Does a 12-week aqua cycling program result in a significant difference in self-reported severity of knee osteoarthritis symptoms, quality of life, physical activity and tested muscle strength and physical capacity in patients with early knee…
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Self-reported physical function and knee pain.
Secondary outcome
Secondary outcomes will be self-reported disease severity of OA symptoms,
physical activity and quality of life. Muscle strength, functional capacity and
physical functioning will be assessed by a physiotherapist.
Background summary
Pain, limited physical function and stiffness are typical symptoms of knee
osteoarthritis that restrict patients* abilities in activities and
participation. The existing evidence in the area of aqua cycling is still
scarce and there is a lack of knowledge concerning the use of aqua bike in a
therapeutic setting for knee osteoarthritis patients.
Study objective
Does a 12-week aqua cycling program result in a significant difference in
self-reported severity of knee osteoarthritis symptoms, quality of life,
physical activity and tested muscle strength and physical capacity in patients
with early knee osteoarthritis compared with a control group receiving the
standard care of early osteoarthritis outpatient clinic?
Study design
Randomized, controlled trial inclusive assessments at three different time
points (baseline, post-intervention, three months follow-up).
Intervention
The patients will participate in an exercise programme, supervised by a
physiotherapist, which also includes strategies to improve self-management
skills of the patient. Patients exercise twice a week for 45 minutes. Patients
take part in an aqua cycling program over a period of 12 weeks.
The program will be carried out in the therapy pool (32 ° Celsius) of the
physiotherapy department of the Academic Hospital Maastricht. The AquaCruiser
will be used to cover almost all parts of the training:
- Global and local muscle strength
- Endurance
- Knee range of motion
- Balance exercises
Every session consists of: warming-up, conditioning phase and cool-down.
During a five minute warming-up participants will cycle with an individually
chosen cadence and a low pedalling resistance. Participants focus on a good
posture and ergonomic pedalling. Furthermore the upper body will also be
included to acclimatize the whole body to the aquatic environment and to
support customization to the different handle-bar positions on the AquaCruiser.
The conditioning phase will last 30 minutes and will be divided in alternate
parts of upper and lower body strength exercises. Due to the fact that patients
will cycle continuously during the whole session the training automatically
includes an aerobic training part.
Exercises for the upper body patients will always be accompanied by continuous
cycling with individually preferred pedalling frequency and low pedalling
resistance to train range of motion of the knee.
The cool-down will consist of slow cycling forward and backward to decrease
heart frequency, ROM exercises for the knee, balance exercises and static
stretching of the lower limbs.
Study burden and risks
The risk in relation to participation is similar to usual physiotherapy (group)
sessions. The design of the intervention (training parameters and types of
exercise) is based on international guidelines for exercise in osteoarthritis
and the measurements are part of usual care or comparable to it. The additional
burden consists of a measurement after twelve weeks of training and after three
months. However, these measurements equal the previous assessments in the
study.
P. Debyelaan 25
Maastricht 6229 HX
NL
P. Debyelaan 25
Maastricht 6229 HX
NL
Listed location countries
Age
Inclusion criteria
* Knee osteoarthritis (physician assessed) is the primary diagnosis
* Knee pain > 4 and < 7 on a numeric pain rating scale (NPRS)
* Kellgren/Lawrence score < 3
* Ability to cycle (on a stationary exercise bike)
* Good mental health (score < 8 for anxiety and depression on the Hospital Anxiety and
Depression Scale, HADS)
* Sufficient mental and language skills to participate in the study (e.g. fill out questionnaires;
understand instructions during testing and training)
* Indication for physiotherapy in conjunction with impairments due to OA
Exclusion criteria
* Any *yes* on the Physical Activity Readiness Questionnaire (PAR-Q), which is used to screen for
contra-indications for physical training
* Severe, unstable co-morbidities, such as cardiac or pulmonary conditions (assessed Cumulative
Illness Rating Scale, CIRS)
* Total knee replacement (planned within one year)
* Current prescription of corticosteroid injections and/or hyaluron injections (because of
unsatisfying results from other non-invasive interventions)
* Corticosteroid injection < 3 months and/or hyaluron injection < 6 months
* Patients with serve joint complaints (other than knee joint) that interfere their ability to participate
in an exercise programme
* Patients with symptomatic and radiological apparent hip OA
* Inability to safely enter and exit the pool
* Inflammatory joint diseases
* Open wounds
* Fear of water
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL42617.068.12 |
| Other | NTR (TC = 3766) |
| OMON | NL-OMON24611 |