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Osteoarthritis (OA) is the most common degenerative joint disease with an inflammatory component that starts from the matrix of the articular cartilage. Females are affected more than males and they have marked locomotor disabilities. Moreover, OA patients suffer from a range of extra-articular symptoms which also leads to functional impairment and disability such as fatigue, depression, anxiety, fear of movement, physical inactivity, and decreased muscle strength. OA management with physical therapy and exercise is recognized as the cornerstone of conservative and self-treatment for this chronic disease. The concept of telerehabilitation has been introduced in the field of physical medicine and rehabilitation, which combines telemedicine and rehabilitation interventions to support ongoing rehabilitation services for patients.
Osteoarthritis (OA) is the most common degenerative joint disease with an inflammatory component that starts from the matrix of the articular cartilage, progresses with disruption of chondrocyte responses and results in tissue destruction. In OA, primary involvement is seen in the articular cartilage, and progressive damage occurs. Females are affected more than males and they have marked locomotor disabilities. Moreover, OA patients suffer from a range of extra-articular symptoms which also leads to functional impairment and disability such as fatigue, depression, anxiety, fear of movement, physical inactivity, and decreased muscle strength.
OA management with physical therapy and exercise is recognized as the cornerstone of conservative and self-treatment for this chronic disease. The lack of professional supervision and feedback will result in reduced participation in continuing OA medical or rehabilitative services, which in turn will reduce the effectiveness of OA treatments.
With the development of telemedicine, it has been determined that patients living in remote areas have the chance to communicate with professional physicians simultaneously. The concept of telerehabilitation has been introduced in the field of physical medicine and rehabilitation, which combines telemedicine and rehabilitation interventions to support ongoing rehabilitation services for patients. Internet- based rehabilitation is one of the effective strategies in telerehabilitation. The use of the internet to provide health-related interventions has the potential to reduce the cost of treatment and improve user satisfaction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | In the active group, one of the co-investigators will install and demonstrate the use of the mobile app (Rehab App) on participants' mobile phone and explain the use of the software. The participants will be followed up for the duration of their enrolment in the e-health and tele-rehabilitation service, which can last up to 2 months and the treatment will be monitored. |
|
| Group B | Active Comparator | Participants in the control group will get the usual treatment from the clinical staff and in-person education, and they will be supervised by one of the assigned research team members every week. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tele rehabilitation | Device | In the active group, one of the co-investigators will install and demonstrate the use of the mobile app (Rehab App) on participants' mobile phone and explain the use of the software. The participants will be followed up for the duration of their enrolment in the e-health and tele-rehabilitation service, which can last up to 2 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | Which was measured by 10 cm visual analogue scale | Baseline |
| Pain intensity | Which was measured by 10 cm visual analogue scale | 2 months |
| Pain intensity | Which was measured by 10 cm visual analogue scale | After 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Functional disability | Which was measured by WOMAC questionnaire | Baseline |
| Functional disability | Which was measured by WOMAC questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
Female participants in the age range of 45 - 65 years.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gopal Nambi | Al Kharj | Riyadh Region | 11942 | Saudi Arabia |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| D000069350 | Telerehabilitation |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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|
| Exercise | Other | Participants in the control group will get the usual treatment from the clinical staff and in-person education, and they will be supervised by one of the assigned research team members every week. |
|
| 2 months |
| Functional disability | Which was measured by WOMAC questionnaire | 6 months |
| Gait velocity | Which was measured in meters/ second | Baseline |
| Gait velocity | Which was measured in meters/ second | 2 months |
| Gait velocity | Which was measured in meters/ second | 6 months |
| Step length | Which was measured in meters | Baseline |
| Step length | Which was measured in meters | 2 months |
| Step length | Which was measured in meters | 6 months |
| Cadence | Which was measured in number of steps per minute | Baseline |
| Cadence | Which was measured in number of steps per minute | 2 months |
| Cadence | Which was measured in number of steps per minute | 6 months |
| Quality | Which was measured with KOOS questionnaire | Baseline |
| Quality | Which was measured with KOOS questionnaire | 2 months |
| Quality | Which was measured with KOOS questionnaire | 6 months |
| D013812 |
| Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |