N/A
N=320
Group Physical Therapy for Knee Osteoarthritis
Osteoarthritis
Bottom Line
View on ClinicalTrials.gov: NCT01058304 ↗Enrolled (actual)
320
Serious AEs
0.3%
Results posted
Mar 2015
Primary outcome: Primary: Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC) — 43.7; 43.7; 36.5; 39.1 units on a scale — p=0.1024
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Group Physical Therapy for Knee OA (Other); Individual Physical Therapy for Knee OA (Other)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- US Department of Veterans Affairs
- Primary completion
- Apr 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC) |
43.7; 43.7; 36.5; 39.1; 39.3; 40.6 | 0.1024 |
| SECONDARY Short Performance Physical Battery (SPPB) |
9.07; 9.07; 9.15; 9.26 | 0.527 |
Summary
Pain management is a priority for the Department of Veterans Affairs (VA) health care system, and knee osteoarthritis (OA) is a main cause of chronic pain. Veterans who receive care within the VA health care system have higher rates and more severe OA than both the general population of adults and veterans who receive health care elsewhere. Physical therapy (PT) is a primary part of treatment for knee OA, but in the VA health care system PT appointments are a limited resource, and veterans often do not receive enough visits to promote long-term improvements in pain and physical function. New models of delivery, such as the group-based approach examined in this study, are needed to expand PT services in a cost-effective manner.
Eligibility Criteria
Inclusion Criteria
- Physician diagnosis of knee osteoarthritis in VA medical records
- Current knee symptoms
- No PT care for knee osteoarthritis in past 6 months
Exclusion Criteria
- Diagnosis of systemic rheumatic disease
- Hospitalized for a stroke, transient ischemic attack, aneurysm, myocardial infarction, coronary artery revascularization, or mental health condition in the past 3 months
- Diagnosis of psychosis
- Diagnosis of dementia
- Current chest pain
- On waiting list for / planning arthroplasty within study period (i.e., next 6 months)
- Resident in nursing home
- Currently participating in another OA-related or lifestyle interventional study
- Knee ligament/meniscus injury (past 1 year)
- Cancer that has spread
- Gout in knees
- Multiple Sclerosis
Data sourced from ClinicalTrials.gov (NCT01058304). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.