The Video-Based Exercise Programs in Degenerative Meniscus Tears

N/AActive Not RecruitingNCT05266365

Istanbul University - Cerrahpasa81 enrolled

Overview

This randomized controlled trial aims to investigate the efficacy of the video-based exercise programs in patients with degenerative meniscus tears.

To investigate the efficacy of video-based exercise programs, voluntary patients with degenerative meniscus tears aged 40-65 years will be randomly assigned to three groups: the hybrid exercise group (HEG), the video-based exercise (VBE) group, and the standard exercise (SE) group. Interventions will be delivered over 16 sessions (twice a week for 8 weeks). The patients will be assessed at baseline and at the end of the 8-week intervention. Pain during activity, at rest, and at night will be assessed using the Visual Analog Scale (VAS). Active range of motion will be evaluated using a digital goniometer. Isometric muscle strength will be measured with a handheld dynamometer. The Knee Injury and Osteoarthritis Outcome Score (KOOS) will evaluate functional status and symptoms. The Western Ontario Meniscal Evaluation Tool (WOMET) will assess health-related quality of life. Adherence to the exercise program and the Global Rating of Change Scale will be evaluated.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Degenerative Disease Meniscus Tear Knee Pain Swelling

Interventions

The video-based exercise (VBE)OTHER

An 8-week exercise program will be implemented as part of the conservative treatment for degenerative meniscal tears. The physiotherapist will prepare an instructional video that provides a detailed explanation and demonstration of each exercise. Patients will watch this video at home and perform the exercises according to the video instructions.

The standard exercise (SE)OTHER

An 8-week exercise program used in conservative treatment of degenerative meniscus tears will be performed. An exercise program will be performed at the clinic.

The hybrid exercise (HE)OTHER

An 8-week exercise program will be implemented as part of the conservative treatment for degenerative meniscal tears using a hybrid telerehabilitation model. For the home-based component, the physiotherapist will prepare an instructional video that includes a detailed description and demonstration of each exercise. Patients will watch this video at home and perform the prescribed exercises by following the instructions provided in the video. In addition to the home program, patients will also participate in supervised exercise sessions conducted in the clinical setting.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Being aged between 40 and 65 years * Having the degenerative meniscus tear in at least one knee * Having body mass index in the range of 18-30 kg/m2 * Feeling the pain that lasts for at least 2 months * Having grade 1 or grade 2 degenerative meniscal tear diagnosed by an orthopedic specialist according to the MRI results * Having the activity level is between 1 and 5 according to the Tegner Activity Scale * Having access to the internet via a computer or smartphone * Having the ability to read and write Turkish Exclusion Criteria: * Having undergone arthroscopic partial meniscectomy surgery due to degenerative meniscal tear * Participating in a physiotherapy program for degenerative meniscal tear in the last 12 weeks * Have received steroid injections in the last 6 months * Accompanying conditions such as injury to the surrounding ligaments, congenital anomaly in the affected knee, coxarthrosis and spinal stenosis * Presence of any systemic disorder that may affect assessment parameters * Failure to cooperate with assessments * Any vision or hearing problem that would prevent them from adapting to the assessment

Locations (1)

Istanbul University-Cerrahpasa

Istanbul, Bakırkoy, Turkey (Türkiye)

Outcomes

Primary Outcomes

Knee Injury and Osteoarthritis Outcome Score (KOOS)

Short-term and long-term symptoms and function will be assessed with the Knee injury and Osteoarthritis Outcome Score (KOOS) that is developed as an extension of the WOMAC Osteoarthritis Index. The score is a percentage score from 0 to 100, 0 representing extreme problems and 100 representing no problems.

Time frame: Baseline

Secondary Outcomes

Knee Injury and Osteoarthritis Outcome Score (KOOS)

Time frame: At the end of 8-week intervention

Visual Analogue Scale (VAS)

Pain intensity will be measured using the visual analogue scale (VAS). The participants will be asked to indicate their perceived pain at rest, during activity and at night on the 10 cm line between no pain and terrible pain. The score will be determined by measuring the distance on 10 cm line using a ruler. The higher scores indicate an higher level of pain.

Time frame: Baseline

Visual Analogue Scale (VAS)

Time frame: After 8-week intervention

Active Range of Motion

Active knee range of motion including flexion and extension will be measured described by the American Academy of Orthopaedic Surgeons (AAOS) using a digital goniometer.

Data from ClinicalTrials.gov

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