Virtual Physical Therapy for Osteoarthritis
(ReDI-2 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to help people in rural areas with hip or knee arthritis receive physical therapy (PT) without leaving their homes. It compares two virtual PT programs: one-on-one sessions and group classes, both led by therapists over Zoom. The goal is to improve daily activities and overall health for those who can't easily access PT. Ideal participants have hip or knee arthritis not requiring surgery, live outside Edmonton, and possess a Zoom-capable device. As an unphased trial, this study offers a unique opportunity to access innovative PT solutions from home, potentially enhancing quality of life.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on physical therapy, so you may not need to change your medication routine, but it's best to confirm with the trial organizers.
What prior data suggests that these virtual physical therapy programs are safe for people with osteoarthritis?
Research has shown that online physical therapy, whether done individually or in groups, is generally safe for people with osteoarthritis (OA). Studies have found that programs using apps or the internet effectively manage OA. For one-on-one virtual physical therapy, research confirms that telehealth services are well-received by patients and present no major safety issues. Similarly, studies on group therapy suggest these programs are safe and can save money.
In summary, both types of online physical therapy have been tested and found safe for people with OA. These studies report no major safety concerns, making online therapy a good option for those who can't easily access traditional physical therapy.12345Why are researchers excited about this trial?
Researchers are excited about these virtual physical therapy programs for osteoarthritis because they offer a flexible, accessible alternative to traditional in-person therapy. Unlike standard physical therapy, which typically requires patients to travel to a clinic, these programs allow individuals to engage in both group and one-on-one sessions from the comfort of their homes. The individual-based program provides personalized attention, while the group-based program fosters community support and interaction with other participants. This approach could make it easier for patients to stick with their therapy, potentially leading to better outcomes in managing their osteoarthritis symptoms.
What evidence suggests that this trial's virtual physical therapy programs could be effective for osteoarthritis?
Research shows that virtual physical therapy can help manage osteoarthritis (OA) symptoms like pain and stiffness. In this trial, participants will be assigned to either individual or group-based virtual physical therapy. Studies have found that one-on-one online exercise programs in the individual physical therapy (IPT) arm can improve movement and reduce pain for people with OA. Patients reported feeling better and being more active when doing these programs at home.
For participants in the group-based physical therapy (GPT) arm, research has found similar benefits. Patients experienced less pain and better movement, even when participating online. Participants also felt less worried about pain and joint damage, a major concern for those with OA. Both individual and group virtual therapies in this trial seem promising for helping people manage OA effectively from home.36789Are You a Good Fit for This Trial?
This trial is for rural residents with hip or knee osteoarthritis who struggle to access physical therapy. Participants should be continuing their usual OA care and willing to engage in virtual PT sessions via Zoom. Specific eligibility criteria are not provided, but typically participants must meet certain health conditions.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Usual Care
Participants continue 12 weeks of community-based osteoarthritis usual care, including educational materials and any community-based treatments.
Treatment
Participants are randomized to either Individual Physical Therapy (IPT) or Group-based Physical Therapy (GPT) for 12 weeks, with virtual sessions focusing on education, exercise, and personalized goal-setting.
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments at immediate post-intervention, 6-months, and 12-months post-intervention.
What Are the Treatments Tested in This Trial?
Interventions
- Group-based Virtual Physical Therapy Program
- Individual-based Virtual Physical Therapy Program
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Alberta
Lead Sponsor
Canadian Institutes of Health Research (CIHR)
Collaborator