Feasibility of Multi-modal Physical Therapy in Latino Older Adults With Moderate Knee Osteoarthritis
Arthritis Knee
About this trial
This is an interventional treatment trial for Arthritis Knee focused on measuring Hispanic American, Physical Therapy, Pilot study, Latino
Eligibility Criteria
Inclusion Criteria:
- Moderate knee osteoarthritis Defined as Kellgren-Lawrence radiographic level 2 or 3
- People who speak Spanish as a primary language
- Age 50 or greater
- pass a Phone screening: Reports problems with physical performance due to knee: Answers yes to 'Are you now limited in any way in any of your usual activities because of arthritis or joint?' Reports pain in their knee: Answers 'yes' to have you had pain in your knee in last 30 days? Be able to walk inside home without a cane, be able to walk ¼ of a block without a cane and be able to go up a flight of stairs without assistance from another
Exclusion Criteria:
- Psychiatric or behavioral comorbidity preventing participation in a group exercise program
- History of lower extremity joint arthroplasty
- Morbid obesity defined as body mass index of 40 or greater
- Presence of inflammatory arthritic condition
- Neurologic involvement impacting functional mobility
Sites / Locations
Arms of the Study
Arm 1
Experimental
multimodal physical therapy
The multimodal intervention is 75 minutes in duration and meets two days per week for two weeks, then once per week for six weeks, followed by weekly phone calls to determine adherence to home-exercise program (HEP) for four weeks. The total duration of the intervention is twelve weeks. The intervention will be led in a group format with a ratio of one physical therapist to two participants and groups never exceeding 4 participants. All verbal and written communications in the intervention will be conducted in Spanish. The multimodal intervention consists of progressive lower extremity strengthening training targeting the quadriceps and gluteal groups in both legs, progressive stationary bicycle exercise, self-management training and education, manual therapy and home exercise program (HEP) instruction. Participants are asked to do their strengthening exercises at least three days per week for the 12-week study duration including sessions in the clinic