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ACTIVE NOT RECRUITING
NCT03747393
NA

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

Sponsor: Brooke Army Medical Center

View on ClinicalTrials.gov

Summary

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

Key Details

Gender

All

Age Range

18 Years - 60 Years

Study Type

INTERVENTIONAL

Enrollment

300

Start Date

2019-06-01

Completion Date

2027-07-01

Last Updated

2026-01-22

Healthy Volunteers

No

Interventions

BEHAVIORAL

DoD/VA CPG Core Set + PT

Participants randomized to receive the core set management class and physical therapy will be scheduled for their initial physical therapy evaluation approximately 1 week from their enrollment date. The purpose of the evaluation will be to identify relevant impairments that can be addressed during the physical therapy treatments. After this initial evaluation, the goal is for the patient to receive approximately 4 weeks of physical therapy (about 8-10 sessions in the clinic 2-3 times per week). Consistent with a pragmatic study we will not use placebos to blind patients or attempt to balance provider contact.

BEHAVIORAL

DoD/VA CPG Core Set

The published clinical practice guideline recommends early use of a core set of management strategies to include patient education about their condition and the role of obesity in disease progression, activity and lifestyle modification focusing on physical activity, and a therapeutic exercise program. Implementation of the core set is recommended prior to any referral for consultation about invasive procedures such as intra-articular injections or TKA surgery. All patients with knee pain will be scheduled to receive the core set management strategy class as a part of the usual care route.

Locations (3)

Brooke Army Medical Center

San Antonio, Texas, United States

Wilford Hall Ambulatory Surgical Center

San Antonio, Texas, United States

Madigan Army Medical Center

Tacoma, Washington, United States