10000 Participants Needed

Group Physical Therapy Classes for Osteoarthritis Pain

SC
KR
VJ
Overseen ByVicki Jones
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Missouri-Columbia
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 3 JurisdictionsThis treatment is already approved in other countries

Trial Summary

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Group Physical Therapy Classes for Osteoarthritis Pain?

Research shows that group physical therapy programs for knee osteoarthritis can improve pain and function as effectively as individual therapy, while also being more efficient. Additionally, a group exercise program for knee osteoarthritis has been found to significantly reduce pain and improve physical function and walking ability.12345

Is group physical therapy safe for humans?

Research shows that group physical therapy, including exercise programs for conditions like osteoarthritis and low back pain, is generally safe for humans. These programs have been compared to individual therapy and found to provide similar or better outcomes without additional safety concerns.14678

How is the Group Physical Therapy Classes treatment for osteoarthritis pain different from other treatments?

Group Physical Therapy Classes for osteoarthritis pain are unique because they offer similar or better improvements in pain and function compared to traditional one-on-one physical therapy, while using fewer clinician hours per patient. This makes it a more efficient option for managing the high prevalence of knee osteoarthritis.1491011

What is the purpose of this trial?

The primary objective of this study is to study how low-impact group exercise classes affect pain scores in patients with knee, hip, and ankle pain when paired with concurrent standard of care dietitian and behavioral health consults.

Eligibility Criteria

This trial is for adults over 18 with knee, hip, or ankle pain who can attend low-impact exercise classes three times a week for six months and also go to dietitian and behavioral health sessions. It's not open to prisoners or pregnant individuals.

Inclusion Criteria

I can attend diet and mental health classes for 6 months.
I can attend classes 3 times a week for 6 months and maintain at least a 66% attendance.
I experience pain in my knee, ankle, or hip.

Exclusion Criteria

You are pregnant.
Prisoners

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in low-impact group exercise classes three times weekly, paired with dietitian and behavioral health consults

6 months
3 visits per week (in-person)

Follow-up

Participants are monitored for changes in BMI and VAS pain scores after the treatment phase

4 weeks

Treatment Details

Interventions

  • Group Physical Therapy Classes
Trial Overview The study tests if low-impact group exercise classes combined with standard care from dietitians and mental health professionals can reduce joint pain in the knee, hip, or ankle.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Group Physical Therapy ClassExperimental Treatment1 Intervention
Group Physical Therapy Classes. Three times weekly, these subjects will have one hour group physical therapy sessions with either a physical therapist, physical therapy assistant, or personal trainer. These sessions will be aimed to improve strength and function in a low-impact setting designed specifically for those with joint pain.

Group Physical Therapy Classes is already approved in United States, European Union, Canada for the following indications:

🇺🇸
Approved in United States as Physical Therapy Group Sessions for:
  • Ankle pain
  • Knee pain
  • Hip pain
  • Musculoskeletal rehabilitation
🇪🇺
Approved in European Union as Group Exercise Classes for:
  • Musculoskeletal disorders
  • Rehabilitation programs
  • Pain management
🇨🇦
Approved in Canada as Low-Impact Exercise Programs for:
  • Chronic pain management
  • Musculoskeletal health
  • Rehabilitation services

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Missouri-Columbia

Lead Sponsor

Trials
387
Recruited
629,000+

Findings from Research

Group physiotherapy after joint replacement surgery resulted in similar recovery outcomes as individualized home physiotherapy, with no significant differences in key measures like pain and function at 12 weeks post-surgery.
The group physiotherapy approach was more time-efficient, allowing patients to receive more frequent sessions while requiring less time from physiotherapists per visit, making it a cost-effective option without compromising patient care.
Group physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 physiotherapy: a sequential cohort study.Coulter, CL., Weber, JM., Scarvell, JM.[2009]
Physical therapists must effectively track outcomes for patients with low back pain to monitor treatment effectiveness, and this article reviews various measurement tools to aid in that process.
The article discusses the reliability and validity of common outcome measures, such as the SF-36 and Oswestry Questionnaire, providing practical guidelines for their selection and use in clinical practice.
Guide to outcomes measurement for patients with low back pain syndromes.Resnik, L., Dobrzykowski, E.[2019]
The Group Physical Therapy (PT) program for knee osteoarthritis showed clinically relevant improvements in pain and function, with WOMAC scores decreasing from 56.8 to 46.9 and chair rise test performance increasing from 10.4 to 11.9 rises in 30 seconds among participants who completed the program.
Despite these positive outcomes, attendance and completion rates were lower than ideal, indicating a need for program adaptations to enhance participation and effectiveness in future implementations.
Implementation of a group physical therapy program for Veterans with knee osteoarthritis.Allen, KD., Sheets, B., Bongiorni, D., et al.[2020]

References

Group physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 physiotherapy: a sequential cohort study. [2009]
Guide to outcomes measurement for patients with low back pain syndromes. [2019]
Implementation of a group physical therapy program for Veterans with knee osteoarthritis. [2020]
Group physical therapy for knee osteoarthritis: protocol for a hybrid type III effectiveness-implementation trial. [2023]
A revised group exercise program for osteoarthritis of the knee. [2019]
A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area. [2016]
Increasing Recreational Physical Activity in Patients With Chronic Low Back Pain: A Pragmatic Controlled Clinical Trial. [2017]
The effectiveness of physiotherapist-delivered group education and exercise interventions to promote self-management for people with osteoarthritis and chronic low back pain: a rapid review part I. [2022]
Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial. [2016]
[Physical therapy of osteoarthritis]. [2018]
The addition of body weight supported treadmill training to manual therapy and exercise in the management of Hip osteoarthritis: A case series. [2022]
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