Tai Chi or Hydrotherapy for People With Osteoarthritis of the Hip(s) or Knee(s)
Recruitment status was Active, not recruiting
The aim of this study is to determine, in the framework of a randomized controlled clinical trial, whether Tai Chi can affect measurable improvements in self-reported outcomes such as pain, physical function and psychological well-being in people with osteoarthritis (OA) mainly affecting the hips or knees. The effectiveness of Tai Chi will be compared with both a non-intervention control group as well as with a formal exercise program, hydrotherapy. Hydrotherapy has long been considered an effective intervention for people with chronic OA although scientific evidence is weak at present. The main study hypotheses are that Tai Chi or hydrotherapy can significantly decrease pain and physical limitations; improve health-related quality of life; and promote psychological well being in patients with OA of the hip(s) or knee(s); and that Tai Chi and hydrotherapy are of equal efficacy.
Behavioral: Tai Chi classes
Behavioral: Hydrotherapy classes
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Treatment
|Official Title:||Tai Chi or Hydrotherapy for People With Osteoarthritis of the Hip(s) or Knee(s)|
- Self-reported pain and function (WOMAC)
- General health status (SF-36)
- Psychological well being (DASS)
- Patient global assessment (100mm visual analogue scale [VAS])
- Physical performance: 50 feet walk time, stair time
|Study Start Date:||February 2004|
|Estimated Study Completion Date:||October 2005|
A single blinded randomized controlled clinical trial with 3 allocation groups:
- Tai Chi: maximum 15 people per group, twice weekly, 12 weeks.
- Hydrotherapy: maximum 15 people per group, twice weekly, 12 weeks.
- Control: 12 weeks waiting time prior to allocation to active intervention.
A specially designed Tai Chi program (Tai Chi for Arthritis, Paul Lam) will be provided in a community setting by trained instructors. Hydrotherapy sessions will be held at the St. George Hospital under supervision of registered physiotherapists with rheumatology and hydrotherapy experience.
Outcomes will be measured twice: 12 and 24 weeks after randomisation.
|Australia, New South Wales|
|St George Hospital|
|Kogarah, New South Wales, Australia, 2217|
|Principal Investigator:||Marlene H Fransen, PhD MPH||The George Institute, University of Sydney|
|Study Chair:||John Edmonds, MB, BS||St George Hospital, University of NSW|