will use the 12-step version.
Time frame
From enrollment day to the end of the rehabilitation program at 4 weeksSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov