Physical therapy vs internet-based exercise training for patients with knee osteoarthritis: results of a randomized controlled trial

Abstract

NCT02312713.

Osteoarthritis year in review 2018: clinical

“…Allen et al published a pragmatic randomized controlled trial that enrolled physically inactive patients with symptomatic radiographic knee OA, and compared the effects of a standardized in-person course of physical therapy sessions with an internetbased exercise program which could be accessed from home, and used patients placed on a wait list as controls 26 . The primary outcome was total Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 4 months.…”

“…Is intriguing to hypothesize why an internet-based CBT program was effective but an internet-based exercise program was not. Allen at al hypothesize their aggressive case finding strategies may have resulted in subjects enrolling in their study who were not motivated to comply with the exercise intervention 26 . In their study subjects only logged on to the study website for approximately 17% of the study period.…”

The Effect of TRX vs. Aquatic Exercises on Self-Reported Knee Instability and Affected Factors in Women with Knee Osteoarthritis: A Randomized Controlled Trial

“…The criteria for including participants in the study were as follows: (1) having the age of more than 40 years, (2) acquiring the American College of Rheumatology clinical criteria for knee OA (Altman et al, 1986), (3) meeting the Kellgren and Lawrence radiographic disease severity scale ≥ II, and (4) self-reporting knee instability. Despite the abovementioned conditions, the participants were excluded in case they (1) had strokes, (2) faced uncontrolled hypertension, (3) were unable to walk without assistant instruments, (4) had received other treatment interventions in the past three months, (5) were suffered obesity (BMI>40kg/m 2 ), (6) suffered from neuromuscular diseases like multiple sclerosis or Parkinson, (7) had lower extremity fracture, (8) afflicted with concurrent hip osteoarthritis, (9) waited for arthroplasty, (10) or cardiovascular diseases [7,21]. Further, the patients who had received injection in the 6-month-period adjacent to the study, or had had surgical procedures were excluded from the study.…”

“…In fact, knee instability may result in increasing joint's movements in sagittal and frontal planes while walking and weight bearing, and altering the loading on the knee joint [1,9]. This problem can affect the patients' quality of life by reducing trust in the joint, and abstaining from daily activities [10,11]. As a consequence, adding the joint instability to the knee osteoarthritis outcomes can put patients at fall risk, result in secondary problems, and also may change their walking pattern [12].…”

Evaluating the efficacy of Internet-Based Exercise programme Aimed at Treating knee Osteoarthritis (iBEAT-OA) in the community: a study protocol for a randomised controlled trial

“…Some of the issues relating to the delivery of exercise interventions for knee OA include compliance, accessibility to clinics for people with mobility problems and the cost of delivering such services. There are previous studies which have assessed the efficacy of home-based exercises10 12 36; however, very few studies looked at web-based delivery of exercise intervention 34 37–42. Most of these studies recruited patients with knee pain, and only two studies assessed for radiographic evidence of knee OA 39 41.…”