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| ID | Type | Description | Link |
|---|---|---|---|
| RFP 95/0203 |
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| Name | Class |
|---|---|
| Australian Government Department of Health and Ageing | OTHER_GOV |
| St George Division of General Practice, NSW, Australia. | UNKNOWN |
| The University of New South Wales | OTHER |
The aim of this study is to determine, in the framework of a randomized controlled clinical trial, whether Tai Chi can affect measurable improvements in self-reported outcomes such as pain, physical function and psychological well-being in people with osteoarthritis (OA) mainly affecting the hips or knees. The effectiveness of Tai Chi will be compared with both a non-intervention control group as well as with a formal exercise program, hydrotherapy. Hydrotherapy has long been considered an effective intervention for people with chronic OA although scientific evidence is weak at present. The main study hypotheses are that Tai Chi or hydrotherapy can significantly decrease pain and physical limitations; improve health-related quality of life; and promote psychological well being in patients with OA of the hip(s) or knee(s); and that Tai Chi and hydrotherapy are of equal efficacy.
A single blinded randomized controlled clinical trial with 3 allocation groups:
A specially designed Tai Chi program (Tai Chi for Arthritis, Paul Lam) will be provided in a community setting by trained instructors. Hydrotherapy sessions will be held at the St. George Hospital under supervision of registered physiotherapists with rheumatology and hydrotherapy experience.
Outcomes will be measured twice: 12 and 24 weeks after randomisation.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tai Chi classes | Behavioral | |||
| Hydrotherapy classes | Behavioral |
| Measure | Description | Time Frame |
|---|---|---|
| Self-reported pain and function (WOMAC) |
| Measure | Description | Time Frame |
|---|---|---|
| General health status (SF-36) | ||
| Psychological well being (DASS) | ||
| Patient global assessment (100mm visual analogue scale [VAS]) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marlene H Fransen, PhD MPH | The George Institute, University of Sydney | Principal Investigator |
| John Edmonds, MB, BS | St George Hospital, University of NSW | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St George Hospital | Kogarah | New South Wales | 2217 | Australia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17443749 | Derived | Fransen M, Nairn L, Winstanley J, Lam P, Edmonds J. Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Arthritis Rheum. 2007 Apr 15;57(3):407-14. doi: 10.1002/art.22621. |
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| ID | Term |
|---|---|
| D015207 | Osteoarthritis, Hip |
| D020370 | Osteoarthritis, Knee |
| D009043 | Motor Activity |
| D018771 | Arthralgia |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Physical performance: 50 feet walk time, stair time |
| D012216 |
| Rheumatic Diseases |
| D001519 | Behavior |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |