The goal of this clinical trial is to learn if a combination of patient self-administered joint mobilization and exercise works to treat knee osteoarthritis in adults. The main questions it aims to answer are:
* Does self-administered joint mobilization improve the ability to perform regular daily activities? * Does self-administered joint mobilization improve knee motion? * Does self-administered joint mobilization improve hip strength?
Researchers will compare the program of self-administered joint mobilization to a joint mobilization administered by a physical therapist.
Participants will:
* Attend 8-12 physical therapy clinic visits over 6 - 8 weeks * Perform home exercises * Visit the clinic 6 months later for a brief check-up
Age 45 years or older
Movement-related knee pain
No morning stiffness or morning stiffness < 30 minutes
Knee flexion contracture (kFC) at least 1cm, measured by heel-height
Assistive device required for ambulation
Systemic disease affecting joint function (diabetes, rheumatological disorders, etc)
Previous lower extremity joint replacement
Lower quarter surgery, injection, or therapy in the past year
Parallel
Clinician-administered joint mobilization
Other interventionTibiofemoral arthrokinematic extension joint mobilization and multidirectional patellofemoral mobilization applied by a physical therapist.
Self-administered joint mobilization
Other interventionTibiofemoral arthrokinematic extension joint mobilization and multidirectional patellofemoral mobilization applied by the research participant.
Exercise-based physical therapy
Other interventionIn-clinic exercise-based physical therapy supervised by a physical therapist, with home exercises to be performed on days without a clinical visit.
Western Ontario and McMaster Universities Arthritis Index (WOMAC)
The WOMAC is a self-administered questionnaire assessing pain, stiffness, and physical function in patients with knee osteoarthritis.
Hip abductor strength
Hip abductor strength measured by hand-held dynamometer
Passive knee extension range of motion
Passive knee extension range of motion will be measured in supine with traditional goniometry and in prone with a heel-height measurement.
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Texas Woman's University
Lead sponsor
Texas Health Resources
Collaborator
This trial is not recruiting at the moment. You can still explore other options:
