My Knee Exercise Nelligan 2021

Funding

Government body,Australian Government Research Training Program (RTP) Scholarship.

Scientific enquiries

Prof Kim Louise Bennell

Brief Summary

Knee osteoarthritis (KOA) is a leading contributor to burden of disease in Australia. Pain and impaired function are characteristic symptoms leading to physical disability, inactivity and reduced quality of life all of which further perpetuate functional decline. Guidance to facilitate self-management is key in the treatment of KOA with physical activity and exercise advocated by all clinical guidelines as the cornerstone of conservative management irrespective of disease severity. Unfortunately .... Knee osteoarthritis (KOA) is a leading contributor to burden of disease in Australia. Pain and impaired function are characteristic symptoms leading to physical disability, inactivity and reduced quality of life all of which further perpetuate functional decline. Guidance to facilitate self-management is key in the treatment of KOA with physical activity and exercise advocated by all clinical guidelines as the cornerstone of conservative management irrespective of disease severity. Unfortunately, many people suffering with KOA are not receiving the advice or behaviour change support required to incorporate regular exercise and physical activity into their daily routines. A combination of factors may be responsible including financial, geographical, and personal barriers. To overcome these barriers innovative, novel and cost-effective approaches to exercise education, prescription and exercise behaviour change are needed to increase exercise uptake and reduce physical inactivity in the KOA population and ultimately reduce both the individual and societal burden of OA in Australia. Electronically delivered physical activity and exercise interventions may be one solutions. Several OA specific internet resources already exist within Australia. These resources provide only general exercise and physical activity advice to people with KOA, with minimal evidence supporting their positive effect on clinical outcomes. It can be speculated that the effectiveness of such resources may be enhanced by the addition of higher quality, detailed and specific physical activity and exercise instruction and guidance. This trial will, therefore, investigate whether the addition of “My Knee Exercise” (an Internet delivered 24-week exercise program with mobile phone text message exercise adherence support) to Internet delivered exercise education enhances clinical outcomes at 24-weeks in people with KOA. Participants will be randomly assigned to one of two groups; i) My Knee Education (control condition): participants will be provided access to “My Knee Education”, a website containing information about KOA and exercise benefits plus general exercise and physical activity recommendations, similar to those provided in current Australian OA consumers resources. ii) My Knee Exercise (intervention): participants will be provided access to “My Knee Exercise”, a website containing the same information provided to the control condition in addition to a 24-week Internet delivered exercise program, supported by mobile phone text message exercise adherence support and detailed physical activity guidance. Data collection will be self-reported questionnaires relating to knee pain, physical function, global rating of change, health-related quality of life, physical activity levels, self-efficacy and satisfaction, collected at baseline and 24-weeks after commencement of the intervention.
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Key Inclusion Criteria

a) Meet the National Institute for Health and Care Excellence (NICE) osteoarthritis clinical criteria: - aged 45 years and over - activity related knee joint pain - morning stiffness of 30 minutes or less; b) History of knee pain on most days for 3 months or more; c) Overall average knee pain in past week self-rated as equal to or greater than 4 out of 10 on an 11-point numeric rating scale (NRS); d) Able to give informed consent and to participate fully in the interventions and assessment proce .... a) Meet the National Institute for Health and Care Excellence (NICE) osteoarthritis clinical criteria: - aged 45 years and over - activity related knee joint pain - morning stiffness of 30 minutes or less; b) History of knee pain on most days for 3 months or more; c) Overall average knee pain in past week self-rated as equal to or greater than 4 out of 10 on an 11-point numeric rating scale (NRS); d) Able to give informed consent and to participate fully in the interventions and assessment procedures; d) Have a mobile phone with text message functioning and be willing to use it during the study to receive and send text messages; e)Have a home Internet connection and a device that enables access to the Internet.
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Key Exclusion Criteria

· Booked for knee joint replacement surgery; · Have had a knee joint replacement in the most painful knee; · Have participated in a structured knee exercise program within the past 6 months; · Self-reported diagnosis of rheumatoid arthritis or other inflammatory arthritis; · Have had a fall within the last 12 months and do not receive clearance from a General Practitioner to participate in an unsupervised home exercise program; · Are housebound requiring assistance from another person to leave t .... · Booked for knee joint replacement surgery; · Have had a knee joint replacement in the most painful knee; · Have participated in a structured knee exercise program within the past 6 months; · Self-reported diagnosis of rheumatoid arthritis or other inflammatory arthritis; · Have had a fall within the last 12 months and do not receive clearance from a General Practitioner to participate in an unsupervised home exercise program; · Are housebound requiring assistance from another person to leave the house in the previous month and do not receive medical clearance from a General Practitioner to participate in an unsupervised home exercise program by a General Practitioner; · Fail pre-exercise screening (Adult Pre-exercise Screening Questionnaire) and do not receive medical clearance from a General Practitioner to participate in an unsupervised home exercise program; · Unable to speak or read English;
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