Video exercise component of the telerehabilitation would provide additional contribution to the patients. The aim of this study is to compare the effects of telerehabilitation-based exercise program and conventional (given on paper) exercise and training combination practices on pain, functionality, balance, proprioception and quality of life in patients with knee OA.
Owing to telerehabilitation, exercise video suppliment will enable individuals to learn the exercise programs in the most appropriate way, have comprehensive information about their condition, and communicate easily with their physiotherapists. The aim of this study is to compare the effects of telerehabilitation-based exercise program and conventional (given on paper) exercise and training combination practices on pain, functionality, balance, proprioception and quality of life in patients with knee OA.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
54
Application based video home exercise for the knee osteoarthritis
Paper instruction based home exercise for the knee osteoarthritis
Muğla Sıtkı Koçman Training and Research Hospital
Muğla, Turkey (Türkiye)
Visual Analog Scale (VAS)
On a 10 cm straight line or numerical scale (0: no pain, 10: unbearable pain).
Time frame: Change from Baseline Pain at 8 weeks
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
WOMAC consists of 3 main headings: pain intensity, stiffness, and physical function. The total score ranges from 0 (no disability) to 96 (complete disability).
Time frame: Change from Baseline Subjective Function at 8 weeks
Muscle Strength Test with Lafayette Hand Held Dynamometer
It is an objective muscle strength measurement tool. Measurements are made 3 times. A rest of 120 seconds is given between measurements. The highest measured value is noted.
Time frame: Change from Baseline Muscle Strength at 8 weeks
Proprioception Measurement with Baseline Bubble Inclinometer
The "absolute angle difference", which is the difference between the targeted angle and the angle realized by the patient in each repetition, is recorded. The arithmetic mean of the absolute angle difference of 3 repetitions is the result data.
Time frame: Change from Baseline Proprioception at 8 weeks
Timed Up and Go Test (TUG)
Patients are asked to get up from a standard chair, walk 3 meters a safe and comfortable pace, and return without stopping to sit back in the chair safely. The elapsed time is calculated.
Time frame: Change from Baseline "Timed Up and Go" test performance at 8 weeks
Five Times Sit to Stand Test (5TSTS)
The test involves patients getting up and sitting again without support from a chair 5 times as soon as possible. Measurements are made with a stopwatch.
Time frame: Change from Baseline "Five Times Sit to Stand" test performance at 8 weeks
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3-Meter Backward Walk Test (3MBW)
It is determined by measuring a distance of 3 meters. Participants are asked to walk backwards safely but as quickly as possible and stop at the finish line. The time is recorded with a stopwatch.
Time frame: Change from Baseline "3-Meter Backward Walk" test performance at 8 weeks
Modified Four Square Step Test (mFSST)
A suitable ground is divided into four identical squares with a "+" shaped line. Squares are numbered clockwise with numbers 1-4. The patient takes steps on the 1, 2, 3 and 4 squares in sequence without pressing the lines.The test ends when the last foot contact is cut off from the square. The time is recorded with a stopwatch.
Time frame: Change from Baseline "Modified Four Square Step" test performance at 8 weeks
EQ-5D-5L
The patient is asked to indicate the state of health by marking the most appropriate expression in each of the five dimensions. Index score of the EQ-5D-5L is ranged between 1 to - 0.285. Higher scores indicate better quality of life. VAS score of the EQ-5D-5L is ranged between 0 to 100. Higher scores indicate better quality of life.
Time frame: Change from Baseline General Quality of Life at 8 weeks
Telemedicine Satisfaction Questionnaire
This questionnaire consists of 14 items. The level of satisfaction of the patients with the software or system from which they receive treatment or other remote rehabilitation services is evaluated. The tool uses a 5-point Likert scale (1 = strongly disagree, 7 = strongly agree). The total score varies between 14-70 for 14 questions with a maximum of 5 points. Higher scores indicate better satisfaction.
Time frame: Change from Baseline General Telemedicine Satisfaction at 8 weeks
Telehealth Usability Questionnaire
The questionnaire consists of 21 items evaluating the distance rehabilitation service. The questionnaire uses a 7-point Likert-type scale (1 = disagree, 7 = agree). The total score is calculated by summing up 21 items.
Time frame: Change from Baseline General Usability Satisfaction at 8 weeks