Live and Interactive Fitness Training Program (Vivo Knee OA) (LIFT-OA)

Intermountain Health Care, Inc.

Status

Enrolling

Conditions

Knee Osteoarthritis

Treatments

Other: Medbridge Home program

Other: Vivo Online Exercise Program

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT06462560

1052693

Details and patient eligibility

About

Potential participants will be screened at clinic. Patients who meet eligibility criteria will be considered for study. After written informed consent is obtained, participants will complete baseline testing and participants who meet eligibility criteria will be randomized 1:1 to 2 treatment arms: Vivo Arm: Vivo twice a week for 6 months and Usual Care Arm: meet with ATC and given Medbridge home exercise program for 6 months. All participants will be followed for 12 months, and will be assessed at 3-,6-, and 12-months. All participants will complete functional assessments, OA patient reported outcomes measures, quality of life, exercise self-efficacy, and fall risk questionnaires, and health care utilization report at each testing visit. A subset of Vivo participants will be asked satisfaction questions at the 3 and 6 month time points.

Enrollment

334 estimated patients

Sex

All

Ages

55 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

55-85 years of age
Diagnosis of Osteoarthritis within the prior 6 months
Symptomatic OA defined as self-report:
- Pain in the knee(s) on most days of the month
- Difficulty with at least one of the following because of knee pain:
  - walking ¼ of a mile
  - climbing stairs
  - getting in and out of a car, bath, or bed
  - rising from a chair
  - or performing shopping, cleaning, or self-care activities
Radiographic KL grade II-III (using Kellgren and Lawrence criteria) of one or both knees
Physically able to participate in strength training - able to do one chair stand unassisted in order to test change in 30-second chair stand
Ambulatory and community-dwelling
Sedentary or insufficiently active as measured by the PAVS
Access to Wi-Fi in defined exercise space
BMI of 20-34.9 kg/m2
Document medication specific to OA and knee pain
Willing and able to provide consent

Exclusion criteria

Neurological conditions causing functional impairments (Parkinson's disease, MS, ALS)
Diagnosis of dementia
Inability to complete ≥1 ADLs without assistance.
Knee surgery in the past 6 months
Severe osteoporosis T-score < -3.5
No concurrent enrollment in physical therapy for knee pain
No concurrent enrollment in the Intermountain Arthrofit program
Under the age of 55 or ≥85
Asymptomatic OA
Not having knee pain or having significant knee pain (WOMAC Pain score of ≤3 or ≥18)
KL Grade 1 or 4
BMI above 34.9 kg/m2 or ≤20 kg/m2
Participation in formal strength training more than 30 minutes a week in the past 6 months.
PAVS - Participating in 150 minutes per week of moderate intensity physical activity or 75 minutes of vigorous intensity activity, or an equivalent combination of moderate and vigorous intensity physical activity.
Co-morbid disease that would threaten safety or impair ability to participate in a live and interactive strength training program
Symptomatic or severe coronary artery disease; peripheral vascular disease
Untreated hypertension
Active cancer other than skin cancer