RECRUITING

Non-Surgical Management of Knee Osteoarthritis in the Military Health System (MHS)

Conditions

Knee Osteoarthritis physical therapy clinical practice guidelines military service members self-management

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This study will compare two different treatment approaches for the management of knee osteoarthritis (OA). All subjects will receive a standardized approach consistent with the core set of recommendation from the Department of Defense (DoD) and Veterans Administration (VA) Clinical Practice Guidelines for Non-Surgical Management of Knee Osteoarthritis. Follow-up will occur over a 1 year period.

Official Title

Exploring the Value of the Veterans Affairs (VA) and Department of Defense (DoD) Clinical Practice Guidelines for Non-Surgical Management of Knee Osteoarthritis in the Military Health System

Quick Facts

Study Start:2019-06-01

Study Completion:2027-07-01

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT03747393

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 60 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT

Inclusion Criteria	Exclusion Criteria
* TRICARE eligible beneficiaries (active duty, dependents, and military retired) with a primary complaint of knee pain. * Able to speak and read English well enough to provide informed consent, follow study instructions and independently answer the questionnaires/surveys. * Able to attend treatment sessions for a 4-week period. * Age 18-60 years old * The subject had an initial care visit in the last 90 days with a chief complaint of knee pain, or is scheduled to have one within the week. * Satisfies American College of Rheumatology (ACR) clinical criteria for diagnosis of knee OA for at least one knee.	* In the last year, the subject has received any invasive interventions including injections (corticosteroid, hyaluronic acid, etc.) or surgery for their knee * History of Total Knee Arthroplasty (TKA) * Has previously received formal PT for the same knee (\> 2 visits) in the last year * Has consulted a surgeon for knee pain for either knee in the past year * History of severe neurologic (e.g., stroke, Parkinson's disease, etc.) or other condition that prevents walking independently for at least 5 minutes or engaging in a physical activity/exercise program. * Anyone leaving military service for other than regular retirement, pending a medical evaluation board, discharge from the military for medical reasons, or pending or undergoing any litigation for an injury. * Systemic disease that could otherwise be responsible for the subjects knee pain (e.g. rheumatoid arthritis, gout, or psoriatic arthritis), non-musculoskeletal conditions causing knee pain, personal history of neoplasm, current or recent knee joint infection, recent fall/trauma to knee, acute fracture of knee, lower extremity amputation, or other more likely primary musculoskeletal knee disorders (e.g. patellar tendinopathy, bursitis, runner's knee, etc.) * Currently has a referral to orthopedics or physical therapy for a knee disorder

Inclusion Criteria

Exclusion Criteria

* TRICARE eligible beneficiaries (active duty, dependents, and military retired) with a primary complaint of knee pain.
* Able to speak and read English well enough to provide informed consent, follow study instructions and independently answer the questionnaires/surveys.
* Able to attend treatment sessions for a 4-week period.
* Age 18-60 years old
* The subject had an initial care visit in the last 90 days with a chief complaint of knee pain, or is scheduled to have one within the week.
* Satisfies American College of Rheumatology (ACR) clinical criteria for diagnosis of knee OA for at least one knee.

* In the last year, the subject has received any invasive interventions including injections (corticosteroid, hyaluronic acid, etc.) or surgery for their knee
* History of Total Knee Arthroplasty (TKA)
* Has previously received formal PT for the same knee (\> 2 visits) in the last year
* Has consulted a surgeon for knee pain for either knee in the past year
* History of severe neurologic (e.g., stroke, Parkinson's disease, etc.) or other condition that prevents walking independently for at least 5 minutes or engaging in a physical activity/exercise program.
* Anyone leaving military service for other than regular retirement, pending a medical evaluation board, discharge from the military for medical reasons, or pending or undergoing any litigation for an injury.
* Systemic disease that could otherwise be responsible for the subjects knee pain (e.g. rheumatoid arthritis, gout, or psoriatic arthritis), non-musculoskeletal conditions causing knee pain, personal history of neoplasm, current or recent knee joint infection, recent fall/trauma to knee, acute fracture of knee, lower extremity amputation, or other more likely primary musculoskeletal knee disorders (e.g. patellar tendinopathy, bursitis, runner's knee, etc.)
* Currently has a referral to orthopedics or physical therapy for a knee disorder

Contacts and Locations

Study Contact

Rachel Mayhew, DPT

CONTACT

206-450-0075

rachel.j.mayhew.ctr@mail.mil

Mary Laugesen, DPT

CONTACT

210-808-2575

mary.c.laugesen.ctr@mail.mil

Principal Investigator

Daniel I Rhon, DSc

PRINCIPAL_INVESTIGATOR

Brooke Army Medical Center

Study Locations (Sites)

Brooke Army Medical Center

San Antonio, Texas, 78219

United States

Wilford Hall Ambulatory Surgical Center

San Antonio, Texas, 78236

United States

Madigan Army Medical Center

Tacoma, Washington, 98391

United States

Collaborators and Investigators

Sponsor: Brooke Army Medical Center

Daniel I Rhon, DSc, PRINCIPAL_INVESTIGATOR, Brooke Army Medical Center

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2019-06-01

Study Completion Date2027-07-01

Study Record Updates

Study Start Date2019-06-01

Study Completion Date2027-07-01

Terms related to this study

Keywords Provided by Researchers

knee osteoarthritis
physical therapy
clinical practice guidelines
military service members
self-management

Additional Relevant MeSH Terms

Knee Osteoarthritis