Overview
People with knee osteoarthritis often need regular physiotherapy sessions to reduce pain and improve movement. Attendance of in-person sessions can be difficult because of travel and time. This study aims to learn if combining in-person and video sessions using Zoom works for people with knee osteoarthritis. The main questions it aims to answer are :
- Does combining in-person and video sessions improve pain and physical function in people with knee osteoarthritis?
- Does combining in-person and video sessions improve adherence to the exercise program?
- Are people satisfied with video sessions using Zoom?
The researchers will compare the use of one in-person session and one video session per week to the standard care of two in-person sessions per week.
Participants will :
- Attend either (one in-person and one video session per week) or (two in-person sessions per week) for 8 weeks.
- Perform exercise program that suits their needs during in-person and video sessions.
- Record the number of attended sessions over 8 weeks.
- Complete questionnaires about pain, physical function at the start and the end of the study.
- Complete questionnaire about usability and satisfaction at the end of the study.
Eligibility
Inclusion Criteria:
- Mild to moderate knee osteoarthritis.
- Age 40 to 80 years old.
- Body Mass Index < 34 kg/m2.
- Numeric pain rating scale > 4 out of 10.
- Pain for more than 3 months.
- Morning stiffness lasting < 30 minutes (standard clinical criteria of knee osteoarthritis)
- Pain and crepitus with active motion (e.g., walking, sit to stand, stair climbing) (standard clinical criteria of knee osteoarthritis)
- Access to the device with an internet connection.
- Ability to use electronic devices or smart phones.
Exclusion Criteria:
- Severe knee osteoarthritis and limited mobility or bonded to a wheelchair.
- Body Mass Index > 34 kg/m2
- On a waiting list for hip or knee surgery.
- Undergoing other forms of rehabilitation.
- Previous knee arthroplasty.
- Recent knee surgery within 6 months.
- Received cortisone injection within the previous 30 days.
- Rheumatoid arthritis, bilateral knee morning stiffness > 30 minutes.
- Unstable medical conditions.