The Video-Based Exercise Programs in Degenerative Meniscus Tears

Istanbul University - Cerrahpasa

Status: Active, not recruiting

Conditions: Knee Pain Swelling; Degenerative Disease; Meniscus Tear

Treatments: Other: The hybrid exercise (HE); Other: The standard exercise (SE); Other: The video-based exercise (VBE)

Study type: Interventional

Funder types: Other

Identifiers

NCT05266365

107

Details and patient eligibility

About

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

Full description

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.

Enrollment: 81 estimated patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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81 participants in 3 patient groups

The Video-based exercise (VBE) group

Experimental group

Description:

Each subject in the video-based exercise group (only video-based intervention) will receive a treatment protocol consisting of stretching, strengthening, and functional exercises for the knee and hip.

Treatment:

Other: The video-based exercise (VBE)

The standard exercise (SE) group

Active Comparator group

Description:

Each subject in the standard exercise group (only clinic-based intervention) will receive a treatment protocol consisting of stretching, strengthening, and functional exercises for the knee and hip.

Treatment:

Other: The standard exercise (SE)

The hybrid exercise (HE) group

Experimental group

Description:

Each subject in the hybrid exercise group (video-based and clinical-based interventions) will receive a treatment protocol consisting of stretching, strengthening, and functional exercises for the knee and hip.

Treatment:

Other: The hybrid exercise (HE)