Short-term and Intermediate-term Effects of Self-applied Joint Mobilization Versus Clinician-applied Joint Mobilization in Addition to Exercise in Patients With Knee Osteoarthritis: A Randomized Clinical Trial
Texas Woman's University
Summary
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
Description
This study will take place in the Outpatient Rehabilitation Clinic at Texas Health Resources (THR) in Plano, or in the Texas Health Sports Medicine Clinic in Allen. Participants in this study will be asked to complete the same intake forms and questionnaires as any other physical therapy patient being seen for knee pain at all of the THR physical therapy clinics. These will include questions about health history, learning style, living situation, and goals for physical therapy treatment. One investigator will perform a physical therapy evaluation, including joint motion, muscle strength, and…
Eligibility
- Age range
- 45+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Meets National Institute for Health and care Excellence (NICE) criteria for knee osteoarthritis: * 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 * Fluency in verbal and written English for completion of outcome measure and screening, and to take directions. * Able to attend all study-related appointments Exclusion Criteria: * Assistive device required for ambulation * Systemic disease affecting joint function (diabetes, rheumatological d…
Interventions
- OtherClinician-administered joint mobilization
Tibiofemoral arthrokinematic extension joint mobilization and multidirectional patellofemoral mobilization applied by a physical therapist.
- OtherSelf-administered joint mobilization
Tibiofemoral arthrokinematic extension joint mobilization and multidirectional patellofemoral mobilization applied by the research participant.
- OtherExercise-based physical therapy
In-clinic exercise-based physical therapy supervised by a physical therapist, with home exercises to be performed on days without a clinical visit.
Locations (2)
- Texas Health Resources Sports Medicine AllenAllen, Texas
- Texas Health Resources Plano Presbyterian Outpatient RehabilitationPlano, Texas